Professional Employment Application

65 questions

1) TODAY'S DATE

Date & Time

2) NAME: (LAST, FIRST, MIDDLE)

3) BIRTH DATE

Date & Time

4) ADDRESS, CITY, STATE, ZIP:

5) PREVIOUS ADDRESS, CITY, STATE, ZIP:

6) TELEPHONE:

7) EMAIL ADDRESS:

8) ARE YOU 18 YEARS OR OLDER?

9) EMERGENCY CONTACT NAME:

10) EMERGENCY CONTACT PHONE:

11) EMPLOYMENT DESIRED?

12) POSITION:

13) DATE YOU CAN START:

Date & Time

14) EVER APPLIED WITH THIS SCHOOL BEFORE?

15) IF SO, WHEN?

Date & Time

16) DO YOU HAVE ANY RELATIVE SERVING ON THE BOARD OF TRUSTEES?

17) IF YES, GIVE THEIR NAME AND RELATIONSHIP:

18) HAVE YOU EVER BEEN CONVICTED OF A FELONY OR OFFENSE INVOLVING MORAL TURPITUDE AND/OR RECEIVED PROBATION OR DEFERRED ADJUDICATION?

19) IF YES, STATE WHERE, WHEN, AND THE NATURE OF THE OFFENSE:

20) (CONVICTION OF A FELONY IS NOT AN AUTOMATIC BAR TO EMPLOYMENT. THIS DISTRICT WILL CONSIDER THE NATURE, DATE, AND RELATIONSHIP BETWEEN THE OFFENSE AND THE POSITION FOR WHICH YOU ARE APPLYING?

21) HIGH SCHOOL NAME AND LOCATION:

22) HS - NUMBER OF YEARS ATTENDED:

23) HS - YEAR GRADUATED:

24) COLLEGE NAME AND LOCATION:

25) CO - NUMBER OF YEARS ATTENDED:

26) CO - YEAR GRADUATED:

27) TRADE/BUSINESS/CORRESPONDENCE NAME AND LOCATION

28) T/B/C - NUMBER OF YEARS ATTENDED:

29) T/B/C - YEAR GRADUATED:

30) JOB 1 - DATE (MONTH & YEAR):

31) JOB 1 - NAME & ADDRESS OF EMPLOYER:

32) JOB 1 - SALARY:

33) JOB 1 - POSITION:

34) JOB 1 - REASON FOR LEAVING:

35) JOB 2 - DATE (MONTH & YEAR):

36) JOB 2 - NAME & ADDRESS OF EMPLOYER:

37) JOB 2 - SALARY:

38) JOB 2 - POSITION:

39) JOB 2 - REASON FOR LEAVING:

40) JOB 3 - DATE (MONTH & YEAR):

41) JOB 3 - NAME & ADDRESS OF EMPLOYER:

42) JOB 3 - SALARY:

43) JOB 3 - POSITION:

44) JOB 3 - REASON FOR LEAVING:

45) JOB 4 - DATE (MONTH & YEAR):

46) JOB 4 - NAME & ADDRESS OF EMPLOYER:

47) JOB 4 - SALARY:

48) JOB 4 - POSITION:

49) JOB 4 - REASON FOR LEAVING:

50) PRESENTLY EMPLOYED?

51) MAY WE CONTACT YOUR PRESENT EMPLOYER?

52) REFERENCE 1 - NAME:

53) REFERENCE 1 - PHONE NUMBER:

54) REFERENCE 1 - BUSINESS:

55) REFERENCE 1 - YEARS ACQUAINTED:

56) REFERENCE 2 - NAME:

57) REFERENCE 2 - PHONE NUMBER:

58) REFERENCE 2 - BUSINESS:

59) REFERENCE 2 - YEARS ACQUAINTED:

60) REFERENCE 3 - NAME:

61) REFERENCE 3 - PHONE NUMBER:

62) REFERENCE 3 - BUSINESS:

63) REFERENCE 3 - YEARS ACQUAINTED:

64) SIGNATURE DATE

Date & Time

65) SIGNATURE:

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Cafeteria

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COVID-19

Academic Calendar

Campuses

Administration

Community

Cafeteria

Staff Resources

Transportation

COVID-19

Academic Calendar

Professional Employment Application