Employment Application

1. General Information

12% of survey complete.

_{Please take your time in completing this application.}

_{All the information provided will be used to make a final hiring decision.}

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* 1. About You:

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. DOB:

Date

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* 3. How did you hear about Educators On Call (Referral Source) ?

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* 4. What date are you available to start:

Start Date

Date

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* 5. Positions Applying for:

K–12 Guest Teacher (PA)

Non-certified K–12 Teaching Assistant (PA)

Early Childhood Education Guest Teacher (PA)

Early Childhood Education Teaching Assistant (PA)

K–12 Guest Teacher (Camden, NJ)

Instructional Tutor: Remote

SPED Instructional Aide: In-Person (PA)

Other (please specify)

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

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* 7. If NO, are you authorized to work in the U.S.?

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* 8. Have you ever worked for this company?

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* 9. If Yes, when?

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* 10. Which of the following categories best describes your employment status?

Employed, looking for supplemental income

Employed, looking for new job with flexibility

Employed, making a career change

Not employed, looking for work

Retired, looking for part-time work

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* 11. Have you had a TB test done in the last year?

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* 12. State laws require satisfactory background checks for employment which will have direct contact with children.

Have you completed background checks in the last year?

If you are unsure of the required clearances needed, please refer to the Department of Education website in the state where you reside.