PTAA Faculty/Staff Application First Name Middle Name Last Name Gender Select... Male Female Non-Binary Prefer not to say Other Suffix Select... Mr. Ms. Mrs. Dr. Marital Status Select... Single Married Divorced Widowed Select State... AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY How Did You Hear About PTAA? Which Campus Are You Applying To? Mesquite Greenville North Dallas Fate Arizona Colorado Other What Role Are You Interested In? Instructional Leadership/Support Staff Are You a U.S. Citizen? Yes No If You Are Not a U.S. Citizen, Do You Have the Legal Right to Work in the U.S? Yes No List Any Language You Read, Write, or Speak Fluently (in addition to English) Remove Add Language Describe Your Academic, Vocational, or Professional Education Related to the Position Remove Add Education List Any Military Training or Experience List Any Computer, Software, Machine, and/or Equipment You Can Operate Membership in Professional Organizations List Any Volunteer or Community Experience Were You Ever Discharged or Forced to Resign From Any Position? Yes No Give the Name, Addresses, and Phone Numbers of Two Persons (Not Employers) Who Have Knowledge of Your Character Remove Add Reference Experience: List Present Job First, Then Other Jobs in Order, Working Down From the Most Recent Currently Working Here Remove Add Job Experience Would You Object to Having Any of the Listed Employers Contacted in Regard to Your Work? Yes No Additional Information or Comments Have You Ever Been Convicted of Any Crime Since the Age of 18? Yes No If Yes, Please List Date and Disposition of Case: Are You Willing to Have a Physical Examination, If Required, After Employment? Yes No Are You Willing to Be Fingerprinted, After Employment, As Required by Law? Yes No Resume Cover Letter Signature of Applicant Date PTAA does not discriminate in admissions based on gender; national origin; ethnicity; religion; disability; academic, artistic, or athletic ability; or the district the child would otherwise attend. Submit Application
