Scintilla Charter Academy - IGNITE Employee Application      
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First Name: *
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Email Address: *
Preferred Phone Number: *
Availability: *
Please check the days you are available to substitute
Required
If there are any details regarding your availability, please list them below: *
Do you have any chronic illness or physical impairment which may inhibit your job performance? *
If yes, please elaborate below.
Have you ever been convicted or pled nolo contendere for violation of any federal law, state law, county or municipal law, regulation or ordinance other than a minor traffic violation? (over the age of 17) *
If you answered yes above, please elaborate. *
Highest Level of Education *
Is there any other information you would like to share regarding you qualifications for working in the Ignite Program at SCA? *
I understand and acknowledge that consideration for employment as an Ignite employee may be contingent on a current background check. *
Please indicate your understanding by typing your name below.
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