* Required

CONTACT INFORMATION

Daterequired (mm/dd/yyyy)

Given/First Namerequired

Family/Last Namerequired

Gender*

Male Female

Birthdaterequired (mm/dd/yyyy)

Marital Statusrequired

Email Addressrequired

Skype Name

Mobile Phonerequired

Home Phone

Current Address 1required

Address 2

Cityrequired

State

Zip/Postal Coderequired

Current Country of Residencerequired

Citizenship/Nationalityrequired

Permanent Address

POSITION(S) FOR WHICH I'M APPLYING

First Choicerequired

Second Choice

QUALIFICATIONS

Years of Teaching Experiencerequired

Years of International Teaching Experiencerequired

Years of Administrative Experiencerequired

Additional Comments/Questions

EDUCATION

Degrees Held*

Please check all that apply.

Bachelor's Degree Pending

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Anticipated Completion Daterequired (mm/dd/yyyy)

Bachelor's Degree Completed

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Master's Degree Pending

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Anticipated Completion Daterequired (mm/dd/yyyy)

Master's Degree Completed

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Doctorate Degree Pending

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Anticipated Completion Daterequired (mm/dd/yyyy)

Doctorate Degree

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Add an additional degree not already listed

Degree required

Discipline/Majorrequired

Name of School/Institutionrequired

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

CERTIFICATION/TEACHING LICENSE

Do you have a current teaching license or certification?*

Please note not all positions require a teaching certification or license.

Yes No Pending

Certificationrequired

Name of Issuing Authorityrequired

Valid Fromrequired (mm/dd/yyyy)

Valid Torequired (mm/dd/yyyy)

Add a 2nd Certification

Certificationrequired

Name of Issuing Authorityrequired

Valid Fromrequired (mm/dd/yyyy)

Valid Torequired (mm/dd/yyyy)

Add a 3rd Certification

Certificationrequired

Name of Issuing Authorityrequired

Valid Fromrequired (mm/dd/yyyy)

Valid Torequired (mm/dd/yyyy)

Certificationrequired

Name of Issuing Authorityrequired

Anticipated Issue Daterequired (mm/dd/yyyy)

EMPLOYMENT HISTORY

(Please list full time employment only, starting with most current employment.)

Current Employer?

Yes

Fromrequired (mm/dd/yyyy)

To (mm/dd/yyyy)required

Name of Employerrequired

Employment Address (include city, state, country)required

Position Heldrequired

Annual Salaryrequired

Reason for Leavingrequired

Add 2nd Employment Record

Current Employer?

Yes

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Name of Employerrequired

Employment Address (include city, state, country)required

Position Heldrequired

Annual Salaryrequired

Reason for Leavingrequired

Add 3rd Employment Record

Current Employer?

Yes

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Name of Employerrequired

Employment Address (include city, state, country)required

Position Heldrequired

Annual Salaryrequired

Reason for Leavingrequired

Add 4th Employment Record

Current Employer?

Yes

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Name of Employerrequired

Employment Address (include city, state, country)required

Position Heldrequired

Annual Salaryrequired

Reason for Leavingrequired

Add 5th Employment Record

Current Employer?

Yes

Fromrequired (mm/dd/yyyy)

Torequired (mm/dd/yyyy)

Name of Employerrequired

Employment Address (include city, state, country)required

Position Heldrequired

Annual Salaryrequired

Reason for Leavingrequired

FAMILY INFORMATION

Do you have a spouse/partner?*

Yes No

Will your spouse/partner that will be accompanying you here?*

Yes No

Spouse/Partner's Given/First Namerequired

Spouse/Partner's Family/Last Namerequired

Spouse/Partner's Birthdaterequired (mm/dd/yyyy)

Gender*

Male Female

Are you and your spouse/partner legally married (not common law)?*

Yes No

Spouse/Partner's Citizenship/Nationalityrequired

Is your spouse/partner also applying for a position with The SMIC Private School?*

Yes No

Do you have a child or children that will be accompanying you here?*

Yes No

Child's Given/First Namerequired

Child's Family/Last Namerequired

Child's Birthdaterequired (mm/dd/yyyy)

Child's Gender*

Male Female

Plan to Enroll in SMIC?*

Yes No

Does your child require any special treatment or services for physical problems, psychological problems, learning disabilities, or medical conditions? 您的孩子是否因为下列原因而需要特殊照顾和服务？ - 身体原因 - 心理问题 - 学习障碍 - 医疗原因*

Yes 是 No 否

Please explain 请解释一下:required

Add 2nd Child

Child's Given/First Namerequired

Child's Family/Last Namerequired

Child's Birthdaterequired (mm/dd/yyyy)

Child's Gender*

Male Female

Plan to Enroll in SMIC?*

Yes No

Does your child require any special treatment or services for physical problems, psychological problems, learning disabilities, or medical conditions? 您的孩子是否因为下列原因而需要特殊照顾和服务？ - 身体原因 - 心理问题 - 学习障碍 - 医疗原因*

Yes 是 No 否

Please explain 请解释一下:required

Add 3rd Child

Child's Given/First Namerequired

Child's Family/Last Namerequired

Child's Birthdaterequired (mm/dd/yyyy)

Child's Gender*

Male Female

Plan to Enroll in SMIC?*

Yes No

Does your child require any special treatment or services for physical problems, psychological problems, learning disabilities, or medical conditions? 您的孩子是否因为下列原因而需要特殊照顾和服务？ - 身体原因 - 心理问题 - 学习障碍 - 医疗原因*

Yes 是 No 否

Please explain 请解释一下:required

Add 4th Child

Child's Given/First Namerequired

Child's Family/Last Namerequired

Child's Birthdaterequired (mm/dd/yyyy)

Child's Gender*

Male Female

Plan to Enroll in SMIC?*

Yes No

Does your child require any special treatment or services for physical problems, psychological problems, learning disabilities, or medical conditions? 您的孩子是否因为下列原因而需要特殊照顾和服务？ - 身体原因 - 心理问题 - 学习障碍 - 医疗原因*

Yes 是 No 否

Please explain 请解释一下:required

Are you expecting a child? (for housing purposes)

Yes No

SUPPLEMENTARY INFORMATION

Were you referred by one of SMIC's employees?*

Yes No

Please write his/her name.required

How did you hear about SMIC?required

Are you under contract with your present employer?*

Yes No

Please provide your contract details.required

Have you ever been suspended or dismissed by any company?*

Yes No

Please provide details.required

Have you ever been charged with or convicted of a criminal offense?*

Yes No

Please provide details.required

PRE-EMPLOYMENT STATEMENT

I consent to taking the pre-employment physical examination and any future physical examinations as may be required by the School. I agree that the entire contents of this application form, as well as the report of any such examination, may be reasonablly used by the School at its discretion. I agree to abide by all rules, regulations and policies of the School when employed by the School, pursuant to this application. I acknowledge and agree that any false declaration, answer or statement made by me on this application or any supplement thereto, will render me disqualified and/or, will be sufficient grounds for immediate dismissal.

ATTACHMENTS

Please compress your PDF attachment using this online tool so that your submission can be sent smoothly.

Cover Letterrequired

Max file size: 10 MB

Resumerequired

Max file size: 10 MB

Diploma/Degreerequired

Please upload a copy of your highest college diploma received.

Max file size: 10 MB

Teaching Certificaterequired

Max file size: 10 MB

Profile Picturerequired

Please provide a clear headshot

Max file size: 10 MB

International Passport/Taiwan Compatriot Permit/Chinese Resident Identity Cardrequired

Max file size: 10 MB

Additional Documents

Max file size: 10 MB

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