Early View Academy Online Employment Application

Note: There are Mutiple Pages

F#5: EVA Job App From Staging Site

Basic Contact Information
Additional Information
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Early View Academy of Excellence

7132 W. Good Hope Rd.
Milwaukee, WI 53223
Phone: 414-793-7416
Website: www.EarlyView.org

Application For Employment

(Your Resume Must Be Attached To This Application)

FID #5

Select Position You're Applying For:

Teacher

Assistant Teacher

Other

Personal Information:

1. You Selected Other: Enter Position You're Applying for

2. First Name

Last Name

2a. Do you have an Alias/Former Name?

Yes

Alias: First Name

Alias: LastName

Alias: Middle Name

3. Current Address

City

State

Zip Code

Home Phone

Mobile Phone

4a. Have you lived in Milwukee Less Than 3 years?

Yes

List Previous Complete Address

Previous Address

City

State

Zip Code

Current Employer Information:

Provide Information about Current Employer

Current Employer Company Name

Work Address

5. Current Work Address

City

State

Zip Code

6. Worrk Phone with Area Code

8. Email

7. Phone/Mobile with Area Code

9. Is it permissible to call you at work? Yes/No

Yes

10. Are You A Former Early View Academy Employee?

Yes

11. Date of Availabilty

Are You Under Contract

Yes

Contract Expiration Date

12. Have you filed an application with the Early View Academy of Excellence previously?

Yes

13. When was previous application filed?

Under What Name?

Conviction Related Information:

NOTE: Convictions are not an automatic bar to employment but are reviewed in relation to the job for which you applied. Failure to report all convictions as specified on this application may result in rejection of your application or discharge from employment.

14. Have you ever been convicted of any offense, including felonies, misdemeanors, and ordinance violations?

Yes

Do not report minor traffic violations.

In the space below, please list details of each offense, the location, and the disposition of the case (attach additional sheets if necessary).

Conviction Details:

File Upload

Choose File

Pending Charges Related Information:

NOTE: Pending charges are not an automatic bar to employment but are reviewed in relation to the job for which you applied. Failure to report all pending charges as specific on this application may result in rejection of your application or discharge from employment.

15. Are you currently subject to any pending charge(s), including felonies, misdemeanors, or ordinance violations?

Yes

Do not report minor traffic violations.

In the space below, please list the
details of each pending charge, including the specific offense, the date of offense and the location (attach additional sheets if necessary, using the file-upload button below, note: only PDFs are allowed).

Pending Charges Details:

File Upload (Pending Charges Additional Infomation)

Choose File

End Pending Charges Section

Dismissal Related Information:

16. Have you ever been dismissed or asked to resign from any position?

Yes

Explain Dismissal or Resignation Request

EVA Family Relationships Information:

17. Are you related (by blood or marriage) to a current Early View Academy of Excellence Board Member or employee who is an administrator (e.g., principal, assistant principal, program administrator, supervisor, coordinator, staffing specialist, director, assistant director, manager, division/department head, deputy superintendent, the superintendent, chief auditor, director of board governance)? This includes guardianship as well as legal adoptions.

Note - Relationship to that person is defined as follows: father, mother, brother, sister, son, daughter, uncle, aunt, nephew, niece, grandchild, grandparent, first cousin, husband, wife, son-in-law, daughter-in-law, brother-inlaw, wife of a brother-in-law, sister-in-law, husband of a sister-in-law, father-in-law, mother-in-law, stepchild, stepparent.

17a. Are you related to an EVA Employee (see "17." above)

Yes

How Many Employees Are You Related To

Enter the individual(s) name as well as your relationship to that person or those persons, below (7 Max). To add more people upload a list if needed

1. First Name

1. Last Name

1. Relationship

2. First Name

2. Last Name

2. Relationship

3. First Name

3. Last Name

3. Relationship

4. First Name

4. Last Name

4. Relationship

5. First Name

5. Last Name

5. Relationship

6. First Name

6. Last Name

6. Relationship

7. First Name

7. Last Name

7. Relationship

Education Professional Training:

18. EDUCATIONAL AND PROFESSIONAL TRAINING: List higher institutions attended and other appropriate training in chronological order.

18a. Select the number of Institutions/Tranings you want to add

------------------------- Institution 1 -------------------------

1. Institution Name

1. Start Date

1. Degree or Cert

1. City

1. End Date

1. Major or Cert

1. State

1. Graduation Date

1. Minor or Cert

------------------------- Institution 2 -------------------------

2. Institution Name

2. Start Date

2. Degree or Cert

2. City

2. End Date

2. Major or Cert

2. State

2. Graduation Date

2. Minor or Cert

------------------------- Institution 3 -------------------------

3. Institution Name

3. Start Date

3. Degree or Cert

3. City

3. End Date

3. Major or Cert

3. State

3. Graduation Date

3. Minor or Cert

------------------------- Institution 4 -------------------------

4. Institution Name

4. Start Date

4. Degree or Cert

4. City

4. End Date

4. Major or Cert

4. State

4. Graduation Date

4. Minor or Cert

------------------------- Institution 5 -------------------------

5. Institution Name

5. Start Date

5. Degree or Cert

5. City

5. End Date

5. Major or Cert

5. State

5. Graduation Date

5. Minor or Cert

19. What is your current annual salary?

20. WISCONSIN CERTIFICATION: Do you hold a Wisconsin license(s) issued by the Department of Public Instruction?

Yes

20a. Licenses: Select the quanity you want to list

1. Type of License

1. Issue Date

1. Expiration Date

2. Type of License

2. Issue Date

2. Expiration Date

3. Type of License

3. Issue Date

3. Expiration Date

4. Type of License

4. Issue Date

4. Expiration Date

Work Experience:

21. WORK EXPERIENCE: Give a complete record of your full-time work experience. Indicate most recent experience at top of page, followed by previous experience in chronological order. Use a separate sheet of paper if additional space is needed. You must complete this section in addition to submitting a résumé.

This Section Will Allow up to 4 you can upload a PDF with more if needed

21a. Select Number of Employers (Max 4)

--------------- START EMPLOYER New 1 ---------------

Employer 1 Name

Employer 1 Address

Your Title/Position

Your Duties

Start Date

Supervisor Name

Start Salary

End Date

Supervisor Phone

End Salary

Reason for Leaving

--------------- START EMPLOYER New 2 ---------------

Employer 2 Name

Employer 2 Address

Your Title/Position

Your Duties

Start Date

Supervisor Name

Start Salary

End Date

Supervisor Phone

End Salary

Reason for Leaving

--------------- START EMPLOYER New 3 ---------------

Employer 3 Name

Employer 3 Address

Your Title/Position

Your Duties

Start Date

Supervisor Name

Start Salary

End Date

Supervisor Phone

End Salary

Reason for Leaving

--------------- START EMPLOYER New 4 ---------------

Employer 4 Name

Employer 4 Address

Your Title/Position

Your Duties

Start Date

Supervisor Name

Start Salary

End Date

Supervisor Phone

End Salary

Reason for Leaving

Professional References:

22. PROFESSIONAL REFERENCES: List references that may provide information about your training and experience.

22a. References: Select below to enter up to 4 professional references

Professional References List:

-------- Reference 1 --------

First Name (Ref 1)

Job Title or Position

Address Line 1

Last Name (ref 1)

Phone/Mobile

Zip Code

-------- Reference 2 --------

First Name (Ref 2)

Job Title or Position

Address (Ref2)

Last Name (ref 2)

Phone/Mobile

Zip Code (Ref2)

-------- Reference 3 --------

First Name (Ref 3)

Job Title or Position

Address (Ref3)

Last Name (ref 3)

Phone/Mobile

Zip Code (Ref3)

-------- Reference 4 --------

First Name (Ref 4)

Job Title or Position

Address (Ref4)

Last Name (ref4)

Phone/Mobile

Zip Code (Ref4)

23. Please indicate how you became aware of this position:

ADDITIONAL INFORMATION: Please provide any further information about yourself which you feel would be of importance in arriving at a fair evaluation of your qualifications for this position. For example, special strengths, areas where you feel greater growth is needed, your philosophy of education, etc.

24. ADDITIONAL INFORMATION: Limited to 3000 Characters or approx 500 Words

Applicant Information Authorization:

I authorize Early View Academy of Excellence to make any inquiry of or receive information from any person or organization regarding my suitability for employment; and do hereby give permission to these persons or organizations to provide such information. Such inquiries may include and not be limited by enumeration to the quality and quantity of my work, work history and record, character, qualifications, criminal records or convictions and medical records. For and in consideration of the release of such information, I hereby forever waive, release, and covenant not to sue any person or organization including Early View Academy of Excellence, its agents, and employees for the result of providing, obtaining, or acting upon such information.

I give this waiver, release, and covenant not to sue for myself, my heirs, assigns, and successors in interest forever. I give this waiver, release, and covenant not to sue understanding that the information obtained may be such as to disqualify me for employment. I understand that such information is sought with confidentiality, and I will not request copies of such information. I also certify that all statements made on this application are true and complete, accurate, and not misleading to the best of my knowledge.

I understand that any false statements, incomplete statements, or misrepresentations may subject me to disqualification or dismissal. A copy of this authorization shall be effective as the original.

Supplementary Applicant Information:

The following information will be used for conducting a criminal background check which is mandatory for all applicants.)

1. First Name

Middle Name

Last Name

3. Your Birth Date

2. Sex (please check one)

Male

Female

4. Race (please check one)

Native American

African American

Asian/Pacific Islander

Hispanic

White

Other

5. Position Applied For:

5a. Position Applied For:

5b. Enter Position You're Applying For:

6. Recruiting information: How did you FIRST hear about this job opening? (Please check only one.)

Recruitment Information

EVAE Web Site

Milwaukee Journal Sentinel

Other Newspaper (please specify)

City Hall Posting

Library Posting

Community Agency Posting (please specify)

College or University Posting (please specify)

From a City employee or Early View Academy of Excellence employee

From someone who is NOT an Early View Academy of Excellence employee

Job Hotline Number (414-286-5555)

Received Job Interest Postcard in mail.

Job Fair / Career Talk (please specify)

TV (please specify station)

Radio (please specify station)

www.milwaukeeder.com

Other internet site (please specify)

Other (please specify)

Signature Section

The above completed information is true to the best of my knowledge.

First Name

Last Name

Date Submitted

Early View Academy Online Employment Application

Note: There are Mutiple Pages

Early View Academy of Excellence

7132 W. Good Hope Rd.
Milwaukee, WI 53223
Phone: 414-793-7416
Website: www.EarlyView.org

Application For Employment

Personal Information:

Current Employer Information:

Conviction Related Information:

Pending Charges Related Information:

End Pending Charges Section

Dismissal Related Information:

EVA Family Relationships Information:

Education Professional Training:

Work Experience:

Professional References:

Applicant Information Authorization:

Supplementary Applicant Information:

Signature Section

About

school hours

Phone

Address

Email

Early View Academy Online Employment Application

Note: There are Mutiple Pages

Early View Academy of Excellence

7132 W. Good Hope Rd.Milwaukee, WI 53223Phone: 414-793-7416Website: www.EarlyView.org

Application For Employment

Personal Information:

Current Employer Information:

Conviction Related Information:

Pending Charges Related Information:

End Pending Charges Section

Dismissal Related Information:

EVA Family Relationships Information:

Education Professional Training:

Work Experience:

Professional References:

Applicant Information Authorization:

Supplementary Applicant Information:

Signature Section

7132 W. Good Hope Rd.
Milwaukee, WI 53223
Phone: 414-793-7416
Website: www.EarlyView.org