Apply :: Math and Science Academy Careers :: Teach at Minnesota's #1 Charter School

Name:

Phone Number:

Present Address:

Email:

Have you ever been employed by MSA previously?

Yes No

If yes, dates employed:

From: To: Position:

Referred to MSA by (check one):

Job Posting Employee Other

Have you ever been discharged by an employer:

Yes No

If yes, please explain:

May we contact any of your references?

Yes No

If no, please explain:

ACKNOWLEDGEMENT: PLEASE READ AND SIGN (if you agree)

By my signature below, I promise that the information provided in this employment application (and in any related documentation or interview) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date.

I authorize any person, school, current or prior employer named in this form (or related documents or interview) to provide MSA with any information and opinion requested by MSA in connection with my application, and I release such persons, employers, and schools from any liability in making such statements.

I understand if I am selected for an interview or given a conditional offer of employment, MSA may ask me if I have been convicted of a misdemeanor, a felony or convicted in a military court martial and, if yes, ask me to provide information regarding the same. I understand MSA may consider this information in connection with deciding whether to hire me in accordance with applicable law. (A conviction will not necessarily disqualify you from employment.)

I understand that this application does not create a contract of employment. I understand that, if hired, I am obliged to comply with any and all current and subsequently adopted MSA policies. I understand and agree that, if hired, my employment is at-will and is for no definite period of time, and may, regardless of the date of payment of wages or salary, be terminated at any time for any reason.

Applicant's Signature:

Date:

EEO-1 SELF-IDENTITY FORM

I understand that this application does not create a contract of employment. I understand that, if hired, I am obliged to comply with any and all current and subsequently adopted MSA policies. I understand and agree that, if hired, my employment is at-will and is for no definite period of time, and may, regardless of the date of payment of wages or salary, be terminated at any time for any reason.

Name:

Date:

Please check one:

Male Female Non-Binary Decline to Self-Identify

Please indicate if you are a veteran of the U.S. military:

Yes No I do not wish to answer

If you are a veteran, please indicate your veteran status:

Disabled Veteran Recently Separated Veteran Armed Forces Service Medal Veteran Active Duty Wartime or Campaign Badge Veteran

PLEASE CHECK THE APPROPRIATE DESIGNATION - YOU MAY ONLY CHECK ONE DESIGNATION

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. White (Not Hispanic of Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic or Latino): A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native (Not Hispanic or Latino): A person having origins in any of the original peoples of North and South American (including Central America), and who maintain tribal affiliation or community attachment. Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above races, excluding those who identify themselves as Hispanic or Latino.

Upload your resume (PDF, DOC, DOCX):

Upload your letter(s) of recommendation (PDF, DOC, DOCX):

Upload your certification(s) (PDF, DOC, DOCX):

Application Form For Lunch Room Monitor - 5 days per week

Math and Science Academy (MSA)

Answer ALL questions completely - please print or type - be sure to complete all applicable pages.

EEO-1 SELF-IDENTITY FORM