Application for Employment
EQUAL OPPORTUNITY EMPLOYER<=
/b>
All questions must be answered carefully and completely. If you have a resume you may attac=
h it,
but you MUST fill in the required information on the application =
form.
PLEASE T=
YPE OR
PRINT.
Today’s Date:<=
/b> &n=
bsp; =
; &n=
bsp; =
; &n=
bsp; =
; &n=
bsp; Social Secu=
rity
No: =
&nb=
sp; =
&nb=
sp; =
Name &nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; Email
Address: =
&nb=
sp; =
&nb=
sp; =
&nb=
sp;
= Last = &nb= sp; = Firs= t &= nbsp; &nbs= p; = Middle
Have you ever worked under another name? o Yes o No = &nb= sp;
If yes, give name &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; Date
of name change &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp;
Current Address &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; Phone
No.
( ) &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p;
= = &nb= sp; Number and Street
&n= bsp; = ; &n= bsp; = ; &n= bsp; = ; &n= bsp; = ; Message Phone ( ) &= nbsp; &nbs= p; &= nbsp; &nbs= p;
City &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; = State = &nb= sp; = Zip
List all prior addresses for the l= ast 7 years:
____________________________________________________________________=
_______________________________
&nb=
sp;
Date: From=
=
Date To =
=
Number
and Street &n=
bsp; =
; &n=
bsp; =
; =
=
City &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; =
State &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; Zip
____________________________________________________________________=
_______________________________
&nb=
sp;
Date: From=
=
Date To =
&nb=
sp;
Number and Street =
&nb=
sp; =
&nb=
sp; =
=
City &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; =
State &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; Zip
____________________________________________________________________=
_______________________________
&nb= sp; Date: From= = Date To = &nb= sp; Number and Street = &nb= sp; = &nb= sp; = = City &= nbsp; &nbs= p; &= nbsp; &nbs= p; = State &= nbsp; &nbs= p; &= nbsp; &nbs= p; Zip
Position Desired &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; &nbs= p; &= nbsp; Salary Desired &n= bsp; = ; &n= bsp; = ;
Check type of employment desired:<=
span
style=3D'mso-tab-count:1'> &=
nbsp; o Full Time o Part Time o Temporary
If
not Full Time, days available: =
o Mon
If
not Full Time, hours available &nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
On what date would you be availabl=
e to start
work? &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp;
Are you willing and able to work overtime? &nbs= p; o Yes o No
Personal
Data
Have you ever applied to or been employed with us
before? o Yes o No If yes=
, give
date =
; &n=
bsp; =
; &n=
bsp; =
;
Do you have any friends or relatives working for the District? &= nbsp; o Yes o No
If yes, state name(s) a= nd relationship________________________________________________________= ___
Are you currently employed? o Yes o No &nb=
sp; If
yes, may we contact your employer? o Yes o No
If hired, would you have a reliable means of transportation to and from work? &nbs= p; o Yes o No
Driver's License Number: ___________________________ &n= bsp; State of Issue: ____________
Can you travel if the job requires it? o <= /span>Yes o No
Are you able to perform the essential functions of the job for which= you are applying? o Yes o No
Are you at least 18 years old?
o Yes o No If und=
er 18,
hire is subject to verification that y=
ou are
of minimum legal age.
If hired, can you present evidence of your
= ; Proof of citizenship or immigration status will be required upon employment.
Have you ever been convicted of a criminal offense (felony or misdemeanor)? o Yes o No
= ; <= /p>
If yes, state nature of=
the
crime(s), when and where convicted and disposition of the case: &n=
bsp; =
; &n=
bsp; =
;
=
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
=
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&nb=
sp; =
&= nbsp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; = &nb= sp; =
&=
nbsp; A conviction will not necessarily disqualify you for employment.
Start with your most recent job.&n=
bsp;
Feel free to attach additional pages if necessary. You MUST complete this section eve=
n if
attaching a resume. Dates of
employment must be stated in months AND years. Account for all periods of unemplo=
yment.
|
1) Employer |
Dates Employed |
Work Performed |
|
|
|
From |
To |
|
|
Address |
|
|
|
|
Phone
No. |
Hourly Rate/Salary |
|
|
|
|
Starting |
Final |
|
|
Job Title =
; &n=
bsp; =
; Supervisor |
|
|
|
|
Reason For Leaving |
|
|
|
|
2) Employer |
Dates Employed |
Work Performed |
|
|
|
From |
To |
|
|
Address |
|
|
|
|
Phone
No. |
Hourly Rate/Salary |
|
|
|
|
Starting |
Final |
|
|
Job Title =
; &n=
bsp; =
; Supervisor |
|
|
|
|
Reason For Leaving |
|
|
|
|
3) Employer |
Dates Employed |
Work Performed |
|
|
|
From |
To |
|
|
Address |
|
|
|
|
Phone
No. |
Hourly Rate/Salary |
|
|
|
|
Starting |
Final |
|
|
Job Title =
; &n=
bsp; =
; Supervisor |
|
|
|
|
Reason For Leaving |
|
|
|
|
4) Employer |
Dates Employed |
Work Performed |
|
|
|
From |
To |
|
|
Address |
|
|
|
|
Phone
No. |
Hourly Rate/Salary |
|
|
|
|
Starting |
Final |
|
|
Job Title =
; &n=
bsp; =
; Supervisor |
|
|
|
|
Reason For Leaving |
|
|
|
|
5) Employer |
Dates Employed |
Work Performed |
|
|
|
From |
To |
|
|
Address |
|
|
|
|
Phone
No. |
Hourly Rate/Salary |
|
|
|
|
Starting |
Final |
|
|
Job Title =
; &n=
bsp; =
; Supervisor |
|
|
|
|
Reason For Leaving |
|
|
|
|
Type of School |
Name and Location of School (Provide full names of schools) |