Employment Application – Microschool Ambassador Training Academy

Personal Information

First Name

Last Name

Email Address

Phone

Date of Birth (MM/DD/YYYY)

Social Security Number

Street Address

City

Zip Code

County

Available Start Date (MM/DD/YYYY)

Employment Eligibility

ARE YOU LEGALLY ELIGIBLE TO WORK IN THE U.S?*

YES

HAVE YOU EVER WORKED FOR FLORIDA CITIZENS ALLIANCE?*

YES

If you answered Yes to the previous question, please let us know the start and end dates of your prior employment with FLCA; otherwise, type N/A to move forward with your application.

HAVE YOU EVER BEEN CONVICTED OF A FELONY?*

YES

If you answered Yes to the previous question, please explain below; otherwise, type N/A to move forward with your application.

Education

Please answer the following questions regarding the HIGH SCHOOL you attended, in the space below:- Name of the school- City and state – Years – From: ______ to: ______- Did you graduate: Y or N- Did you receive a Diploma? Y or N

Please answer the following questions regarding the COLLEGE you attended, in the space below:- Name of the school- City and state – Years – From: ______ to: ______- Did you graduate: Y or N- Did you receive a Diploma? Y or N

Please answer the following questions regarding the ADDITIONAL education experience you have, in the space below:- Name of the school- City and state – Years – From: ______ to: ______- Did you graduate: Y or N- Did you receive a Diploma? Y or N

References

Name

Phone

Relationship

Name

Phone

Relationship

Name

Phone

Relationship

Background Check

IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK?*

YES

Acknowledgment

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.By typing my FIRST AND LAST name in the space below, I'm acknowledging my agreement with the above statement.

Getting to Know You

Are you married?*

YES

If you answered Yes to being married, please tell us the name of your spouse; otherwise, type N/A to move on with your application.

If you answered Yes to being married, please tell us the date of your wedding anniversary; otherwise, type N/A to move on with your application.

Do you have children?*

YES

If you answered Yes to having children, please tell us their names and ages; otherwise, type N/A to move on with your application.

What is your favorite hobby?

What is your favorite genre of music?

What type of food could you eat every day?

If you were stuck on a deserted island, what three things would you bring?

Are you a morning person or a night owl?*

Morning

Night

What is something that gives you energy at work?

What is something that drains your energy at work?

If you could go to any place, where would you go, and why?