Step 1 of 5 20% Eagle Christian Academy Application for Support Personnel 6125 Bosque Blvd. Waco, Texas 76710 (254) 772-2122 PERSONAL DATAFull Legal Name* First Middle Last Maiden Name Other name which may appear on records (Used only for reference checks): Social Security Number* Current Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Permanent Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*POSITION DATAList the position(s) for which you are applying:* What type of employment are you seeking?* Full Time Part Time Any Date available to begin* MM slash DD slash YYYY EDUCATION/TRAININGHigh School Name High School Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Certificate Diploma GED College / UniversityName & AddressCourse of study & major/minorDegree/Diploma/ Certificate/LicenseDate Received WORK EXPERIENCEList any work experience you have had beginning with most recent.Work ExperienceEmployer NameAddressPhone NumberJob TitleSupervisorWork PreformedDates Employed, Begin - EndHourly rate / Salary, begin - endReason for Leaving Special SkillsList any specialized training, specific skills; and any machines or equipment you can operate. Include computer experience and typing speed, if applicable. REFERENCESList references that are most familiar with your skills and abilities. Please provide the information of at least three reference sources. Please include: 1. A supervisor or other person who knows your work. 2. Current employer if now employed, or last employer if not currently employed. 3. A parent whose child you have taught/cared for.References*NamePosition/RelationshipPhone NumberAddressEmail Address I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment. I authorize the references listed on the previous page to provide Eagle Christian Academy any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all such parties from liability or any damage that may result from furnishing this information.Signature of Applicant* Date* Please upload and submit your latest resume:Max. file size: 256 MB.
