* Required

Missouri Military Academy considers applicants for all positions without regard to race, color, national origin, age, religion, sex, marital or veteran status, the presence of a medical condition, disability or any other legally protected status.

Position for which you are applyingrequired

Personal Information

Date of Applicationrequired (mm/dd/yyyy)

First Namerequired

Middle Name

Last Namerequired

Suffix

Current Addressrequired

Cityrequired

Staterequired

Zip Coderequired

Email Addressrequired

Phone Numberrequired

Are you eligible to work in the United States?*

Yes No

Date you are available for employmentrequired (mm/dd/yyyy)

Education Information

Please list schools attended. Begin with the most recently attended school first. List all applicable information.

Name of School

School Location

Major

Minor

Degree or Certification

Would you like to add more education?

Yes No

Name of School

School Location

Major

Minor

Degree or Certification

Would you like to add more education?

Yes No

Name of School

School Location

Major

Minor

Degree or Certification

Would you like to add more education?

Yes No

Name of School

School Location

Major

Minor

Degree or Certification

Would you like to add more education?

Yes No

Name of School

School Location

Major

Minor

Degree or Certification

Work Experience.

Please provide a complete listing of all other jobs or administrative positions you have held in the past 10 years.

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

Would you like to add more work experience?

Yes No

Company Name

Position/Title

Dates Employed

Reason for leaving

General Information

Have you ever been convicted of a felony or offense involving moral turpitude (including, but not limited to indecency with a minor)?*

(Conviction of a felony is not an automatic bar to employment.) Full background check will be conducted.

Yes No

Please state where, when and the nature of the offense

Have you ever had a teaching license/certification suspended or revoked?*

Yes No

Please state where, when and the nature of the offense

References

Please list below references who may be contacted regarding your work history. Include all managers/supervisors who evaluated or supervised your performance.

Reference Name

Position/Title

Full Name of Business

Mailing Address

Complete Telephone Number

Reference Name

Position/Title

Full Name of Business

Mailing Address

Complete Telephone Number

Reference Name

Position/Title

Full Name of Business

Mailing Address

Complete Telephone Number

Reference Name

Position/Title

Full Name of Business

Mailing Address

Complete Telephone Number

READ CAREFULLY

Releases

In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions, motor vehicle, and other reports. These reports will include information as to my character, work habits, performance, education, compensation, and experience along with reasons for termination of employment from previous employers. Additionally, I understand that the Missouri Military Academy may be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil, and other experiences as well as claims involving me in the files of insurance companies. I have read this information carefully. I understand that if I have any questions about these reports, I may contact Human Resources Department at 573-581-1776.

Initialsrequired

Type your initials if you agree to the information stated above.

I authorize, without reservation, any party or employer contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so. I voluntarily and knowingly waive all rights to bring an action for defamation, invasion of privacy, or similar causes of action, against anyone providing or seeking such information. This authorization and consent shall be valid in original, fax, or copy form.

All hiring and employment at the Missouri Military Academy is at-will. I understand this application is not an employment contract, nor can it be used to create one. Employment by the Missouri Military has no specific term and may be terminated by the employee or Missouri Military Academy with or without notice. I acknowledge that Missouri Military Academy has not made any promises or representations that differ from those contained in this paragraph.

I understand I must provide satisfactory documents to establish my identity and right to work in the United States, if I am offered a position with the Missouri Military Academy, and that failure to provide this evidence will result in the termination of my employment.

I understand that if I am offered a position with the Missouri Military Academy, I will be required to have a drug test. If a drug test indicates the use of illegal substances, the offer of employment will be withdrawn.

I release and agree to hold harmless any individual, employer, business institution or government employer from all liability with regard to furnishing information to the Missouri Military Academy. I agree to release and hold harmless the Missouri Military Academy from all liability with respect to the receipt of such information.

I certify that I have and will provide information throughout the hiring process, including the information on this application form and in interviews that is true and complete. I further certify that I have and will answer all questions to the best of my ability and that I have and will not withhold any information that would unfavorably affect my application for employment. I understand that if any misrepresentation or omission has been made by me verbally or in writing, any offer of employment made to me may be withdrawn or my subsequent employment may be terminated.

Electronic Signaturerequired

By typing your name, you hereby agree to all information provided above.

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