Employment Application - Saul Mirowitz Jewish Community School

Applicant Information

Your application is valid for a period of three months. If you wish to continue to be considered for employment after three months passes you must notify Mirowitz of your continued interest in employment. Email a resume and cover letter to careers@mirowitz.org and complete this application.

Name:*

First Middle Last

Date:*

Address:*

Street Address City State ZIP Code

Phone:*

Email:*

Date Available:*

Position Applying For:

Have you ever pled guilty to, pled nolo contender, or been convicted of a felony?*

Yes
No

Please describe:

Have you ever been dismissed, suspended or allowed to resign?*

Yes
No

If so, when, and for what reason?

Is there any reason that would limit your ability to perform the work tasks for the position you seek, with or without a reasonable accommodation?*

Yes
No

Please explain:

Education

High School*

Address

Street Address City State / Province / Region ZIP / Postal Code Country

From:

To:

Did you graduate?

Yes
No

College*

Address

Street Address City State / Province / Region ZIP / Postal Code Country

From:

To:

Did you graduate?

Yes
No

Degree:

Other educational information:

References

Please list three professional references.

Name

First Last

Relationship

Company

Address

Street Address City State ZIP Code

Phone

Name

First Last

Relationship

Company

Address

Street Address City State ZIP Code

Phone

Name

First Last

Relationship

Company

Address

Street Address City State ZIP Code

Phone

Previous Employment (including Military Service)

Employer

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor:

Job Title:

Responsibilities:

From:

To:

Reason for Leaving:

Your name at this time:

First Last

May we contact your current/previous supervisor?

Yes
No

Employer

Phone

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor:

Job Title:

Responsibilities:

From:

To:

Reason for Leaving:

Your name at this time:

First Last

May we contact your current/previous supervisor?

Yes
No

Disclaimer and Signature

I agree to comply with all the rules of the Saul Mirowitz Jewish Community School. I hereby affirm and declare that all the statements herein are true and correct and that I have not withheld any fact that would, if disclosed, affect my application unfavorably. I hereby authorize the Saul Mirowitz Jewish Community School to conduct any investigation it deems necessary on this application. I also hereby authorize the Saul Mirowitz Jewish Community School to release such information together with their opinions on these matters, without any liability for any damage whatsoever caused either directly or indirectly by giving or receiving this information or opinions. I authorize my former and present employers and personal references to give any information they may have concerning my character and employment record. It is understood that false statements on this application may be considered as sufficient cause for rejection of this application, or dismissal if already employed by the Saul Mirowitz Jewish Community School. I understand that if I am employed by the Saul Mirowitz Jewish Community School the employment relationship will be terminable at will by either party, at any time, with or without notice, with or without cause, unless such relationship has been modified by an agreement in writing. I understand that no representative of the Saul Mirowitz Jewish Community School other than the Head of School has any authority to enter into any agreement for employment for any specified period of time or the authority to add any agreement to the foregoing; and any such agreement so made by the Head of School must be in writing, dated and executed by the parties.

Signature

Date