Employment Application

To apply for employment at Smart Choices for Youth, Inc. please fill out the following employment application and submit it by clicking on "Submit Application":

Smart Choices for Youth, Inc. is an equal opportunity employer. No employee of the company will discriminate against an applicant for employment or a fellow employee because of race, creed, color, religion, sex, national origin, ancestry, age, any physical or mental disability or any other classes protected by state or local laws. No employee of the company will discriminate against any applicant or fellow employee because of the personís veteran status. This policy applies to all employment practices and personnel actions including recruitment, testing, screening, hiring, selection for training, upgrading, transfer, demotion, layoff, termination, rates of pay and other forms of compensation or overtime

General Information:
* Last Name:

* First Name:

MiddleName:

Maiden Name/Other Name/ Alias (First, Middle, Last)

* Personal Email:


Physical Address:

* Number & Street:

Apt:

* City:

* State:

* Zip:

* County:

* Are over the age of 18?

Yes No
* Home Phone: (including area code)

 

Cell Phone: (including area code)

Type of Position Desired:

Location:

Starting Salary Expected:

Full-Time Part-Time
Temporary Summer

Do you Prefer:

Referred By:

Educational Background:

Name of School
Location
Did you Graduate?
Diploma/Degree
Major
* High School

Yes No
College

Yes No

If not how many credit hours did you complete?

Post Graduate

Yes No

If not how many credit hours did you complete?

Other

Yes No
What office equipment do you operate?

Teaching:
Levels Taught:

 

Certified

 

Adult

 

Reading

 

Preschool

 

Math

 

K-8

 

Resource Room

 

9-12

Online
Not Applicable
What computer programs are you familiar with?

What foreign languages do you speak?

Other relevant experience?

 

Have you ever been convicted of or pleaded guilty to any criminal offense (before a court or by military court martial)?

Yes

No
If ďyesĒ please explain:

Prior to employment, your responses will be verified by a criminal record check if you are selected to continue forward in the hiring process. Conviction of a criminal offense does not automatically bar a person from employment at Smart Choices for Youth, Inc. Factors such as federal, state or local statutory requirements, the relationship of the offense to employment, the length of time since the offense and the seriousness and nature of the violation will be taken into account.  Were you ever employed by Smart Choices for Youth, Inc.?

Yes

No


Federal, state, and/or local law prohibits discrimination in hiring and employment on the basis of age, color, disability, marital status, national origin, race, religion, sex, veteran status, citizenship, or other legally protected categories.



EMPLOYMENT RECORD
:
Smart Choices for Youth, Inc. reserves the right to verify all information including salary. List all periods of employment, including any military service, for the last ten years (or last four employers). Start with your most recent positions and note any periods of unemployment. Be sure to sign the bottom of this page.May we contact your present employer?

Yes

No
* Employer 1

Present or last employer:

Date (Mo/Yr)
From:
To:
Current or last position:

Salary (start/final)

Address:

Immediate Supervisor:

Telephone:

Duties:

Reason for leaving:

Employer 2

Previous employer:

Date (Mo/Yr)
From:
To:
Position held:

Salary (start/final)

Address:

Immediate Supervisor:

Telephone:

Duties:

Reason for leaving:

Employer 3

Previous employer:

Date (Mo/Yr)
From:
To:
Position held:

Salary (start/final)

Address:

Immediate Supervisor:

Telephone:

Duties:

Reason for leaving:

Employer 4

Previous employer:

Date (Mo/Yr)
From:
To:
Position held:

Salary (start/final)

Address:

Immediate Supervisor:

Telephone:

Duties:

Reason for leaving:


References:
List at least 3 individuals qualified to give an opinion of your ability and experience. Lack of correct or complete information regarding applicable references may hinder or disqualify your application from further consideration.

* Name/Relationship * Employer * Position * Address & Telephone






Please read the following statements carefully. We will consider you for employment after you sign this application. Typing your name in the box below shall constitute your signature.

1. The information I have provided on this application is accurate to the best of my knowledge and subject to verification by Smart Choices for Youth, Inc. I understand that any misrepresentation or omission of fact in my application or resume will be justification for refusal to employ me or for termination of my employment without notice by Smart Choices for Youth, Inc.

2. I understand that agreeing to a criminal background check is a required part of the hiring process. I understand that the information I provide in this application shall be used for verification purposes by a third party company. I understand that should this application or a criminal record check reveal a conviction of a crime, Smart Choices for Youth, Inc. reserves the right to terminate further processing of this application or my employment, if hired. Factors such as federal, state or local statutory requirements, the relationship of the offense to employment, the length of time since the offense and the seriousness and nature of the violation will be taken into account.

3. I understand that this employment application is not a contract of employment. I further understand that if I am hired I will be an employee at will and that I may voluntarily leave employment at any time and for any reason and may be terminated by the employer at any time and for any reason

4. I understand that:
a) If employed, I shall sign the Confidentiality and Non-Disclosure Agreement in which Iíll agree to protect Smart Choices for Youth, Inc.ís confidentiality information. This agreement also sets forth the conditions under which Smart Choices for Youth, Inc. is assigned the entire right, title, and interest to invent- ions or ideas developed while in Smart Choices for Youth, Inc.ís employment.

b) The immigration Reform and Control Act of 1986 requires that every individual hired be authorized to work in the United States. I understand that, if offered employment, I will be required to present proper documentation of my work eligibility and identification.

c) If employed, my paycheck could be withheld until proper documentation of my work eligibility and identification are submitted to Smart Choices for Youth, Inc.

d) If employed, I must at all times comply with Smart Choices for Youth, Inc.ís standards of work performance, business conduct, and all individual State, District, and Contract requirements.

5. Please be aware that Smart Choices  r Youth, Inc. has various employment opportunities and programs available. Applicants and employees are encouraged to apply for all programs for which they are qualified. It is the applicantís responsibility to check frequently for additional openings and availability.

Please type your full name below.

Signature:
(I understand that typing my name electronically constitutes my signature.)


Date: