Staff Station
Application for Employment

Please complete the form below. Mandatory fields marked *

Personal Information
  2. - -
  3. - -
  4. Yes No
  5. Yes No
  6. If yes, state when, where and the nature of the conviction. Conviction of an offense is not automatic bar to employment. All circumstances will be considered, including the nature of the crime and the lengh of time since conviction.

Position Desired - Specify grade levels and subject

Certification Information - List professional licenses and teacher certification

Professional References

In connection with my application for employment with Mater Academy Inc., I understand and agree that background inquires may be requested by you or on you behalf that will seek information as to my character, work habits, including oral assessments of my job performance, experiences and abilities, along with reasons for termination of past employment. Furthermore, I understand and agree that you may request information from various federal, state, and other agencies, including public and private sources which maintain records concerning my past activities relating to my driving record, credit history, criminal record, civil matters, previous employment, educational background, and other past experiences.

I acknowledge that a telephonic facsimile or copy of this release shall be as valid as the original. This release is valid for all federal, state, county and local agencies and authorities.


I authorize investigation of all statements in this application, my attached resume, or other attachments. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without previous notice. I hereby give Mater Academy Inc. permission to contact schools, previous employers (unless otherwise indicated), references and others. I hereby release Mater Academy Inc. from any liability as a result of such contacts, inquires or records in order to ascertain my qualifications and fitness for employment.

I understand that this application for employment is not a contract and is not intended to confer or create contractual rights of any kind or nature. If employed, employment is on an at-will basis and may be terminated at any time and for any reason with or without cause, by either the employee or Mater Academy Inc.