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Professional Employment Application
66 Questions
1) TODAY'S DATE
Required
*
2) NAME: (LAST, FIRST, MIDDLE)
Required
*
3) BIRTH DATE
Required
*
4) ADDRESS, CITY, STATE, ZIP:
Required
*
5) PREVIOUS ADDRESS, CITY, STATE, ZIP:
Required
*
6) TELEPHONE:
Required
*
7) EMAIL ADDRESS:
Required
*
8) ARE YOU 18 YEARS OR OLDER?
Required
*
YES
NO
9) EMERGENCY CONTACT NAME:
Required
*
10) EMERGENCY CONTACT PHONE:
Required
*
11) EMPLOYMENT DESIRED?
Required
*
PART-TIME
FULL-TIME
12) POSITION:
Required
*
13) DATE YOU CAN START:
Required
*
14) EVER APPLIED WITH THIS SCHOOL BEFORE?
Required
*
YES
NO
15) IF SO, WHEN?
Required
*
16) DO YOU HAVE ANY RELATIVE SERVING ON THE BOARD OF TRUSTEES?
Required
*
YES
NO
17) IF YES, GIVE THEIR NAME AND RELATIONSHIP:
Required
*
18) HAVE YOU EVER BEEN CONVICTED OF A FELONY OR OFFENSE INVOLVING MORAL TURPITUDE AND/OR RECEIVED PROBATION OR DEFERRED ADJUDICATION?
Required
*
YES
NO
19) IF YES, STATE WHERE, WHEN, AND THE NATURE OF THE OFFENSE:
Required
*
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?
Required
*
21) HIGH SCHOOL NAME AND LOCATION:
Required
*
22) HS - NUMBER OF YEARS ATTENDED:
Required
*
23) HS - YEAR GRADUATED:
Required
*
24) COLLEGE NAME AND LOCATION:
Required
*
25) CO - NUMBER OF YEARS ATTENDED:
Required
*
26) CO - YEAR GRADUATED:
Required
*
27) TRADE/BUSINESS/CORRESPONDENCE NAME AND LOCATION
Required
*
28) T/B/C - NUMBER OF YEARS ATTENDED:
Required
*
29) T/B/C - YEAR GRADUATED:
Required
*
30) JOB 1 - DATE (MONTH & YEAR):
Required
*
31) JOB 1 - NAME & ADDRESS OF EMPLOYER:
Required
*
32) JOB 1 - SALARY:
Required
*
33) JOB 1 - POSITION:
Required
*
34) JOB 1 - REASON FOR LEAVING:
Required
*
35) JOB 2 - DATE (MONTH & YEAR):
Required
*
36) JOB 2 - NAME & ADDRESS OF EMPLOYER:
Required
*
37) JOB 2 - SALARY:
Required
*
38) JOB 2 - POSITION:
Required
*
39) JOB 2 - REASON FOR LEAVING:
Required
*
40) JOB 3 - DATE (MONTH & YEAR):
Required
*
41) JOB 3 - NAME & ADDRESS OF EMPLOYER:
Required
*
42) JOB 3 - SALARY:
Required
*
43) JOB 3 - POSITION:
Required
*
44) JOB 3 - REASON FOR LEAVING:
Required
*
45) JOB 4 - DATE (MONTH & YEAR):
Required
*
46) JOB 4 - NAME & ADDRESS OF EMPLOYER:
Required
*
47) JOB 4 - SALARY:
Required
*
48) JOB 4 - POSITION:
Required
*
49) JOB 4 - REASON FOR LEAVING:
Required
*
50) PRESENTLY EMPLOYED?
Required
*
YES
NO
51) MAY WE CONTACT YOUR PRESENT EMPLOYER?
Required
*
YES
NO
52) REFERENCE 1 - NAME:
Required
*
53) REFERENCE 1 - PHONE NUMBER:
Required
*
54) REFERENCE 1 - BUSINESS:
Required
*
55) REFERENCE 1 - YEARS ACQUAINTED:
Required
*
56) REFERENCE 2 - NAME:
Required
*
57) REFERENCE 2 - PHONE NUMBER:
Required
*
58) REFERENCE 2 - BUSINESS:
Required
*
59) REFERENCE 2 - YEARS ACQUAINTED:
Required
*
60) REFERENCE 3 - NAME:
Required
*
61) REFERENCE 3 - PHONE NUMBER:
Required
*
62) REFERENCE 3 - BUSINESS:
Required
*
63) REFERENCE 3 - YEARS ACQUAINTED:
Required
*
64) SIGNATURE DATE
Required
*
65) Please Sign
Required
*
Signature
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I understand that my typed signature is the legal equivalent of my handwritten signature on this document.
66) Please attach Your Resume or Other Documents
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