California Association for Bilingual Education

20888 Amar Road, Walnut, CA 91789-5054

(626) 814-4441 • (626) 814-4640 Fax • http://www.gocabe.org

Application for Employment

Personal Information

First Name *

Last Name *

Email Address *

Address *

City *

State *

Zip Code *

Phone *

Position Applying For *

How did you learn about this position? *

Employment Agency

Friend

Other

Days Available (Check all that apply): *

Shift preference (Check all that apply): *

Mornings

Afternoons

Anytime

Have you worked with CABE before? *

Yes

No

If yes, when?

Date you are available to begin work? * +

What is your desired starting pay rate?

Have you ever been convicted of a crime, excluding convictions that have been ordered sealed, expunged or statutorily eradicated?

Yes

No

If yes, please explain.

If applicable, indicate below your office and other skills that may assist you in this position.

List any additional skills that you would like to mention.

Educational Background

	Name of School	Type of School	City/State	Years Attended	Graduated (Y/N)	Major Subject	Diploma/Degrees
1	Name of School	Type of School	City/State	Years Attended	Graduated (Y/N)	Major Subject	Diploma/Degrees
2	Name of School	Type of School	City/State	Years Attended	Graduated (Y/N)	Major Subject	Diploma/Degrees
3	Name of School	Type of School	City/State	Years Attended	Graduated (Y/N)	Major Subject	Diploma/Degrees
4	Name of School	Type of School	City/State	Years Attended	Graduated (Y/N)	Major Subject	Diploma/Degrees

Professional Credentials Acquired and Dates (if applicable)

	Type of Credential	Date Earned	Expiration Date
1	Type of Credential	Date Earned	Expiration Date
2	Type of Credential	Date Earned	Expiration Date
3	Type of Credential	Date Earned	Expiration Date

Record of Employment

List your last position first, account for all time during the past 10 years, including job-related military service assignments and volunteer activites. List additional details at the end of the application or upload supporting documents, if necessary.

Employer

Company Name

Supervisor/Manager

May we contact?

Yes

No

Address

Phone

Start Date +

End Date +

Position

Salary

Reason for Leaving

Employer

Company Name

Supervisor/Manager

May we contact?

Yes

No

Address

Phone

Start Date +

End Date +

Position

Salary

Reason for Leaving

Employer

Company Name

Supervisor/Manager

May we contact?

Yes

No

Address

Phone

Start Date +

End Date +

Position

Salary

Reason for Leaving

Personal References

Reference

Name

Title

Company/Organization & Address

Phone

Reference

Name

Title

Company/Organization & Address

Phone

Reference

Name

Title

Company/Organization & Address

Phone

Required Documents (PDF Files Only)

Please upload your cover letter, resume and 3 current letters of reference (dated within one year). (PDF Files Only)

Cover Letter *

Resume *

Letter of Reference 1 *

Letter of Reference 2 *

Letter of Reference 3 *

Additional Supporting Documents (Optional)

PLEASE READ CAREFULLY - APPLICANT'S CERTIFICATION AND AGREEMENT

I hearby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge.

If employed, I agree to abide by and observe all rules and regulations of the California Association for Bilingual Education. I also understand that employment depends upon satisfactory replies from my references and that employment is terminable at will. Any misrepresentations on this application are reason for immediate dismissal. The use of this form does not indicate that there are any positions open and odes not in any way obligate the California Association for Bilingual Education. Applicants are prohibited from contacting any CABE Executive Board Member prior to possible employment.

Digital Signature *

clear

Thank you for completing this application and for your interest in employment with us. We would like to assure you that your opportunity for employment with this organization will be strictly based upon merit.

California Association for Bilingual Education (CABE) does not unlawfully discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions), national origin, ancestry, age, physical disability, mental disability, medical condition, family care status, veteran status, marital status, or sexual orientation.

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