PROFESSIONAL TEACHER CREDENTIALS:

Address*

Please select your preferred region
Please select your preferred Columbus Area School
Please select your preferred School
Certificates / Licenses Held*
National Board Certified Teacher*
National Teacher Exam*

EDUCATION AND TRAINING

TEACHING EXPERIENCE

School 2

School 3

OTHER WORK EXPERIENCE

Employer 2

Employer 3

Military Service:

Personal References

APPLICANT INFORMATION

PLEASE RESPOND TO ALL OF THE FOLLOWING QUESTIONS

Have you continuously lived in the State of Ohio for the past five years?*
Have you ever been arrested in the State of Ohio or in any other state of the Union for anything other than a vehicle moving violation? If yes, please provide explanation.*
Have you ever been convicted of any felony or violation of O.R.C. 3319.39. Any offense of violence, theft, or drug abuse that is not a minor misdemeanor or a substantially comparable ordinance or statute under federal, state (in state/out of state), or municipal (in state/out of state) law? If yes, please explain:*
Has your teaching certificate/license ever been revoked, suspended, or terminated under Ohio or any other comparable state law? (Proceedings involving your certificate/license will not necessarily disqualify applicant from employment.) If yes, please explain:*
Have suspension and/or termination proceedings under Ohio or comparable federal and state law ever been initiated against you? (The initiation of a proceeding will not necessarily disqualify applicant from employment.) If yes, please explain:*

APPLICANT’S STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I realize that I may be required to undergo a physical examination and tuberculin skin test. A reference check will be conducted which will include a criminal background check. Applicants are required to provide proof of current certification, official copies of all transcripts, and complete credentials and references, including records of prior employment. In the event of employment, I understand that false or misleading information given in my application, resume, or interviews may result in discharge. I also understand that I am to abide by all policies, rules, and regulations of the Board of Directors and administration. I understand that the Board of Directors or Education Director may wish to verify the statements I have made in this application. I hereby give my permission for Performance Academies or its authorized representative(s), either at this time or any time during my employment with the Board, to request and review any of my employment records, court records, and/or police records from any local, state, or federal agency keeping such records.

The undersigned certifies that he/she has answered the above questions knowingly and truthfully to the best of his/her ability.

I UNDERSTAND THAT I CANNOT BEGIN WORK AND RECEIVE COMPENSATION UNTIL MY LICENSE, BCI & FBI, AND EMPLOYEE PACKET MATERIALS ARE RECEIVED AND ACCEPTED BY HUMAN RESOURCES.*
PERFORMANCE ACADEMIES IS AN EQUAL OPPORTUNITY EMPLOYER AND AS SUCH, IS CONSISTENT WITH APPLICABLE FEDERAL AND OHIO LAW, AND DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION, GENDER, AGE, ANCESTRY, NATIONAL ORIGIN, OR DISABILITY.
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