Seasonal Staff Application
Please submit application and follow up with admin@earthrootsfieldschool.org
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Email *
First Name *
Last Name *
Address *
Phone Number *
Mobile
Email Address *
Position you are applying for *
Education (Please include years attended )
Employment History - Please provide a full record of all employment- paid and volunteer. Include dates, Employer Address & Phone, Job Title, & Reason for Leaving
Do you have a valid driver's license? *
If yes, please list the State and License Number
If you have a valid driver's license, do you have a clean driving record?
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If no, please explain
Please list references- persons (not relatives) who have knowledge of your character, experience, and ability. List name, title, and telephone/email. *
Have you ever been convicted of a felony? *
In the last ten years have you ever been fired from a job for any reason? *
Have you ever been convicted of child abuse, child sexual abuse or molestation? *
If you answered yes to any of the above, please explain.
If hired, I agree to be fingerprinted and consent to a criminal background. *
I authorize investigation of all statements herein, including any checks of criminal records and release Earthroots and all others from liability in connection with the same. I understand that if hired, I will be an independent contractor unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by Earthroots Director. I also understand that untrue, misleading or omitted information may result in dismissal. I also authorize Earthroots to release information regarding my employment to other prospective employers when they contact Earthroots and ask for a reference.
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