Employment Application Step 1 of 7 14% Personal InformationName* First Middle Last Preferred Name*Cell Phone*Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Email Address* EducationHigh School*Graduation Date Date Format: MM slash DD slash YYYY College/University (if applicable)Major Position Applying for:What position are you applying for?*Select PositionTechnicianLead TechnicianOffice AdministratorHow did you find out about job opportunities at Teacher Under Pressure?* Legal Violations:Do you have a clean driver's license?YesNoIf no, please explain:Have you ever been convicted of a crime?YesNoIf yes, please explain: Employment History Please List up to three past employers, assignments or volunteer activities, starting with the most recent. Employer #1Company Name:*Phone*Supervisor*Dates of Employment*Work Performed*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer #2Company Name:PhoneSupervisorDates of EmploymentWork PerformedAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer #3Company Name:PhoneSupervisorDates of EmploymentWork PerformedAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please provide two personal references:Reference #1Name*Cell Phone*How do you know him/her?*Email* Reference #2Name*Cell Phone*How do you know him/her?*Email* Verification: I hereby authorize Teacher Under Pressure to contact all prior employers and any references provided here in the hiring process to verify all information related to my character and past work performance. I further hereby release all references and prior employers from any liability for information provided in good faith. I hereby affirm and acknowledge, by signing below that all of the information in this employment application is true and complete. If I move forward in the hiring process, I agree to sign a release form to have a background check run on my background. I further understand that if I am offered a position at Teacher Under Pressure, I will carefully read the Teacher Under Pressure Staff Policy Manual and agree to follow these policies fully during my time on staff at Teacher Under Pressure. I understand that if hired I will be committing myself to a position of service and that my actions should reflect my willingness to serve. Applicant's Signature*Date* Date Format: MM slash DD slash YYYY Enter your Name*Parent/Guardian Signature (if under 18):Date Date Format: MM slash DD slash YYYY
