<p> Livingston American School Shanghai Job Application Form</p><p>Position Desired:______Recent Expected Salary Range from ______to ______per year Picture Circle one: USD / RMB</p><p>Full time: Part time: </p><p>I. Personal Information</p><p>Full Name: ______Sex:_____ Marital Status: Single Date /Place of Birth: ______Religion:______Married Nationality: ______Citizenship:______Native tongue:______</p><p>Present Address:______Divorced ______Separated Contact No.______Email address: ______Widowed</p><p>II. Educational Background</p><p>Education Name and Location of School Years Attended Degree/Diploma Doctorate Master Bachelor High School</p><p>III. Work History</p><p>Dates of Name and Address of Title or Main Duties and Reason for Employment Company Position Responsibilities Leaving</p><p>May we contact your previous employer? Yes ___ No___ Email:______Phone: ______IV. Teaching License # / Issuing Organization______Administrator’s License # / Issuing Org______V. OTHER: certifications, special skills and other qualifications: Job-related licenses, skills, training, memberships, honors, awards and special accomplishments. ______</p><p>VI. References</p><p>Name Position and Company Contact Number/Email Address 1. 2. 3.</p><p>I DECLARE THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT ANY FALSE INFORMATION OR MISREPRESENTATION MAY BE SUFFICIENT CAUSE FOR DISQUALIFICATION OR DISMISSAL FROM EMPLOYMENT WITH THE INSTITUTION IF I HAVE BEEN EMPLOYED.</p><p>______Name of Applicant Date </p>