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Tutor Application

“;
$comment=preg_replace(“/(\015\012)|(\015)|(\012)/”,” 
“, $comment);
if($lname==”” || $email==”” || $fname==”” || $address==”” || $city==”” || $st==”” || $zip==”” || $country==”” || $phone1==”” || $ebhs==”” || $employ1==”” || $refname1==”” || $refemp1==”” || $refpos1==”” || $refadd1==””){
$errors=1;
$error.=”

  • You did not enter one or more of the required fields. Please go back and try again.”;
    }
    if($signature==”” ){
    $errors=1;
    $error.=”

  • You did not type your name at the bottom of the form to complete the process”;
    }
    if($verify==”” ){
    $errors=1;
    $error.=”

  • You did not verify that the information submited in the application is correct by checking the box at the bottom of the form, please return to the application and do so.”;
    }
    if(!eregi(“^[a-z0-9]+([_\\.-][a-z0-9]+)*” .”@”.”([a-z0-9]+([\.-][a-z0-9]+)*)+”.”\\.[a-z]{2,}”.”$”,$email)){
    $error.=”

  • Invalid email address entered”;
    $errors=1;
    }
    if($errors==1) echo $error;
    else{
    $where_form_is=”http”.($HTTP_SERVER_VARS[“HTTPS”]==”on”?”s”:””).”://”.$SERVER_NAME.strrev(strstr(strrev($PHP_SELF),”/”));
    $message=”



    General
    Information:

    Last Name: “.$lname.” First Name: “.$fname.” Middle Initial:
    “.$mi.”    		 Alias/Maiden Name:
    “.$alias.”
    Personal Email:
    “.$email.”

    Physical Address:

    Number &
    Street: “.$address.”    		 Apt: “.$apt.” City:
    “.$city.”    		 State: “.$st.” Zip: “.$zip.” Country: “.$country.”

    Are
    over the age of 18? – “.$less.”

     Phone:
    (including area code)
    (“.$phone1.”)”.$phone2.”-“.$phone3.”

    Cell Phone Number
    “.$cphone1.”-“.$cphone2.”-“.$cphone3.”

    Type
    of Position Desired:”.$pos.”

    Location:”.$loc.”

    Starting
    Salary Expected:”.$start.”

    “.$prefer.”

    Do
    you Prefer:

    		Referred
    By:
    “.$refer.”


    Educational Background:

    Name
    of
    School
    Location
    Did
    you Graduate?
    Diploma/Degree
    Major
    High
    School
    “.$ebhs.”     		“.$ebhsloc.” “.$ebhsgrad.”
    		 “.$ebhsdeg.” “.$ebhsmaj.”
    College
    “.$ebcol.”     		“.$ebcolloc.” “.$ebcolgrad.”
    If not how many credit hours did you complete? “.$collegesems.”
    		 “.$ebcoldeg.” “.$ebcolmaj.”
    Post
    Graduate
    “.$ebpg.”     		“.$ebpgloc.” “.$ebpggrad.”
    If not how many credit hours did you complete? “.$gradhrs.”
    		 “.$ebpgdeg.” “.$ebpgmaj.”
    Other
    “.$ebother.”     		“.$ebotherloc.” “.$ebothergrad.”
    		 “.$ebotherdeg.” “.$ebothermaj.”
    What
    office equipment do you operate?
    “.$equip.”
    Teaching:
    Levels Taught:
    “.$teach.”
    “.$teach2.”
    “.$teach3.”
    “.$teach4.”
    “.$level.”
    “.$level2.”
    “.$level3.”
    “.$level4.”
    “.$level5.”
    “.$na.”
    What
    computer programs are you familiar with?
    “.$compprog.”
    What
    foreign languages do you speak?
    “.$lang.”
    Other relevant experience?
    “.$other_experience.”

    Have
    you ever been convicted of or pleaded guilty to any criminal
    offense (before a court or by military court martial)?
    “.$crime.”
    If “yes” please explain:
    “.$explain.”

    If hired, your responses will be verified by a criminal
    record check. Conviction of a criminal offense does not
    automatically bar a person from employment at Academics
    Plus, Inc. Factors such as federal, state or local statutory
    requirements, the relationship of the offense to employment,
    the length of time since the offense and the seriousness
    and nature of the violation will be taken into account.

    Were
    you ever employed by Academics Plus, Inc.? “.$prioremp.”

    Federal,
    state, and/or local law prohibits discrimination in hiring
    and employment on the basis of age, color, disability, marital
    status, national origin, race, religion, sex, veteran status,
    citizenship, or other legally protected categories.


    EMPLOYMENT RECORD:
    Academics Plus, Inc. reserves the right
    to verify all information including salary.
    List
    all periods of employment, including any military service,
    for the last ten years (or last four employers). Start with
    your most recent positions and note any periods of unemployment.
    Be sure to sign the bottom of this page.
     May
    we contact your present employer? “.$contact.”
    Employer
    1

    Present
    or last employer:
    “.$employ1.”
     
    Date
    (Mo/Yr)
    From: “.$from1.”
    To: “.$to1.”
    		Current
    or last position:
    “.$pos1.”     		Salary
    (start/final)
    “.$sal1.”
    Address:
    “.$address1.”     		Immediate
    Supervisor:
    “.$sup1.”     		Telephone:
    “.$tel1.”
    Duties:
    “.$duties1.”

    Reason
    for leaving:
    “.$leave1.”

    Employer
    2

    Previous employer:
    “.$employ2.”
     
    Date
    (Mo/Yr)
    From: “.$from2.”
    To: “.$to2.”
    		Position held:
    “.$pos2.”     		Salary
    (start/final)
    “.$sal2.”
    Address:
    “.$address2.”     		Immediate
    Supervisor:
    “.$sup2.”     		Telephone:
    “.$tel2.”
    Duties:
    “.$duties2.”

    Reason
    for leaving:
    “.$leave2.”

    Employer
    3

    Previous employer:
    “.$employ3.”
     
    Date
    (Mo/Yr)
    From: “.$from3.”
    To: “.$to3.”
    		Position held:
    “.$pos3.”     		Salary
    (start/final)
    “.$sal3.”
    Address:
    “.$address3.”     		Immediate
    Supervisor:
    “.$sup3.”     		Telephone:
    “.$tel3.”
    Duties:
    “.$duties3.”

    Reason
    for leaving:
    “.$leave3.”

    Employer
    4

    Previous employer:
    “.$employ4.”
     
    Date
    (Mo/Yr)
    From: “.$from4.”
    To: “.$to4.”
    		Position held:
    “.$pos4.”     		Salary
    (start/final)
    “.$sal4.”
    Address:
    “.$address4.”     		Immediate
    Supervisor:
    “.$sup4.”     		Telephone:
    “.$tel4.”
    Duties:
    “.$duties4.”

    Reason
    for leaving:
    “.$leave4.”

    References:
    List at least 3 individuals qualified to give an opinion of your ability and experience. Lack of correct or complete information regarding applicable references may hinder or disqualify your application from further consideration.
     

    Name/Relationship Employer Position Address
    & Telephone
    “.$refname1.” “.$refemp1.” “.$refpos1.” “.$refadd1.”
    “.$refname2.” “.$refemp2.” “.$refpos2.” “.$refadd2.”
    “.$refname3.” “.$refemp3.” “.$refpos3.” “.$refadd3.”
    “.$refname4.” “.$refemp4.” “.$refpos4.” “.$refadd4.”
    Please read the
    following statements carefully. We will consider you for employment
    after you sign this application. Typing your name in the box
    below will be accepted as your signature.

    1.
    1. The information I have provided on this application is accurate to the best of my knowledge and subject to verification by Academics Plus®, Inc. I understand that any misrepresentation or omission of fact in my application or resume will be justification for refusal to employ me or for termination of my employment without notice by Academics Plus®, Inc.

    2. I understand that agreeing to a criminal background check is a required part of the hiring process. I understand that the information I provide in this application shall be used for verification purposes by a third party company. I understand that should this application or a criminal record check reveal a conviction of a crime, Academics Plus®, Inc. reserves the right to terminate further processing of this application or my employment, if hired. Factors such as federal, state or local statutory requirements, the relationship of the offense to employment, the length of time since the offense and the seriousness and nature of the violation will be taken into account.

    3. I understand that this employment application is not a contract of employment. I further understand that if I am hired I will be an employee at will and that I may voluntarily leave employment at any time and for any reason and may be terminated by the employer at any time and for any reason.
    4. I understand that:
    a) If employed, I shall sign the Confidentiality and Non-Disclosure Agreement in which I’ll agree to protect Academics Plus®, Inc.’s confidentiality information. This agreement also sets forth the conditions under which Academics Plus, Inc. is assigned the entire right, title, and interest to invent- ions or ideas developed while in Academics Plus®, Inc.’s employment.
    b) The immigration Reform and Control Act of 1986 requires that every individual hired be authorized to work in the United States. I understand that, if offered employment, I will be required to present proper documentation of my work eligibility and identification.
    c) If employed, my paycheck could be withheld until proper documentation of my work eligibility and identification are submitted to Academics Plus®, Inc.
    d) If employed, I must at all times comply with Academics Plus®, Inc.’s standards of work performance, business conduct, and all individual State, District, and Contract requirements.
    5. Please be aware that Academics Plus®, Inc. has various employment opportunities and programs available. Applicants and employees are encouraged to apply for all programs for which they are qualified. It is the applicant’s responsibility to check frequently for additional openings and availability.

    Signature:
    “.$signature.”

    Date:
    “.$sigdate.”


    ‘”;
    $message2=”This is an automated response to inform you that your application has been received and will be processed. We ask for your patience while your application is being assessed. A company representative will be in contact with you when openings in your area become available.”;
    $headers = ‘MIME-Version: 1.0’ . “\r\n”;
    $headers .= ‘Content-type: text/html; charset=iso-8859-1’ . “\r\n”;
    $headers .= “From: employment@academicplusinc.com>\r\n”;
    $headers2 = ‘MIME-Version: 1.0’ . “\r\n”;
    $headers2 .= ‘Content-type: text/html; charset=iso-8859-1’ . “\r\n”;
    $headers2 .= “From: $email>\r\n”;
    $message = stripslashes($message);
    $message2 = stripslashes($message2);
    /* mail(“lesstewart@msn.com”,”Employment Application”,$message,$headers); */
    mail(“aplusemployment@academicsplusinc.com,aplusdrb@academicsplusinc.com”,”Employment Application”,$message,$headers);
    mail(“$email”,”Your Employment Application Was Received”,$message2,$headers);

    ?>
      ,

    • Thank you for submiting your employment application.

    We will be in touch soon.
    .