EMPLOYMENT APPLICATION

The Gathering Place Academy

3550 E Deshler Avenue

Columbus, OH, 43227

 

The Gathering Place Academy is an equal opportunity employer and affords equal opportunity to all applicants for all positions without regard to race, color, religion, gender, national origin, age, disability, veteran status or any other status protected under local, state or federal laws.

 


How Did You Hear About Us?
Are you legally eligible to work in the United States?

(Proof of eligibility will be required upon offer of employment)

Are you over the age of 18 years?

(If no, you may be required to provide authorization)


Can you with or without reasonable accommodation perform the essential functions of this job? (If you have any questions about the functions of the job, please ask the interviewer before answering this question).
Have you ever applied to The Gathering Place Academy before? (If yes, please give date.)
Have you ever worked for The Gathering Place Academy before? (If yes, please give date.)
Have you ever been convicted of a felony?
Do you have reliable transportation?
Is anyone related to you employed by TGPA?


Have you ever been fired or asked to resign from a job?


Days and Hours Available: (If employed, I will notify my supervisor in writing, should my availability change.)
AM Hours
PM Hours

EDUCATION
High School
College
Graduate
Vocational


EMPLOYMENT HISTORY (Begin with current or most recent employer Previous salaries or wages will not be used to determine compensation at TGPA.)
Employer 1
May we contact?

Employer 2
May we contact?

Employer 3
May we contact?

REFERENCES (Please list three persons, who are not related to you or previous supervisors, who can provide professional references.)
Reference 1
Reference 2
Reference 3

APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION

*PLEASE READ CAREFULLY BEFORE SIGNING*

I hereby certify that all of the information provided by me in this application (or any other accompanying 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 timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by The Gathering Place Academy (hereinafter referred to as "TGPA") that such employment with TGPA is at will, for no specified duration and may be terminated by either TGPA or myself at any time, with or without cause or notice. I understand that none of the documents, policies, procedures, actions, statements of TGPA or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative
of TGPA except the Owner/HR Manager 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 agreements must be made in writing and signed by the Owner of TGPA.

In consideration for employment with TGPA, if employed, I agree to conform to the rules, regulations, policies and procedures of TGPA at all times and understand that such obedience is a condition of employment. I understand that due to the nature of TGPA business, attendance and punctuality are considered essential requirements of every job at TGPA and that poor attendance or tardiness will result in disciplinary action and up to including employment termination.

I understand that if offered a position with TGPA I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre- employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I herby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to TGPA and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

BY SIGNING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.



 

THE GATHERING PLACE ACADEMY 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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