AAECS Employment Application

Arts Academy Elementary Charter School

Certified Position Application 2021-22
PERSONAL INFORMATION
Full Name *

First Name Middle Name Last Name
Address *

Street Address

House, Apt. #

City State

Zip Code
Phone Number *

Area Code Phone Number
E-mail *
Are you authorized to work lawfully in the United States for Arts Academy Elementary Charter School? Note: If hired, a Form I-9, Employment Eligibility Verification, must be completed at the start of employment. *

Yes No
EMPLOYMENT DESIRED
Position Applying For *
Other Position (specify below)
Date You Can Start *

Month Day Year
Have You Worked Here Before? *

Yes No
Have You Applied Here Before? *

Yes No
EDUCATION
High School *
Graduated? *

Yes
College (Most recent) *
Name of College/University Attended
Graduated? *

Yes
G.P.A. *
Degree *
College
Name of College/University Attended
Graduated?

Yes
G.P.A.
Degree
CURRENT CERTIFICATIONS

List only current PA certifications here.
Certification *
Level *
Year *
Certification
Level
Year
Certification
Level
Year
List Additional, In-Process or Out-of-State Certifications here if applicable.
SKILLS, QUALIFICATIONS and RELATED EXPERIENCES

List any skills, qualifications or related experiences pertinent to this position.
EMPLOYMENT
Current Employer *
Enter NONE if not currently employed.
Position *
Salary *
Reason for Leaving? *
Name of Supervisor *
Start Date

Month Day Year
Previous Employer
Name of Previous Employer
Position
Ending Salary
Reason for Leaving?
Name of Supervisor
Start Date

Month Day Year
End Date

Month Day Year
Previous Employer
Name of Previous Employer
Position
Ending Salary
Reason for Leaving?
Start Date

Month Day Year
End Date

Month Day Year
REFERENCES

References will not be contacted prior to your participation in an interview.
Reference 1 *
Name of Reference
Relationship *
Years Acquainted *
Phone *
Email
Reference 2 *
Name of Reference
Relationship *
Years Acquainted *
Phone *
Email
Reference 3 *
Name of Reference
Relationship *
Years Acquainted *
Phone *
Email
UPLOAD DOCUMENTS

Click the links below to attach the required documents. Your application will not be considered complete until all required documents are submitted. Acceptable formats include: jpg, png, pdf, doc or docx.
Cover Letter *

Upload a File

Cancel of
Resume *

Upload a File

Cancel of
Certifications *

Upload a File
Allows multiple attachments. Cancel of
Transcripts *

Upload a File
Allows multiple attachments. Cancel of
CLEARANCES

All clearances listed below are required and must be dated within one (1) year.
To learn more about obtaining clearances, click the link below to access the PA Department of Education website.

https://www.education.pa.gov/Educators/Clearances/Pages/default.aspx
Child Abuse History Clearance *

Upload a File

Cancel of
PA State Police Criminal Records Check *

Upload a File

Cancel of
Federal Criminal History Record Information (CHRI) *

Upload a File

Cancel of
CERTIFY AND SUBMIT
By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.
Should be Empty:

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

CURRENT CERTIFICATIONS

SKILLS, QUALIFICATIONS and RELATED EXPERIENCES

EMPLOYMENT

REFERENCES

UPLOAD DOCUMENTS

CLEARANCES

CERTIFY AND SUBMIT