Program Administration | Martha's Vineyard Adult Learning Program

MARTHA'S VINEYARD ADULT LEARNING PROGRAM
mvalp@verizon.net (508) 696-6548


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Employment Application

Please fill out the application below.

PROFESSIONAL APPLICATION FOR ADULT ESOL

No person shall be excluded or discriminated against on the basis of race, color, religion, sex, age, national origin, sexual orientation

POSITION(S) APPLIED FOR: (check all that apply)

ESOL Instructor	Community Planner	Technology Coordinator

Office Support	ADA Coordinator

PERSONAL INFORMATION

Name
Email Address
Mailing Address
Street Address
Home Phone
Cell / Alternate Phone

AVAILABILITY

When can you begin work?

(mm/dd/yyyy)

EDUCATION

Institution	Course of Study	Degree Obtained	Date(s) Most recent first

EMPLOYMENT

School/Organization	Position	Start Date	End Date	Reason for Leaving

PROFESSIONAL AFFILIATIONS

List any organizations to which you belong or are associated

PROFESSIONAL DEVELOPMENT

List any committees, workshop presentation, panel speaking, submissions, etc

NARRATIVE QUESTIONS

Describe any experiences you have had with other languages and cultures

Describe why you think you will be successful in this job

Instructor Applicants:
Describe your method(s) and approach(es) to teaching English as a Second Language to Adults

PROFESSIONAL REFERENCES Please provide the information for 3 people we can contact

Name
Position
Institute
Telephone Number

Name
Position
Institute
Telephone Number

Name
Position
Institute
Telephone Number

Have you ever been convicted of a crime other than a traffic violation?
Yes No

If YES, please explain

I authorize present and former employers, and individuals I have listed as personal references, to furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information."

We may choose to contact your place of current employment.
If you do not wish us to do so at this time, please check

Additionally, all applicants may be subject to a background check (CORI) to investigate criminal activity.

Please type your name in the box below as an electronic signature

Classes: Martha's Vineyard Regional High School | Oak Bluffs, MA
Office: 111 Edgartown/Vineyard Haven Road | Across from MV Regional High School
PO Box 1697 | Edgartown, MA 02539
(508) 696-6548