Non-Faculty Online Application – Lee-Scott Academy

Full Name(Required)

Current Mailing Address(Required)

Cell Phone(Required)

Email(Required)

U.S. Citizen?(Required)

Yes

No

If no, explain(Required)

Do you have a valid Drivers License?(Required)

Yes

No

If yes, you'll be asked to submit your license information apart from this online application.

Have you ever been convicted of or entered a plea of no contest to a felony or misdemeanor other than a minor traffic violation?(Required)

Yes

No

If “yes,” a description of the crime and particulars of the conviction must be submitted

Do you have a CDL?(Required)

Yes

No

If yes, you'll be asked to submit your license information apart from this online application.

Submit up to three education entries below

Scholastic Preparation(Required)

High School/College

Dates Attended

Degree Received

Major

Minor

(Enter N/A if not applicable)

Submit up to three work experience entries below

Work Experience(Required)

Dates of Employment

Name of Company/Organization

Job Title

Reasons for Leaving

(Enter N/A if not applicable)

Submit up to three professional references below

Professional References(Required)

Name

Position

Address

Phone

(Enter N/A if not applicable)

I attest that the information I have provided on this application is accurate and true. I hereby give Lee Scott Academy permission to verify the information contained in this application and waive the right to see the evaluations that my references complete and send to the Academy.

Electronic Signature(Required)

First Middle Last

Date Submitted(Required)

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