Employment Application Form – Staff "*" indicates required fields Contact InfoPosition for which you are applying*How did you find out about this position?* Academy of the Sacred Heart website Network of Sacred Heart ISSL (Independent Schools of St. Louis) Indeed.com The Rome Group Friend/Family Member Other (please specify) Please specify how you found out about this position.*Name* PrefixMr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Employment InfoEmployment HistoryPlease provide the most recent employment or work experience. Your full employment history should be reflected on your resume. Click "+" to add rows, click "-" to remove them.Job TitleSchool / OrganizationFrom (Month/Year)To (Month/Year) Add RemoveTools / Skills / TrainingPlease list any programs, skills or training that you are familiar with (email, MS Office, ATLAS, languages, equipment) that would benefit you in your position and your level of proficiency. Click "+" to add rows, click "-" to remove them.Tool / Skill / TrainingProficiency BasicIntermediateAdvanced Add RemoveCertificationSchool / OrganizationGraduate DegreeSchool / OrganizationUndergraduate DegreeSchool / OrganizationHigh School DiplomaSchool / OrganizationGeneral QuestionsReligious AffiliationAre you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?* Yes No Are you legally eligible for employment in the United States?* Yes No Are you 18 or over?* Yes No Are you currently under contract?* Yes No Have you been previously employed by the Academy of the Sacred Heart, St. Charles, MO?* Yes No Have you been previously employed by a member of the Network of Sacred Heart Schools?* Yes No Have you ever been dismissed or asked to resign from any position?* Yes No Have you ever plead ‘guilty’ or ‘no contest’ to, or been convicted of a crime?* Yes No What minimum salary do you require?*AttachmentsCover LetterAccepted file types: pdf, Max. file size: 16 MB.ResumeAccepted file types: pdf, Max. file size: 16 MB.Additional MaterialsAdd any additional materials you would like to attach here. Drop files here or Select files Accepted file types: pdf, png, jpg, jpeg, doc, docx, Max. file size: 16 MB. Employment Non-Discrimination PolicyThe Academy of the Sacred Heart is an Equal Employment Opportunity employer and does not discriminate on the basis of race, color, national or ethnic origin, age, gender, disability, marital status, sexual orientation, or any other status protected by federal, state or local law in the administration of its employment practices. As a Sacred Heart School, The Academy of the Sacred Heart reserves the right to use religion as a factor, for selected positions within the school, for the hiring process as permitted by law.Please check to signify that you accept the following:* I certify that the information contained in this application is true and correct to the best of my knowledge and understand that any false or misleading statements or omissions, whenever discovered, regarding this application are grounds for disqualification from further consideration or for dismissal from employment at The Academy of the Sacred Heart. If employed by The Academy of the Sacred Heart, I agree to conform to the guidelines and policies of The Academy of the Sacred Heart and understand that my employment at The Academy of the Sacred Heart may be terminated at any time if the Head of School or designee determines my job performance or conduct on the job is not satisfactory or is prejudicial to the interests of the school. I authorize The Academy of the Sacred Heart to verify all references and information provided by me in this application. I release The Academy of the Sacred Heart, any person or company responding to any reference or information from any claim or liability regarding any information or opinion supplied. I understand that any offer of employment is subject to satisfactory references. I understand that The Academy of the Sacred Heart is required by law to conduct a criminal history check and may inquire into and consider any criminal conviction records that I may have. I also understand that The Academy of the Sacred Heart may withdraw an offer of employment if the school determines that I have a criminal conviction record which bears a rational relationship to the duties and responsibilities of any job for which I am applying. I understand and agree that all of the foregoing terms and conditions will become part of my employment agreement with The Academy of the Sacred Heart if I am employed by the school. If employed by The Academy of the Sacred Heart, I understand that I will be required to provide official transcripts verifying any higher education attendance that I have listed on my application. I further acknowledge that The Academy of the Sacred Heart may withdraw an offer of employment if these official transcripts are not received in a timely manner. I hereby agree that by submitting this application I certify that all the information I have provided is truthful and accurate to the best of my knowledge. Electronic Signature*Your name hereDate*Today's date