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Career:	Instructor Lead Instructor Substitute Instructor After-School Support Staff
Name:
County:
School:
Gender:	F M
Address:
City:
State:
Zip Code:
Country:
Day Phone:
Work Phone:
Cell Phone:
Email:
Education:
Professional Experience:
Skills:
Other Relevant Experience:
Have you been convicted of a felony in the past 5 years:	Yes No
If yes, Please explain:
How did you hear about FSK?	School System Postcard, Flyer, Newspaper Agency Online
Reference #1:	Tel:
Reference #2:	Tel:
Reference #3:	Tel:

-DISCLAIMER OF AUTHORIZATION-Please Read! I certify that all of the above information is true and correct to the best of my knowledge and understand that, if retained, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I will respect and abide by the rules and regulations set forth by Florida Smart Kids Learning Institute, LLC.