Michigan Islamic Academy

Transcription

1 And say My Lord, increase me in knowledge. Equal Opportunity Employer: (MIA) provides equal opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws. MIA complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. te: Application must be completely filled out for consideration. Date of Application Position applied for: Pre K Elementary K-4 Middle 5-8 High School 9-12 Administrative Full- time Part-time Volunteer How did you learn about MIA? ISNA ACCESS MIA employee Local Newspaper Other If hired, when can you start? Desired Salary First Name Middle Name Last Name Home : Street: City, State, Zip address: Home phone Social Security Number Cell phone Date of Birth Are you over 18 years old? Are you legally eligible to work in the United States? Have you ever submitted an application to MIA before? Have you ever been employed with MIA before? If yes, when? Do you have any relative working at MIA? If you, give the name. Have you ever been convicted of a felony? (A conviction will not necessarily disqualify you) If yes, explain. Have you ever been convicted of a misdemeanor?? (A conviction will not necessarily disqualify you) If yes, explain. Are you willing to give your full commitment to MIA? Are you currently employed? If yes, may we contact your present employer for a reference?

2 Academic Information Education High School Technical School College Graduate Studies Other School Name Location Years completed Diploma/degree Major/course of study Certification and Licensure Teaching Certificate or License Date issued Date of expiration Certificate/License number Subject or Grades List all subjects you are qualified to teach: List any activities you are willing to direct, plays, debate, student organizations, special skills or qualifications: List any sports you are willing to coach: References: give name, address, phone number and of three business/professional references who are not related to you.

3 Employment Experience Start with your most recent position.

4 Applicant Acknowledgement and Authorization Please read carefully before signing I hereby certify that all of the information provided by me in this application (or other accompanying and/or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate termination of employment regardless of the circumstances or timing of discovery. I hereby authorize MIA to obtain and verify the accuracy of information contained in this application from all previous and current employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make an employment decision and all other persons or organizations for providing such information. I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by (hereinafter referred to as MIA) that such employment with MIA is at will, for no specified duration and may be terminated by me or MIA at any time, with or without cause or notice, unless superseded by a legally binding contract. I understand that none of the documents, policies, procedures, actions, statements of MIA or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of MIA except the board has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreement must be made in writing and signed be the Board of MIA. In consideration for employment with MIA, if employed, I agree to conform to the rules, regulations, policies, and procedures of MIA at all times. I authorize MIA to communicate with the persons listed as references, former employers and any other person or entity from whom MIA desires to obtain a reference. I agree to hold MIA and such persons harmless with respect to any information they may give about me. I also authorize MIA to conduct a background check, which includes criminal records and educational qualifications check. I understand that this application is considered current for three months. If I wish to be considered for employment after that, I must fill out a new application. Please provide a copy of your resume, all educational degrees and diplomas, certificates, licenses, including driver s license and social security card. If you are applying for Administrative, Management, or Teaching positions, please provide your personal vision statement which you forsee for MIA. Please fax, mail, or the application to the address listed below. By signing below I acknowledge that I have read, understood and agree to the above statements. MIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected by law.

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