Application for Employment First Name *Last Name *Email *Phone Number *Address *Address Line 1Address Line 2CityStateZip / Postal CodeDate of Birth *License(s): List: Field, Grades, Type (Preliminary, Initial, or Professional) and Expiration DateLicense(s) 2 : List: Field, Grades, Type (Preliminary, Initial, or Professional) and Expiration DateEducationHigh School Dates Attended # to # Major/Minor Grad Date/Degree Trade School Dates Attended # to # (TS) Major/Minor (TS) Grad Date/Degree (TS) Undergraduate College/University Dates Attended # to # (UCU) Major/Minor (UCU) Grad Date/Degree (UCU) Post Graduate College/University Dates Attended # to # (PG) Major/Minor (PG) Grad Date/Degree (PG) Honors and extra-curricular activities: WORK EXPERIENCEList current or most recent positions first.Position School/Organization/Company Dates Employed Mo/Day/Year to Mo/Day/YearPosition 2 School/Organization/Company 2 Dates Employed 2 Mo/Day/Year to Mo/Day/YearPosition 3 School/Organization/Company 3 Dates Employed 3 Mo/Day/Year to Mo/Day/YearREFERENCESPlease provide names of those who have closely observed your work as a teacher, employee, or student.Ref Name & Position *School/Organization/Company Town/City State Phone# & Email *Ref Name & Position (2) School/Organization/Company (2) Town/City State (2) Phone# & Email (2) Ref Name & Position (3) School/Organization/Company (3) Town/City State (3) Phone# & Email (3) APPLICANT STATEMENTPlease provide a brief statement providing any additional information you would like us to consider regarding your candidacy. Additional paper may be used to complete this section, if needed.Additional Information VerificationI hereby verify that the statements I have made in this application are true and complete. I understand that if I am hired, any false or incomplete statements in this application will be grounds for immediate discharge. I hereby authorize you to investigate my employment and personal history. By signing online below, I acknowledge the above information is complete, true, and valid.Signature * Date / Time *Equal Opportunity and Workplace Conduct PolicyDYNASTIC TEAM does not discriminate on the basis of race, color, religion, national origin, age, gender, gender identification, sexual orientation, genetic information, or disability in admission to, access to, employment in, or treatment in its programs and activities. The DYNASTIC TEAM is committed to maintaining an environment free of harassment based on race, color, religion, national origin, age, gender, sexual orientation, or disability. Harassment by administrators, certified and support personnel, employees, vendors and other individuals at the workplace or at workplace-sponsored events is unlawful and is strictly prohibited. The DYNASTIC TEAM requires all employees to conduct themselves in an appropriate manner with respect to their fellow employees, administrators, certified and support personnel, vendors, and other individuals at the workplace or at workplace-sponsored events.WebsiteSubmit