No postitions currently available: Notice to all applicants: After submitting form please follow-up by faxing a resume to 863-419-3171 Please complete the application and click the Submit button (one time Only) The application will be emailed to the administrative staff at Ridgeview Global Studies Academy. Ridgeview Global Studies Academy Online Employment Application 2010-2011 Personal Information First Name: Last Name: Sex: Male Female Social Security Number: Address: Street Address: City: State/Providence: Zip/Postal Code: Country: Home Phone: Work Phone: Email: Are you a United States Citizen? Yes No Are you retired from a Florida Retirement System? Yes No Select any/all of the following options that you are applying for at this time: Administration Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Guidance Media Select any/all of the following options that you are applying for at this time: Paraprofessional Secretary Technology Food Service Substitute Teacher S peech Therapist Education Information Name of High School: High School Address: High School City: High School State/Providence: High School Zip/Postal Code: High School Degree Received: College/University Name of College/University: College/University Address: College/University City: College/University State: College/University Zip/Postal Code: College/University Degree Received: Other Education Other Schools Name: Other Schools Address: Other Schools City: Other Schools State: Other Schools Zip/Postal Code: Other Schools Degree Received: Employment Information From: To: Employer #1: Street: City: State/ Providence: Zip/ Postal Code: Phone: Supervisor: Reason for Leaving: From: To: Employer# 2: Employer 2 Street: Employer 2 City: Employer 2 State: Employer 2 Zip/Postal Code: Employer 2 Phone: Employer 2 Supervisor: Reason for leaving Employer 2: From: To: Employer 3: Employer 3 Street: Employer 3 City: Employer 3 State: Employer 3 Zip/Postal Code: Employer 3 Supervisor: Reason for Leaving Employer 3: Do you currently hold a valid Florida Educators's Certificate? Yes No Have you applied for a Florida Educator's Certificate? Yes No If yes, When? mm/dd/yy: Have you ever had a teaching certificate suspended or revoked bythe state of Florida or any other state? Yes No Are you under contract with any school system at the present? Yes No If yes, name the school system: List other states in which you hold a valid teaching certificate: Personal References: (Please include one reference of a previous employer, if possible) Reference Name Reference Address Reference City, State, Zip Reference Phone Reference Title/Work Position: Reference Relationship to you: Reference 2 Name: Reference 2 Address: Reference City, State, Zip: Reference 2 Phone Reference 2 Title/Work Position: Reference 2 Relationship to you: Reference 3 Name: Reference 3 Address: Reference 3 City, State, Zip: Reference 3 Phone: Reference 3 Title/Work Position Reference 3 Relationship to you Have you ever been convicted or found guilty of a criminal offense other than a minor traffic violation(DUI is Not a minor traffic violation) and such record(s) was sealed or expunged? Yes No Other Information Have you ever been arrested and/or convicted, found guilty, had adjudication withheld, or entered a plea of nolo contendre (no contest) to a crime other than a minor traffic violation? (DUI is Not a minor traffic violation) Florida Law requires a YES or NO answer. Please attach a certified copy of legal disposition and/or court document related to each arrest. Any record that has not been sealed or expunged must be reported must be reported in this section. Yes No If yes, where and when did the arrest take place? Where?: When? : I hereby represent that each answer to a question herein and all other information otherwise furnished is true, complete, and correct. I further represent that such answers and information constitute a full and complete disclosure of my knowledge with respect to the question or subject to which the answer of information relates. I understand that any incorrect, or incomplete, or false statements or information furnished by me will subject me to discharge at any time. In the event that I am employed by Ridgeview Global Studies Academy, I agree to comply with all rules and regulations, I hereby authorize my former employers to give any information regarding my employment with them and in addition to furnish any other information they have concerning me. I understand that I will participate in a drug screening when offered employment and that I must have a negative drug screen results to be employed. If my drug screen is positive, I understand that I may not be considered for employment for one year after the date of the positive test. I understand that I will be fingerprinted as a matter of protection and identification, and will be on probationary status pending fingerprinting processing and payment of fees associated with the fingerprinting process. I will have a physical exam by a qualified physician as a condition of employment. I authorize the release of all information from any and all law enforcement agencies where protected under the Privacy Act. All information contained in the applicant's file is public information subject to inspection under Public Records Act, Florida Statute 119.07, unless specifically excluded from the Public Records Act, under Florida School Law 1012.31. It is the policy of Ridgeview Global Studies Academy not to discriminate against employees or applicants for employment on the basis of race, color, religion, sex, national origin, marital status, age, or disability. Sexual harassment is a form of employee misconduct, which underminds the integrity of the employment relationship, and is prohibited. This policy shall apply to recruitment, employment, transfers, compensation, and other terms and conditions of employment. I have read and fully understand this agreement and it's contents. Yes No
