Employment History. Except as noted below, Vendor must obtain employment and unemployment history for the past seven (7) years through contacts with previous employers in order to obtain the following information: · Verification of claimed periods of employment. · Verification of activities during interruptions of employment in excess of 30 days. Vendors shall use its best efforts to verify a seven (7) year employment history record. Best efforts should at least include Vendor's documented attempts to contact previous employers and obtain verification by telephone, letter or other means. If the employment history check cannot be accomplished for the entire seven (7) year period, Vendor shall provide an explanatory statement of the reason. EDUCATION HISTORY Vendor must verify the highest degree obtained, regardless of date granted.
Employment History. Records of employment history with this school district and previous employment with other school districts. Information included in this record may consist of:
Employment History. List your occupation/employment for the past 5 years: (include periods of unemployment) Employer’s Name & Address From (Mo/Yr) To (Mo/Yr) Reason for Leaving Unemployment (City & State) From (Mo/Yr) To (Mo/Yr) Training/Industry Designations Ethics: please describe your ethics training in the last five (5) years: Please list any Professional or Industry Designations you currently hold or Professional Organizations of which you are a member: NOTICE TO AGENT: We must advise you that American Fidelity Assurance Company (AFA) strictly adheres to the Federal Violent Crime Control and Law Enforcement Act and the IMSA Principles. As part of our normal appointment procedure, an investigative consumer report and/or a home office report may be prepared on you. This report contains information obtained via personal interviews with your neighbors, friends, or others with whom you are acquainted. These inquiries usually concern information on your character, general reputation, personal characteristics, criminal background (if any) and mode of living. Upon your written request, we can provide you with additional information as to the nature and scope of the report. By signing this application, you are representing that all the information recorded above is true and correct to the best of your knowledge. Further, you are authorizing AFA to do any background investigation or prepare any report we deem necessary to allow you to represent AFA. If you misrepresent any material fact recorded above, it will be cause for refusal or revocation of the right to represent AFA and possible notification to any state regulatory authority. Signature of Agent Date CHECKLIST: (Items listed below MUST be submitted to properly process your appointment.) ❐ ✍ Appointment Fee ❐ ✍ Two (2) Signed Agreements (if applicable) ❐ ✍ Copy of Your License ❐ ✍ Two (2) Commission Schedules (if applicable) ❐ ✍ Copy of Agency License (If commissions are to be paid to ❐ ✍ Signed Authorization for background investigation - M-2072 (FCRA3) Agency or Corporation.) ❐ ✍ Mail to: PO Box 25360, Oklahoma City, OK 73125 OR ❐ ✍ Copy of your E & O Schedule of Benefits page Fax to 000-000-0000 BD-1027 (APN) Revised 09/06 Sub-Producer Agreement THIS SUB-PRODUCER AGREEMENT is made and entered into on this day of , by and between AMERICAN FIDELITY ASSURANCE COMPANY, an Oklahoma corporation (hereinafter referred to as the "Company"), and an individual, partnership, limited liability company, or corporation (hereinafter refe...
Employment History. (D) Understanding of DVR process, vocational goals, plans, etc.
Employment History. Are you currently employed? Yes No Occupation_ Full Time Part Time
Employment History. In my position as Director at a charter school, I work with teachers to develop a scope and sequence to ensure students receive required instruction throughout the year. I lead teachers in understanding academic standards and in developing lessons which are aligned with standards and assessments. I evaluate school-wide academic progress by analyzing assessment data. I lead the MTSS team in developing plans for students who need academic and behavioral interventions. I administer a multi-million dollar budget which includes income from many different revenue streams such as government allotments, federal and state grants, and restricted funds. The budget also includes expenses for personnel, curriculum and educational supplies, facility operations, contracts with service providers, child health and nutrition, compliance expenses such as audits, special programs, etc.
Employment History. What Employment services have you received in the past? (Circle all that apply) VR LDS Employment Services Transition School DWS Job Corp Other: Have you worked before? Yes No Name of Employer Hire Date End Date Job Description Pay Rate Reason for Leaving What have been some of the obstacles to gaining and maintaining employment?
Employment History. Please list your work experience in your last five positions beginning with your most recent position held. If you were self-employed, please give details. If you have had more than five positions in the last five years, please list them all. Attach additional sheets if necessary. Name of company / school Employers name Period worked, please specifiy length of service Reason for leaving Other Information: Proof of identity and right to work Shortlisted applicants being interviewed will need to provide originals of two types of identification )one photo ID, e.g., passport, NZ Drivers licence and the other a record ID, e.g. Birth Certificate, Bank statement, utilities bill).
Employment History. Except as noted below, Vendor will obtain employment and unemployment history for the past seven (7) years through contacts with previous employers in order to obtain verification of claimed periods of employment, including military history during the review period. Vendor will use its commercially reasonable efforts to verify a seven (7) year employment history record. Such efforts should at least include Vendor’s documented attempts to contact previous employers and obtain verification by telephone, letter or other means. •
Employment History. Have you been employed anywhere other than with your current employer in the last two (2) years? Yes No If Yes, please list any/all such employment history. Please enter any additional information in the Remarks section (section 10). Previous employer name Start date mm/dd/yyyy End date mm/dd/yyyy Previous employer address City State ZIP code Previous employer name Start date mm/dd/yyyy End date mm/dd/yyyy Previous employer address City State ZIP code SECTION 7: LICENSE INFORMATION Residence license state Residence license no. Select
