CISL San Diego Employment Application

PLEASE NOTE: Faculty candidates must have 2 years teaching experience and be TEFL/TESOL certified (or have California teaching certification).

I am applying for employment for:

I am applying for employment for: CISL San Diego Faculty CISL San Diego Staff
Position applied for:
Applicant Information
Date Date / MM / DD YYYY
Full Name (First, Middle, Last)

First Name, Middle Name, Last Name
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Date Available Date Available / MM / DD YYYY
Social Security Number
Position Applied For
Attach resume here

Attach Files
Are you a citizen of the United States?

Are you a citizen of the United States? Yes No
If no, are you authorized to work in the U.S.?

If no, are you authorized to work in the U.S.? Yes No
Have you ever worked for this company?

Have you ever worked for this company? Yes No
Have you ever been convicted of a felony?

Have you ever been convicted of a felony? Yes No
If yes, explain
Education
High School
High School Address
Year You Completed High School
Did you graduate?

Did you graduate? Yes No
College (Undergraduate)
College Address
Year Completed College (Undergraduate)
Did you graduate?

Did you graduate? Yes No
College (Undergraduate) Degree Received

Undergraduate Degree
College (Graduate School)
College (Graduate School) Address
Year Completed College
Did you graduate?

Did you graduate? Yes No
College (Graduate School) Degree Received

Undergraduate Degree
References

Please list three professional references.
Full Name (Reference #1)
Relationship
Company
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Full Name (Reference #2)
Relationship
Company
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Full Name (Reference #3)
Relationship
Company
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Previous Employment

List most recent employment first.
Company
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date Start Date / MM / DD YYYY
End Date End Date / MM / DD YYYY

If currently employed, leave blank.
Reason for leaving
May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference? Yes No
Company
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date Start Date / MM / DD YYYY
End Date End Date / MM / DD YYYY

If currently employed, leave blank.
Reason for leaving
May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference? Yes No
Company
Phone Phone - ### - ### ####
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date Start Date / MM / DD YYYY
End Date End Date / MM / DD YYYY

If currently employed, leave blank.
Reason for leaving
May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference? Yes No
Military Service
Branch
Start Date Start Date / MM / DD YYYY
End Date End Date / MM / DD YYYY

If currently employed, leave blank.
Rank at Discharge
Type of Discharge
If other than honorable, explain:
Disclaimer and Signature

I certify that the information given in this application and in any interviews is true and complete. I understand that false or misleading information in my application or interview is grounds for refusing to hire me or for terminating my employment should I be hired.

I authorize any of the persons or organizations listed on this application to give CISL any and all information concerning my previous employment, education and qualifications for employment. I hereby authorize CISL to contact them and to request and receive such information and I hereby release said persons and organizations from any liability in connection with any information provided.
Please print full name clearly:
Date Date / MM / DD YYYY

CISL San Diego Employment Application

CISL San Diego Employment Application

Applicant Information

Education

References

Previous Employment

Military Service

Disclaimer and Signature