Employment

Info:

Lily Pad Chinese School is a state registered Chinese Language School. Our purpose is to provide an opportunity for Non-Chinese Speakers to learn the Chinese Language and Culture. We are looking for enthusiastic, motivated teachers to teach children from ages 5-14 in the classroom, and up to adults online. At this time, we are currently looking for part-time classroom and online teachers. Please fill out this form to complete your application.

General Information

Title

First Name *

Last Name *

Chinese Name

Mailing Address *

Address 2

City *

State *

Zipcode *

Gender *

Male

Female

Date of Birth *

Month

Day

Year

Home Phone * 555-555-5555

Cellphone 555-555-5555

Workphone 555-555-5555

Email Address *

Country of Citizenship *

History

Have you ever been convicted of a felony or subjected to deferred adjudication on a felony charge? *

Yes

If your answer to the above is "Yes", explain in concise detail below, providing dates and nature of offense, name and location of the court, and disposition of the case(s). A conviction may not disqualify you, but a false statement will. Note: Additional information related to convictions of misdemeanors may be required.

Felony

Education

Name of College/University attended *

Degree *

Graduation date *

Month

Day

Year

Teaching License Information

License/Certification

Date Issued

Month

Day

Year

Date Expires

Month

Day

Year

Please list any specialties

Employment History

Empoyer 1

Previous Employer

State Date

Month

Day

Year

End Date

Month

Day

Year

Reason for Leaving

Employer 2

Start Date

Month

Day

Year

End Date

Month

Day

Year

Reason for Leaving

Employer 3

Start Date

Month

Day

Year

End Date

Month

Day

Year

Reason for Leaving

Disclaimer

Disclaimer text

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED

1. I certify that all the information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information may be grounds for refusal to hire or, if hired, termination.
2. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S.
4. I understand that Lily Pad School will check with the Texas Department of Public Safety, the Federal Bureau of Investigation or other organizations, for any criminal history in accordance with applicable statutes.
5. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you.

Signature *