. P.O. Box 1829

Socorro, NM 87801

(575) 838-2026

cvcs@cottonwoodvalley.org

www.cottonwoodvalley.org/

EMPLOYMENT APPLICATION FOR INSTRUCTIONAL AIDE

Name:  __________________________________________

Address:  ______________________________________________

______________________________________________

______________________________________________

Phone:  _____________________________________(home)
            _____________________________________(cell)

E-mail:  ___________________________________________

Education

List, starting with most recent, your educational background.

Name of School

Address

Dates attended

Major

Degree/Certificate

Experience

May we contact your present employer? _______________

Employer

Position held

Dates of Employment

Reason for leaving

Other Experience:

References

Name

Address

Phone

E-mail

How did you find out about our job openings?

Please answer the following questions. You may use additional pages if needed.

Why do you want to work at Cottonwood Valley Charter School?

What qualities do you possess that would be an asset to the school?

What additional interests, skills, background or experience should be considered with your application?

AFFIDAVIT

Are you 18 years or older? _____________

Are you legally eligible for employment in this country? _____________________

Have you been placed on probation, been convicted of, or pled guilty to, the commission of a misdemeanor within the last five years?    If yes, please enter full details, including dates, offense, disposition and current status:   

Have you ever been placed on probation, been convicted of, or pled guilty to, the commission of a felony?  __________   If yes, please enter full details, including dates, offense, disposition and current status:

Are charges pending against you alleging the commission of a felony? ___________

Are charges pending against you alleging the commission of a misdemeanor? ______ 

If yes, please enter full details, including dates, offense, disposition and current status: 

Have you undergone a background check within the last year? __________________

Conviction of a crime does not necessarily preclude you from consideration for employment. Cottonwood Valley will consider the nature, date and relationship of the offense to the position for which you are applying.

Cottonwood Valley Charter School is an Equal Opportunity Employer.

I hereby certify that answers given herein are true and complete to the best of my knowledge. I authorize Cottonwood Valley Charter School to make such investigations and inquiries into my personal history, employment history and/or other related matters as may be necessary in arriving at an employment decision.

______________________

Signature Date