Please submit by email ([email protected]) or bring to EKHLA office
Application for Substitute Employment
Eleanor Kolitz Hebrew Language Academy
12500 N. W. Military Hwy #150, San Antonio, Texas 78231
All sections of the application must be filled out completely and honestly. This information will be used to determine eligibility for
the position applied for. All materials submitted become the property of EKHLA and nothing will be returned to the sender.
Minimum Requirements: a bachelor’s degree to be a teacher substitute and a high school diploma/GED to be an office substitute.
Days available to substitute (circle all that apply): M
Grade levels prefer (circle all that apply):
K
Are you willing to be an office substitute? Yes
1
T
W
2
3
Th
4
F
5
Middle School
No
PERSONAL INFORMATION
Legal Last Name: _____________ First ________________ M.I. __ Social Security # __________
Address: ______________________________________ City/State/Zip __________________________
Home phone: __________ Cell Phone: ___________ Email address: ___________________
Have you been employed under another name? Yes / No List Name: _________________________
Are you employed now? Yes / No If yes may we contact your employer?
Have you ever been convicted of a felony? Yes / No If yes, explain on a separate sheet of paper
Are you related to anyone now at EKHLA? Yes / No If yes, list name and relationship _________________
Are you authorized to work in the US? Yes / No
If employed, you must show documents that prove your identity and employment eligibility as required by the Immigration Reform
and Control Act of 1986.
EDUCATION and SKILLS
Please list all education beginning with the most recent. Indicate diploma, degree, including GED if obtained.
College: _____________________________ # yrs comp. _____ Degree/ Major:_________________
Other: _____________________________ # yrs comp. _____ Degree/ Major:_________________
Other: _____________________________ # yrs comp. _____ Degree/ Major:_________________
HS/GED: __________________________ # yrs comp. _____ Degree/ Major:_________________
Please list all other skills including computer programs and office skills:
Certifications: List all certifications, professional licenses, registrations, endorsements held. Please include numbers and dates. If
you are bi-lingual, please specify languages:
EMPLOYMENT HISTORY: List all employment including military and volunteer service starting with the most current position held. Show employment
history for at least 10 years or from the time you left school (supplemental sheets available). Explain gaps in employment history. You may attach a resume, but you
must complete the employment section. This information will be used in reference checks. Failure to answer all items in the following section may eliminate you
from further consideration.
Date Employed: (month/year)
From _____________ To _________ Position/ Title _______________________________________
Organization/ Address _________________________________
Duties ____________________________________________________________________________
Reasons for leaving _________________________________________________________________
Can we contact for references? Yes / No
Date Employed: (month/year)
From _____________ To _________ Position/ Title _______________________________________
Organization/ Address _________________________________
Duties ____________________________________________________________________________
Reasons for leaving _________________________________________________________________
Can we contact for references? Yes / No
Date Employed: (month/year)
From _____________ To _________ Position/ Title _______________________________________
Organization/ Address _________________________________
Duties ____________________________________________________________________________
Reasons for leaving _________________________________________________________________
Can we contact for references? Yes / No
Please list 3 references not related to you.
Name ___________________________________________________ Phone Number __________________________
Name ___________________________________________________ Phone Number __________________________
Name ___________________________________________________ Phone Number __________________________
PLEASE READ CAREFULLY AND CHECK THE BOX. I certify that the above statements are correct. I understand that any false information (or omissions) in this
application, or its supporting documents, will be sufficient grounds for refusal to hire me or termination without notice. I agree that all rules, orders, and regulations of
the EKHLA affecting my employment shall constitute a part of my appointment or employment. I further understand that the EKHLA has the right to review and
investigate my education, previous employment, driving, and criminal records and other background data and I release such parties from all liability from any damages
which may result from furnishing information to you. ____ (check Box)
SIGNATURE: ______________________________________________________________________Date:________________
NOTICE OF NONDISCRIMINATION - Per Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, and Section 504 Rehabilitation
Act of 1973, EKHLA does not discriminate on the basis of race, color, religion, national origin, ancestry, sex, age disability, or status as disabled veteran of the or
veteran of the Vietnam Era. Any person having inquiries concerning EKHLA compliance with these regulations is directed to contact the schools Affirmative Action
Representative or the Assistant Secretary of Civil Rights, U.S. Department of Education. Inquiries should be directed to EKHLA Human Resources Office, 12500 NW
Military Hwy, San Antonio TX 78231.