After School Impact Program Application for Covenant Impact Center

Please read the entire description for the desired position before applying.

Position of Interest

Choose One Position from the list below:

Coordinator

Paraprofessional

Teacher

ESL Teacher

Personal Information

Full Name

Date of Birth

Month

Day

Year

Address

Phone

Educational Background

Highest Degree Earned:

School/Intitution:

Year of Graduation:

Teaching License

Employment History

Current of Most Recent Employer:

Position:

Start Date

Month

Day

Year

End Date (if applicable):

Month

Day

Year

Responsibilities:

Reason for Leaving:

References

Please provide contact information for two professional references.

Reference 1

Full Name

Relationship:

Phone Number

Reference 2

Full Name

Relationship:

Phone Number

Skills & Qualifications

List your key skills and qualifications relevant to the position you are applying for:

Cover letter and resume

Declaration

I declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false information may result in my disqualification or dismissal.

Signature

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Date Signed

Month

Day

Year

Thank you for applying to the After School Impact Program!

We will contact you shortly regarding the next steps in the hiring process.

After School Impact Program Application for Covenant Impact Center

Position of Interest

Personal Information

Educational Background

Employment History

References

Skills & Qualifications

Declaration

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