Minnehaha Academy

Application for Staff Employment

Fill out this form to submit your application online. Upon successful completion, you will receive both an email and an onscreen message with your submitted information. If you do not receive this message, check the form for any blank areas highlighted in red - these fields must be completed in order to submit your application. Paper applications may be sent via surface mail to: Human Resources Director Minnehaha Academy 3100 West River Parkway Minneapolis, MN 55406

Personal Information
Full Legal Name:
Email:
Street:
City:
State:		Zip:
Phone:

Position
Position Desired:
Qualifications for position desired:
If you have ever applied to or worked for Minnehaha Academy, indicate when and what position:

Educational Experience

High School Education:

College, Business, and / or Professional Schools (include majors):

Community Activites:

Current Civic Organizations:

Service Record
Branch:
Final Rank:

Christian Contribution

How do you see yourself contributing to a Christian school environment?

Employment Record
Present / Most Recent Employer
Company Name:
Position:
Supervisor:
Dates of Employment:		To:
Phone:
Okay to contact?	Yes  No
Second Most Recent Employer
Company Name:
Position:
Supervisor:
Dates of Employment:		To:
Phone:
Okay to contact?	Yes  No
Third Most Recent Employer
Company Name:
Position:
Supervisor:
Dates of Employment:		To:
Phone:
Okay to contact?	Yes  No

References
List three people, other than relatives, with definite knowledge of your ability and character, whom we may contact concerning your application
Reference 1
Name:
Address:
Address (Line 2):
Phone:
Reference 2
Name:
Address:
Address (Line 2):
Phone:
Reference 3
Name:
Address:
Address (Line 2):
Phone:

Statement of Application
I have read and reviewed the Mission Statement of Minnehaha Academy and, if hired, will support and uphold the goals of the school as expressed in such Mission Statement. Minnehaha Academy is an at-will employer. If you are hired, this means that you may terminate your employment at any time and for any reason. If you are hired, it also means that Minnehaha Academy may terminate your employment at any time and for any reason not prohibited by law.
E-Signature:
Minnehaha Academy is an EEO/AA Employer.