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Toggle Navigation
About
Overview
Why SCA
Employment
FAQ
Academics
Staff
Resource Library
Admission
Tuition
Schedule A Visit
Current Parents
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Calendar
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Contact
Support
Employment Application
Ansley Raith
2023-02-15T15:29:19+00:00
Employment
Application
Employment
Application
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1
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Name
*
First
Last
Preferred Name
*
Gender/Sex
*
Female
Male
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Layout
Primary (Mobile) Phone
*
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
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Côte d’Ivoire
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Croatia (Hrvatska)
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Cuba
+53
Curaçao
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Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
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Equatorial Guinea (Guinea Ecuatorial)
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Eritrea
+291
Estonia (Eesti)
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Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
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Faroe Islands (Føroyar)
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Fiji
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Finland (Suomi)
+358
France
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French Guiana (Guyane française)
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French Polynesia (Polynésie française)
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Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
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Guinea (Guinée)
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Guinea-Bissau (Guiné Bissau)
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Guyana
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Haiti
+509
Honduras
+504
Hong Kong (香港)
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Hungary (Magyarország)
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Iceland (Ísland)
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India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
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Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
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Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
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Kosovo
+383
Kuwait (الكويت)
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Kyrgyzstan (Кыргызстан)
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Laos (ລາວ)
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Latvia (Latvija)
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Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
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Liechtenstein
+423
Lithuania (Lietuva)
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Luxembourg
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Macau (澳門)
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Madagascar (Madagasikara)
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Malawi
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Malaysia
+60
Maldives
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Mali
+223
Malta
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Marshall Islands
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Martinique
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Mauritania (موريتانيا)
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Mauritius (Moris)
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Mayotte
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Mexico (México)
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Micronesia
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Moldova (Republica Moldova)
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Monaco
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Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
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Nauru
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Nepal (नेपाल)
+977
Netherlands (Nederland)
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New Caledonia (Nouvelle-Calédonie)
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New Zealand
+64
Nicaragua
+505
Niger (Nijar)
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Nigeria
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Niue
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Norfolk Island
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North Macedonia (Северна Македонија)
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Northern Mariana Islands
+1
Norway (Norge)
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Oman (عُمان)
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Pakistan (پاکستان)
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Palau
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Palestine (فلسطين)
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Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
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Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Home (Secondary) Phone
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Are you 18 year old or older?
*
Yes
No
Email
*
How did you hear about this position and/or SCA?
What position are you applying for? (Select all that apply)
*
US Instructor in Mathematics and Natural Philosophy (Full-time)
Instructor of Third or Fourth Grade
US Instructor in Mathematics (Part-time)
US Instructor in Mathematics (Full-time)
US Instructor in Science (Full-time)
US Instructor in Science (Part-time)
Substitute Teacher
Other
For Faculty/Teaching Positions: Please rank your choices from 1-4 in order of desired grade placement (grades K-12).
Layout
1st Choice:
3rd Choice:
2nd Choice:
4th Choice:
I would only like to teach (specify)
If applicable: list specific elective courses you are interested in teaching
Date you can start at SCA
*
Next
Education
High School:
Layout
Name of School
*
City
*
State
*
Layout
Did You Graduate High School?
*
Yes
No
Year Degree Received
College (Undergraduate):
Undergraduate
Name of School
*
City
*
State
*
Undergraduate
Did You Graduate?
*
Yes
No
GPA:
Year Degree Received
College (Graduate):
graduate
Name of School
*
City
*
State
*
graduate
Did You Graduate?
*
Yes
No
GPA:
Year Degree Received
Other education:
Previous
Next
Employment History
Are you currently employed?
*
Yes
No
List below last three employers, starting with the most recent one first.
Current / Former Employer (1)
Employer Name:
Employer Address
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Starting date job 1
Starting Date:
Leaving Date:
Job title job 1
Job Title:
Starting Salary:
Ending Salary:
May we contact your supervisor?
*
Yes
No
Supervisor info job 1
Name Supervisor:
Supervisor Title:
Phone
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
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Burkina Faso
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Cameroon (Cameroun)
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Canada
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Cape Verde (Kabu Verdi)
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Caribbean Netherlands
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Cayman Islands
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Central African Republic (République centrafricaine)
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Chad (Tchad)
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Chile
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China (中国)
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Christmas Island
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Cocos (Keeling) Islands
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Colombia
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Comoros (جزر القمر)
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Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
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Congo (Republic) (Congo-Brazzaville)
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Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
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Croatia (Hrvatska)
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Cuba
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Curaçao
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Cyprus (Κύπρος)
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Czech Republic (Česká republika)
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Denmark (Danmark)
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Djibouti
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Dominica
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Dominican Republic (República Dominicana)
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Ecuador
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Egypt (مصر)
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El Salvador
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Equatorial Guinea (Guinea Ecuatorial)
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Eritrea
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Estonia (Eesti)
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Eswatini
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Ethiopia
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Falkland Islands (Islas Malvinas)
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Faroe Islands (Føroyar)
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Fiji
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Finland (Suomi)
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France
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French Guiana (Guyane française)
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French Polynesia (Polynésie française)
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Gabon
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Gambia
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Georgia (საქართველო)
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Germany (Deutschland)
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Ghana (Gaana)
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Gibraltar
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Greece (Ελλάδα)
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Greenland (Kalaallit Nunaat)
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Grenada
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Guadeloupe
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Haiti
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Honduras
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Hong Kong (香港)
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Hungary (Magyarország)
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Iceland (Ísland)
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India (भारत)
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Indonesia
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Iran (ایران)
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Iraq (العراق)
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Ireland
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Isle of Man
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Israel (ישראל)
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Italy (Italia)
+39
Jamaica
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Japan (日本)
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Jersey
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Jordan (الأردن)
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Kazakhstan (Казахстан)
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Kenya
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Kiribati
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Kosovo
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Kuwait (الكويت)
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Kyrgyzstan (Кыргызстан)
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Laos (ລາວ)
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Latvia (Latvija)
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Lebanon (لبنان)
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Lesotho
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Liberia
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Libya (ليبيا)
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Liechtenstein
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Lithuania (Lietuva)
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Luxembourg
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Macau (澳門)
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Madagascar (Madagasikara)
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Malawi
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Malaysia
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Maldives
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Mali
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Malta
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Marshall Islands
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Martinique
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Mauritania (موريتانيا)
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Mauritius (Moris)
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Mayotte
+262
Mexico (México)
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Micronesia
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Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
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Montserrat
+1
Morocco (المغرب)
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Mozambique (Moçambique)
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Myanmar (Burma) (မြန်မာ)
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Namibia (Namibië)
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Nauru
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Nepal (नेपाल)
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New Caledonia (Nouvelle-Calédonie)
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New Zealand
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Nicaragua
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Niger (Nijar)
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Nigeria
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Niue
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Norfolk Island
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Northern Mariana Islands
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Oman (عُمان)
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Pakistan (پاکستان)
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Palau
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Palestine (فلسطين)
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Panama (Panamá)
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Papua New Guinea
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Paraguay
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Peru (Perú)
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Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
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Romania (România)
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Russia (Россия)
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Rwanda
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Saint Barthélemy
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Saint Helena
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Saint Kitts and Nevis
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Saint Lucia
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Saint Martin (Saint-Martin (partie française))
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Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
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Saint Vincent and the Grenadines
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Samoa
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São Tomé and Príncipe (São Tomé e Príncipe)
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Saudi Arabia (المملكة العربية السعودية)
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Senegal (Sénégal)
+221
Serbia (Србија)
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Seychelles
+248
Sierra Leone
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Singapore
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Sint Maarten
+1
Slovakia (Slovensko)
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Slovenia (Slovenija)
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Solomon Islands
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Somalia (Soomaaliya)
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South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
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Spain (España)
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Sri Lanka (ශ්රී ලංකාව)
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Sudan (السودان)
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Suriname
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Svalbard and Jan Mayen
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Sweden (Sverige)
+46
Switzerland (Schweiz)
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Syria (سوريا)
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Taiwan (台灣)
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Tajikistan
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Tanzania
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Thailand (ไทย)
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Timor-Leste
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Togo
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Tokelau
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Tonga
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Trinidad and Tobago
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Tunisia (تونس)
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Turkey (Türkiye)
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Turkmenistan
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Turks and Caicos Islands
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Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Description of work:
Reason for leaving:
Current / Former Employer (2)
Employer Name:
Employer Address
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Starting date job 2
Starting Date:
Leaving Date:
Job title 2
Job Title:
Starting Salary:
Ending Salary:
May we contact your supervisor?
*
Yes
No
Supervisor info job 2
Name Supervisor:
Supervisor Title:
Phone
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
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Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
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Greenland (Kalaallit Nunaat)
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Grenada
+1
Guadeloupe
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Guam
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Guatemala
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Guernsey
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Guinea (Guinée)
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Guinea-Bissau (Guiné Bissau)
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Guyana
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Haiti
+509
Honduras
+504
Hong Kong (香港)
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Hungary (Magyarország)
+36
Iceland (Ísland)
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India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
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Laos (ລາວ)
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Latvia (Latvija)
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Lebanon (لبنان)
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Lesotho
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Liberia
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Libya (ليبيا)
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Liechtenstein
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Lithuania (Lietuva)
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Luxembourg
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Macau (澳門)
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Madagascar (Madagasikara)
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Malawi
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Malaysia
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Maldives
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Mali
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Malta
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Marshall Islands
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Martinique
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Mauritania (موريتانيا)
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Mauritius (Moris)
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Mayotte
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Mexico (México)
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Micronesia
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Moldova (Republica Moldova)
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Monaco
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Mongolia (Монгол)
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Montenegro (Crna Gora)
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Montserrat
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Morocco (المغرب)
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Mozambique (Moçambique)
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Myanmar (Burma) (မြန်မာ)
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Namibia (Namibië)
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Nauru
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Nepal (नेपाल)
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Netherlands (Nederland)
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New Zealand
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Nicaragua
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Niger (Nijar)
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Nigeria
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Niue
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Norfolk Island
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Northern Mariana Islands
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Norway (Norge)
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Oman (عُمان)
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Pakistan (پاکستان)
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Palau
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Palestine (فلسطين)
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Panama (Panamá)
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Papua New Guinea
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Paraguay
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Peru (Perú)
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Philippines
+63
Poland (Polska)
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Portugal
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Puerto Rico
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Qatar (قطر)
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Réunion (La Réunion)
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Romania (România)
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Russia (Россия)
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Rwanda
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Saint Barthélemy
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Saint Helena
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Saint Kitts and Nevis
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Saint Lucia
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Saint Martin (Saint-Martin (partie française))
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Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
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Saudi Arabia (المملكة العربية السعودية)
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Senegal (Sénégal)
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Serbia (Србија)
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Seychelles
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Sierra Leone
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Singapore
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Sint Maarten
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Slovakia (Slovensko)
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Slovenia (Slovenija)
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Solomon Islands
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Somalia (Soomaaliya)
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South Africa
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South Korea (대한민국)
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South Sudan (جنوب السودان)
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Spain (España)
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Sri Lanka (ශ්රී ලංකාව)
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Sudan (السودان)
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Suriname
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Svalbard and Jan Mayen
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Sweden (Sverige)
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Switzerland (Schweiz)
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Syria (سوريا)
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Taiwan (台灣)
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Tajikistan
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Tanzania
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Thailand (ไทย)
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Timor-Leste
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Togo
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Tokelau
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Tonga
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Trinidad and Tobago
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Tunisia (تونس)
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Turkey (Türkiye)
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Turkmenistan
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Turks and Caicos Islands
+1
Tuvalu
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U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
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Western Sahara (الصحراء الغربية)
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Yemen (اليمن)
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Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Description of work:
Reason for leaving:
Current / Former Employer (3)
Employer Name:
Employer Address
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Starting date job 3
Starting Date:
Leaving Date:
Job title 3
Job Title:
Starting Salary:
Ending Salary:
May we contact your supervisor?
Yes
No
Supervisor info job 3
Name Supervisor:
Supervisor Title:
Phone
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
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Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
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Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
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Guernsey
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Guinea (Guinée)
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Guinea-Bissau (Guiné Bissau)
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Guyana
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Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
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Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
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Lebanon (لبنان)
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Lesotho
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Liberia
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Libya (ليبيا)
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Liechtenstein
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Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Description of work:
Reason for leaving:
Previous
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Background Information
Please list all certifications (education, trade associations) current or expired that you hold:
Have you ever been convicted of a felony or misdemeanor?
*
Yes
No
If yes, please explain here:
Have you ever been accused of, participated in, or been convicted of sexual misconduct?
*
Yes
No
If yes, please explain here:
Have you been terminated with any company or from any position?
*
Yes
No
If yes, please explain here:
If you have taught or instructed at a school in the past, have you ever had your contract not renewed for any reason?
*
Yes
No
If yes, please explain here:
References
Personal Reference:
Reference 1
Reference 1 Name:
*
Reference 1 Phone:
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Reference 1 Email:
*
Reference 1 Length of Acquaintance:
Reference 2
Reference 2 Name:
*
Reference 2 Phone:
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Reference 2 Email:
*
Reference 2 Length of Acquaintance:
Personal Reference:
Reference 3
Reference 3 Name:
Reference 3 Phone:
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Reference 3 Email:
Reference 3 Length of Acquaintance:
Personal Reference:
Reference 4
Reference 4 Name:
Reference 4 Phone:
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Reference 4 Email:
Reference 4 Length of Acquaintance:
Church Membership
Chruch
Name of church currently attending:
How many years attending?
Describe involvement in activities at church.
Pastor
Church Pastor:
*
Email
*
Phone
United States
+1
United Kingdom
+44
Afghanistan (افغانستان)
+93
Albania (Shqipëri)
+355
Algeria (الجزائر)
+213
American Samoa
+1
Andorra
+376
Angola
+244
Anguilla
+1
Antigua and Barbuda
+1
Argentina
+54
Armenia (Հայաստան)
+374
Aruba
+297
Ascension Island
+247
Australia
+61
Austria (Österreich)
+43
Azerbaijan (Azərbaycan)
+994
Bahamas
+1
Bahrain (البحرين)
+973
Bangladesh (বাংলাদেশ)
+880
Barbados
+1
Belarus (Беларусь)
+375
Belgium (België)
+32
Belize
+501
Benin (Bénin)
+229
Bermuda
+1
Bhutan (འབྲུག)
+975
Bolivia
+591
Bosnia and Herzegovina (Босна и Херцеговина)
+387
Botswana
+267
Brazil (Brasil)
+55
British Indian Ocean Territory
+246
British Virgin Islands
+1
Brunei
+673
Bulgaria (България)
+359
Burkina Faso
+226
Burundi (Uburundi)
+257
Cambodia (កម្ពុជា)
+855
Cameroon (Cameroun)
+237
Canada
+1
Cape Verde (Kabu Verdi)
+238
Caribbean Netherlands
+599
Cayman Islands
+1
Central African Republic (République centrafricaine)
+236
Chad (Tchad)
+235
Chile
+56
China (中国)
+86
Christmas Island
+61
Cocos (Keeling) Islands
+61
Colombia
+57
Comoros (جزر القمر)
+269
Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)
+243
Congo (Republic) (Congo-Brazzaville)
+242
Cook Islands
+682
Costa Rica
+506
Côte d’Ivoire
+225
Croatia (Hrvatska)
+385
Cuba
+53
Curaçao
+599
Cyprus (Κύπρος)
+357
Czech Republic (Česká republika)
+420
Denmark (Danmark)
+45
Djibouti
+253
Dominica
+1
Dominican Republic (República Dominicana)
+1
Ecuador
+593
Egypt (مصر)
+20
El Salvador
+503
Equatorial Guinea (Guinea Ecuatorial)
+240
Eritrea
+291
Estonia (Eesti)
+372
Eswatini
+268
Ethiopia
+251
Falkland Islands (Islas Malvinas)
+500
Faroe Islands (Føroyar)
+298
Fiji
+679
Finland (Suomi)
+358
France
+33
French Guiana (Guyane française)
+594
French Polynesia (Polynésie française)
+689
Gabon
+241
Gambia
+220
Georgia (საქართველო)
+995
Germany (Deutschland)
+49
Ghana (Gaana)
+233
Gibraltar
+350
Greece (Ελλάδα)
+30
Greenland (Kalaallit Nunaat)
+299
Grenada
+1
Guadeloupe
+590
Guam
+1
Guatemala
+502
Guernsey
+44
Guinea (Guinée)
+224
Guinea-Bissau (Guiné Bissau)
+245
Guyana
+592
Haiti
+509
Honduras
+504
Hong Kong (香港)
+852
Hungary (Magyarország)
+36
Iceland (Ísland)
+354
India (भारत)
+91
Indonesia
+62
Iran (ایران)
+98
Iraq (العراق)
+964
Ireland
+353
Isle of Man
+44
Israel (ישראל)
+972
Italy (Italia)
+39
Jamaica
+1
Japan (日本)
+81
Jersey
+44
Jordan (الأردن)
+962
Kazakhstan (Казахстан)
+7
Kenya
+254
Kiribati
+686
Kosovo
+383
Kuwait (الكويت)
+965
Kyrgyzstan (Кыргызстан)
+996
Laos (ລາວ)
+856
Latvia (Latvija)
+371
Lebanon (لبنان)
+961
Lesotho
+266
Liberia
+231
Libya (ليبيا)
+218
Liechtenstein
+423
Lithuania (Lietuva)
+370
Luxembourg
+352
Macau (澳門)
+853
Madagascar (Madagasikara)
+261
Malawi
+265
Malaysia
+60
Maldives
+960
Mali
+223
Malta
+356
Marshall Islands
+692
Martinique
+596
Mauritania (موريتانيا)
+222
Mauritius (Moris)
+230
Mayotte
+262
Mexico (México)
+52
Micronesia
+691
Moldova (Republica Moldova)
+373
Monaco
+377
Mongolia (Монгол)
+976
Montenegro (Crna Gora)
+382
Montserrat
+1
Morocco (المغرب)
+212
Mozambique (Moçambique)
+258
Myanmar (Burma) (မြန်မာ)
+95
Namibia (Namibië)
+264
Nauru
+674
Nepal (नेपाल)
+977
Netherlands (Nederland)
+31
New Caledonia (Nouvelle-Calédonie)
+687
New Zealand
+64
Nicaragua
+505
Niger (Nijar)
+227
Nigeria
+234
Niue
+683
Norfolk Island
+672
North Korea (조선 민주주의 인민 공화국)
+850
North Macedonia (Северна Македонија)
+389
Northern Mariana Islands
+1
Norway (Norge)
+47
Oman (عُمان)
+968
Pakistan (پاکستان)
+92
Palau
+680
Palestine (فلسطين)
+970
Panama (Panamá)
+507
Papua New Guinea
+675
Paraguay
+595
Peru (Perú)
+51
Philippines
+63
Poland (Polska)
+48
Portugal
+351
Puerto Rico
+1
Qatar (قطر)
+974
Réunion (La Réunion)
+262
Romania (România)
+40
Russia (Россия)
+7
Rwanda
+250
Saint Barthélemy
+590
Saint Helena
+290
Saint Kitts and Nevis
+1
Saint Lucia
+1
Saint Martin (Saint-Martin (partie française))
+590
Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)
+508
Saint Vincent and the Grenadines
+1
Samoa
+685
San Marino
+378
São Tomé and Príncipe (São Tomé e Príncipe)
+239
Saudi Arabia (المملكة العربية السعودية)
+966
Senegal (Sénégal)
+221
Serbia (Србија)
+381
Seychelles
+248
Sierra Leone
+232
Singapore
+65
Sint Maarten
+1
Slovakia (Slovensko)
+421
Slovenia (Slovenija)
+386
Solomon Islands
+677
Somalia (Soomaaliya)
+252
South Africa
+27
South Korea (대한민국)
+82
South Sudan (جنوب السودان)
+211
Spain (España)
+34
Sri Lanka (ශ්රී ලංකාව)
+94
Sudan (السودان)
+249
Suriname
+597
Svalbard and Jan Mayen
+47
Sweden (Sverige)
+46
Switzerland (Schweiz)
+41
Syria (سوريا)
+963
Taiwan (台灣)
+886
Tajikistan
+992
Tanzania
+255
Thailand (ไทย)
+66
Timor-Leste
+670
Togo
+228
Tokelau
+690
Tonga
+676
Trinidad and Tobago
+1
Tunisia (تونس)
+216
Turkey (Türkiye)
+90
Turkmenistan
+993
Turks and Caicos Islands
+1
Tuvalu
+688
U.S. Virgin Islands
+1
Uganda
+256
Ukraine (Україна)
+380
United Arab Emirates (الإمارات العربية المتحدة)
+971
United Kingdom
+44
United States
+1
Uruguay
+598
Uzbekistan (Oʻzbekiston)
+998
Vanuatu
+678
Vatican City (Città del Vaticano)
+39
Venezuela
+58
Vietnam (Việt Nam)
+84
Wallis and Futuna (Wallis-et-Futuna)
+681
Western Sahara (الصحراء الغربية)
+212
Yemen (اليمن)
+967
Zambia
+260
Zimbabwe
+263
Åland Islands
+358
Personal Faith
On a separate document, please provide your personal testimony of faith. You can upload it at the end of this application. SCA may review any and all public social media profiles
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Please describe your philosophy of Christian Education:
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Authorization for Investigative Report
I understand that Sager Classical Academy, a private PreK-12 school, will request a criminal background check through National Crime Search, Inc. (NCS). I further understand that neither Sager Classical Academy nor NCS may give out information about me to anyone without my written consent. The report may contain a record of arrests and/or convictions for violations of any federal, state, local statutes or ordinances. I forever release, absolve, and indemnify to the fullest extent allowed by law Sager Classical Academy, NCS, its affiliates, and all providers of information for releasing and obtaining any information arising from any and all sources. I hereby authorize Sager Classical Academy and NCS to obtain a criminal background report. I have read and understand the above statements and hereby give my express permission to complete this investigation.
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Authorization
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, Falsified statements on this application shall be grounds for dismissal and criminal prosecution. 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 Sager Classical Academy from all liability for any damage that may result from utilization of such information.
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