Classified Employment Application

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Classified Employment Application

The Quaker Digital Academy Board of Education does not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), disability, age, religion, military status, ancestry, genetic information (collectively, "Protected Classes"), or any other legally protected category, in its programs and activities, including employment opportunities.

Please complete the required fields below. Upon submission the form will be electronically sent and kept on file. Please contact the office for questions.

Applying For:(*)

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Please enter the name of the job position you are applying for.

Job Type(*)

Full-Time

Part-Time

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First Name(*)

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Middle Name

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Last Name(*)

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Have you ever worked or been educated under another name? Please enter the full name below:

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Email Address(*)

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Primary Phone Number(*)

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Secondary Phone Number

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Street Address(*)

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Street Address 2

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City(*)

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State(*)

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ZIP(*)

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Have you earned a high school diploma?(*)

Yes

No

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If you have earned a certification or degree, you may list it here:

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Do you have military experience in the armed forces?(*)

Yes

No

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Employment History

Name of Employer (1)

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Duration of Employment (Years and Months)

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Employer Address

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Name of Supervisor

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Please describe the work you performed.

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Name of Employer (2)

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Duration of Employment (Years and Months)

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Employer Address

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Name of Supervisor

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Please describe the work you performed.

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Name of Employer (3)

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Duration of Employment (Years and Months)

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Employer Address

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Name of Supervisor

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Please describe the work you performed.

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Name of Employer (4)

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Duration of Employment (Years and Months)

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Employer Address

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Name of Supervisor

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Please describe the work you performed.

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Reference Name (1)

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Phone Number

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Reference Name (2)

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Phone Number

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Reference Name (3)

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Phone Number

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Have you ever been convicted of or pleaded guilty to, or are you currently charged with any felony,any violation of R.C. 2907.04 or R.C. 2907.06, or division (A) or (C) or R.C. 2907.07, any offense of violence, theft offense (as defined in R.C. 2913.01), drug abuse offense (as defined in R.C. 2925.01) which is not a minor misdemeanor, or any misdemeanor, any misdemeanor sex offense?

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I certify that all statements I have made in this application are true, complete and correct to the best of my knowledge and that I am aware that any false statements or misrepresentations or omissions of the facts will be sufficient cause for dismissal. ANY PERSON WHO KNOWINGLY MAKES A FALSE STATEMENT IS GUILTY OF FAISIFCATION UNDER SECTION 2921.13 OF THE REVISED CODE WHICH IS A MISDEMANOR OF THE FIRST DEGREE.

I understand that the Quaker Digital Academy Board of Education may want to verify the statements that I have made in this application. I hereby give my permission for the Quaker Digital Academy Board of Education either at this time or any time during my employment, to request and review any of my educational records, employment records from previous employers, court records from any local, state or federal agency keeping such records, I also authorize the Quaker Digital Academy Board of Education and all previous employers and persons contacted for references from any an all claims that might arise from the exchange of information regarding prior job performance and/or qualifications for employment. I understand that any employment continuation will be dependent upon the results of the fingerprinting check through the Bureau of Criminal Identification and Investigation or FBI.

Signature of Applicant(*)

Sign Above

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"An Equal Opportunity Employer"

Quaker Digital Academy does not discriminate on the basis of sex, race, color, religion, age, gender, disability or national origin.

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School Information

Quaker Digital Academy (IRN 000241) is an Ohio Public Schools with offices in New Philadelphia, Steubenville, and East Liverpool.

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