PTAA CO: Faculty/Staff Application for Employment
Pioneer Technology & Arts Academy of Colorado
Sign in to Google to save your progress. Learn more
Email *
Full Name of Applicant (First, Middle, Last) *
Phone Number
 *
Do you Currently Live in Colorado Springs CO *
Address *
How did you hear about PTAA CO? *
What Role are you interested in? *
If you are interested in Teaching, which grade?
Clear selection
If interested in Support Staff, which supporting position?
Clear selection
Answer the following questions as completely as space will permit.  Please avoid reference to race, religion or politics or memberships in fraternal orders.  
Misstatements of material facts or omissions are cause for disqualifications of candidacy or dismissal from employment.
Are you a U.S. Citizen? *
If you are not a U.S. Citizen, do you have the legal rights to work within the United States? *
List any languages you read, write and speak besides English. (Answering this question is optional unless foreign language capability is a requirement of the job position for which you are applying, i.e. Spanish or Mandarin.)
Educational Background:
Please describe your academic, professional or vocational education related to the position for which you are applying.
School Attended: *
Degree/Major and Year Completed *
School Attended:
Degree/Major and year Completed
List any military training or experience which you believe has a bearing on your qualifications for this position.
Certificates and/or licenses which may apply to this position. 
Are you a licensed teacher?
Clear selection
List any computer, software, machine and/or equipment that you have experience in which you feel may have bearing on your qualifications for this position.
Memberships in professional organizations (you may omit those organizations that indicate your race, religious creed, disability or marital status, national origin, ancestry, sex or age)
List any volunteer or community experience that would be of value to you in this position.
Were you ever discharged or forced to resign from any position? *
Personal References (not related to you)
Please give name, email and phone number of two persons (not relatives) who have knowledge of your character, work experience, and abilities.
Personal Reference Number 1: (name, email, phone number) *
Personal Reference Number 2: (name, email, phone number) *
Experience:
List PRESENT job first, then other jobs in order, working down from most present.  Resume will be requested, but application must be completed. 
Current Employer: *
Dates of Employment (From/To)
Title/Position
Employer Name, Address, Phone, Supervisor
Reason for Leaving
 *
Previous Employer:
Dates of Employment (From/To)
Title/Position
Employer Name, Address, Phone, Supervisor
Reason for Leaving
Previous Employer
Dates of Employment (From/To)
Title/Position
Employer Name, Address, Phone, Supervisor
Reason for Leaving
Would you object to having any of the listed employers contacted in regard to your work history? *
Addtional information or comments:
Have you ever been convicted of any crime since the age of 18? *
If "yes," please list date and disposition of case:
Do you understand that if offered employment, you will be required to be fingerprinted and submit to a background check? *
Please submit your current resume to:
Shannon Houston, Principal at shouston@ptaaschool.org with email explaining the position you are interested in and that you have completed the application form.
Certification of Applicant:
Read carefully before signing and submitting.  "I hereby certify that my answers to the questions of this application are complete, accurate, and true to the best of my knowledge.  I agree and understand that any omissions or misstatements of material fact contained in the application may cause me to forfeit all rights to employment with PTAA.
Signature/Date *
MM
/
DD
/
YYYY
PTAA Colorado does not discriminate based on gender, national origin, ethnicity, religion or disability.

Thank you for your interest in PTAA Colorado, a K-8th Grade STEAM Public Charter School located in District 49 of Colorado Springs at 6464 Peterson Road, Colorado Springs, CO 80923.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Pioneer Technology & Arts Academy. Report Abuse
Google Forms