Preferred First Name
How did you hear about this job? *
Please select DP Website
DP Recruiter Message
If referred, please provide name of the person who referred you.
Are you a current member or alumnus of any of the following programs?
Teach For America
Have you completed a 4-year bachelor's degree from an accredited college or university? *
What was your cumulative undergraduate GPA? *
What was your cumulative graduate GPA?
Are you certified to teach in New Jersey? *
Please select Yes, CE
No, but pending
If certified in another state, please list which one(s)
If applicable, what certification do you hold? Please indicate content, grade level and expiration date.
Is there anything else you'd like for us to know about your certification?
How many years of full time teaching experience do you have? *
Are you authorized to work in the United States? *
If you answered "No" to the question above, please provide an explanation below.
Will you now or in the future require sponsorship for employment visa status (e.g., H-1B visa status) in order to work for Democracy Prep Public Schools? *
If you've answered "Yes" to the question above, please provide an explanation below.
Consistent with applicable law, Democracy Prep employees are subject to criminal background checks. To the best of your knowledge, do you have a pending criminal charge or a criminal conviction in any jurisdiction? *
If you answered "Yes" to the question above regarding criminal history, please provide each of the following: (1) a brief summary of the conduct that led to the criminal conviction(s) and/or pending criminal charge(s), (2) the current status of the criminal conviction(s) and/or pending criminal charge(s), and (3) any other relevant information, including an explanation of how Democracy Prep can feel confident that such conduct will not be repeated and will not affect your work with Democracy Prep. Please note that one or more pending criminal charges and/or criminal convictions will not necessarily bar you from working for Democracy Prep. However, we prefer to know about such issues in advance of your background check.
Pursuant of N.J. Stat. Ann. 18A:6-7.7, Democracy Prep Public Schools requires that all prospective employees provide a list of contact information for any current employer and all former employers within the last twenty years where the applicant was employed by a school, or in a position involving direct contact with children. Democracy Prep will request this information in the event of an in-person interview and will contact current and former employers if an offer is made. By entering yes below, you are consenting to the disclosure of the information requested by Democracy Prep Public Schools and releasing liability of former and current employers arising from this disclosure. *
Have you been subject to any child abuse or sexual misconduct investigations by any employer, state licensing agency, law enforcement agency, or the Department of Children and Families? *
Have you been disciplined, discharged, non-renewed, asked to resign from, or separated from any employment while allegations of child abuse or sexual misconduct were pending or under investigation, or due to an adjudication or finding of child abuse or sexual misconduct? *
Have you had a license or certificate suspended, surrendered, or revoked while allegations of child abuse or sexual misconduct were pending or under investigation, or due to an adjudication or finding of child abuse or sexual misconduct? *
I certify that all the information I have provided in order to apply for and secure work with this employer is true, complete, and correct. I expressly authorize, without reservation, the employer its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and education institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. The information that I am providing here in the application and in the hiring process, including but not limited to information from the phone screen, demo lesson, and interview, will be used for research purposes to improve DPPS’s selection methods. I understand that all personally identifiable information will be kept confidential and will not be shared with non-research partners. Notice to applicants: An applicant who willfully provides false information or fails to disclose the information required is subject to criminal prosecution, as well as a civil penalty of up to five hundred dollars and may face discipline up to and including termination or denial of employment. *
U.S. Equal Opportunity Employment Information (Completion is voluntary)
Individuals seeking employment at Democracy Prep Public Schools are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.
Completion of the form is entirely
voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.
Please select Male
Decline To Self Identify
Are you Hispanic/Latino?
Please select Yes
Decline To Self Identify
Please identify your race
Please select American Indian or Alaskan Native
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
Two or More Races
Decline To Self Identify
Race & Ethnicity Definitions
If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:
A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Please select I am not a protected veteran
I identify as one or more of the classifications of a protected veteran
I don't wish to answer
OMB Control Number 1250-0005
Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities
1. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.
Disabilities include, but are not limited to:
Blindness Deafness Cancer Diabetes Epilepsy Autism Cerebral palsy HIV/AIDS Schizophrenia Muscular dystrophy Bipolar disorder Major depression Multiple sclerosis (MS) Missing limbs or partially missing limbs Post-traumatic stress disorder (PTSD) Obsessive compulsive disorder Impairments requiring the use of a wheelchair Intellectual disability (previously called mental retardation)
Please select Yes, I have a disability (or previously had a disability)
No, I don't have a disability
I don't wish to answer Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
1Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.