Personal
First name
Middle
Last name
Present Address
Address
City
State
Zip
Phone
Email
Are you over 18?
Yes
No
Are you legally eligible to be employed in the United States? (you will be required to show proof of identity and eligibility upon employment)
Yes
No
"Have you ever been convicted of a felony? If yes, please explain below.
Yes
No
Employment Desired
Please indicate position desired
Have you applied to Pace School in the past? If yes, state when and what position.
Yes
No
How did you find out about Pace School?
Newspaper Ad
Pace School Web site
CollegeCentral.com
Duquesne University Career Service Center
Futurelinks
Other
What type of position are you looking for?
Choose
Full Time
Part Time
Summer Only
Temporary Position
Substitute
Have you worked for Pace School in the past? If yes, state when and what position.
Yes
No
When are you available to start?
Are there any days or hours that you are unable to work? Please indicate below.
What are your salary requirements?
Education
Name, Address and Location
Dates (start-finish)
Graduated?
Major Course of Study
High School
Yes
No
Diploma:
College
Yes
No
Degree:
Graduate
Yes
No
Degree:
Post Graduate
Yes
No
Degree:
Have you had Therapeutic Crisis Intervention (TCI) training ?
Yes
No
List and describe any other specialized training, awards or education.
List Licensure's/Certifications
State Issuing the Document
Dates of Licensure's/Certification