Pinellas Preparatory Academy, Inc. Employment Interest Form

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* 1. Application Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Date Available

Date Available

Date

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* 3. Position Applying For:

K-2 Instructional

3-5 Instructional

MS ELA

MS History

MS Math

MS Science

Art

Music

PE/ Health

Spanish

Technology

Library

ESE

Reading

Non-instructional- Front Office

Non-instructional- Maintenance

Non-instructional- IT

Non-instructional- Coaching

Before and After Care Counselor

Substitute

Other

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* 4. Are you a citizen of the United States?

Yes

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* 5. If no, are you authorized to work in the United States

Yes

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* 6. Have you worked at Pinellas Preparatory Academy, Inc.?

Yes

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* 7. If yes, in what capacity?

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* 8. If applying for an instructional position what areas do you hold certification? From what state? Please list your certificate number.

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* 9. Select your highest level of education

High School Diploma

AA Degree

Bachelors Degree

Masters Degree

Additional Degree(s)

Pinellas Preparatory Academy, Inc. Employment Interest Form

Question Title

* 1. Application Information

Question Title

* 2. Date Available

Question Title

* 3. Position Applying For:

Question Title

* 4. Are you a citizen of the United States?

Question Title

* 5. If no, are you authorized to work in the United States

Question Title

* 6. Have you worked at Pinellas Preparatory Academy, Inc.?

Question Title

* 7. If yes, in what capacity?

Question Title

* 8. If applying for an instructional position what areas do you hold certification? From what state? Please list your certificate number.

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* 9. Select your highest level of education

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* 10. Most current employer; position held; dates employed

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* 11. Previous employer, position held, dates employed

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* 12. Previous employer, position held, dates employed