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Genesis Academy

2020-2021 Application for Employment

This application form is intended for use in evaluating your qualifications for employment. Please answer all questions completely and accurately. False or misleading statements on this form or during an interview may result in the termination of the application process or, if discovered after employment, terminating employment.

A resume and a personal statement (in a single document) should be submitted for all positions along with your application.

  • Position Applying For:

  • Certifications:

  • NOTE: Certification is not required for all positions at Genesis Innovation Academy.

  • Education

  • List colleges and universities that you have obtained a degree from (or at which you are pursuing a degree). Begin with most recent:



  • Experience

  • Please complete this field if even you are applying for a non-teaching position.
  • General Information

  • Safety and Security Pre-Screen

  • Answer each question yes or no. You must attach a written explanation if you answered “yes” to any of the questions below.
    THIS SECTION MUST BE COMPLETE FOR AN APPLICATION TO BE CONSIDERED.
  • Please check each of the following:

  • Electronic Signature

  • Resume and Personal Statement

  • Personal Statement Topic: In 500 words or less, please describe your vision of the role for which the application is being submitted.
  • Upload Your Files:

    Merge resume, personal statement, and (if required) any explanation of past legal concerns into a single document.
  • Accepted file types: pdf, doc, docx, txt Maximum file size: 24MB