Bumblebee Academy Teacher Application

EDUCATIONAL BACKGROUND & EXPERIENCE
Please list relevant teaching certifications and date (month and year) completed.
Date (month and year) you received your HS diploma or GED:*
Name and location of institution:*
Date (month and year) you received your Associate's Degree
Name and location of College/University
Major
Minor
Name and location of College/University
Date (month and year) you received your Bachelor's Degree
Major
Minor
U.S. MILITARY RECORD
Service Branch
Final Rank
Entered Date

MonthDayYear
Date
Discharged Date

MonthDayYear
Date
What were your duties?
What special training did you receive?
List any additional special skills, technical or professional knowledge which you may have:
REFERENCES Give two or more references, including directors, superintendents and principals under whom you have taught. These persons should have first-hand knowledge of your character, personality, scholarship, and teaching ability.
Please list person's name, title, work address, and telephone number. *

EMPLOYMENT EXPERIENCE List all of your current and previous positions (paid and unpaid) in chronological order starting with the most recent. Please complete this section and attach additional documents as needed even if you submit a resume.
Employed From
mm-dd-yy
Employed to
mm-dd-yy
Company Name
Your Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Department
Supervisor's Phone Number

Area CodePhone Number
Supervisor's Name and Title
Work Performed
Reason for Leaving
Of the jobs you have held, which did you like the most and why?
Of the jobs you have held, which did you like the least and why?
May we contact your present employer?

YesNo

Work Experience 3
Employed From
mm-dd-yy
Employed to
mm-dd-yy
Company Name
Your Title
Your Department
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor's Phone Number

Area CodePhone Number
Supervisor's Name and Title
Work Performed
Reason for Leaving
May we contact your present employer?*

YesNo
May we contact all previous employers listed above?*

YesNo
Resume Upload
Upload a copy of your resume here *

Browse Files

Cancelof
Electronic Signature (your name)
Date*

MonthDayYear
Date
Bumblebee Academy shall comply with appropriate federal and state laws and regulations prohibiting discrimination in employment on thegrounds of race, color, national origin, protected age category, gender, marital status, military status or physical or mental disability of any individual who is otherwise qualified.
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