Classified Staff Application
Position Applying for
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Last Name
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First Name
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Middle Initial
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Address Info.
Address
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City
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State / Province / Region
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Prior Employment Information
Employer
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Position
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Address Info:
Address
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City
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State / Province / Region
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Reason for Leaving
Employer
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Position
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Address
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City
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State / Province / Region
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Reason for Leaving
Employer
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Position
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Address
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City
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State / Province / Region
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Reason for Leaving
Educational Information Please list your high school and college education in chronological order.
High School
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Graduation Year
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College
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Location
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Graduation Year
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Diploma / Degree
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Course of Study
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Special Training, if any:
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Special Honors, if any:
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Personal Information
Summarize special job-related skills and qualifications acquired from employment or other experiences.
State briefly your reasons for wishing to be an employee in our district.
References Please list three people who may be contacted to give current information on your qualifications to this position
Reference #1
Name
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Position
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Address Info.
Address
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City
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State / Province / Region
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Relationship
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Years Known
Reference #2
Name
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Position
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Address Info.
Address
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City
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State / Province / Region
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Relationship
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Years Known
Reference #3
Name
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Position
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Address Info.
Address
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City
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State / Province / Region
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Relationship
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Years Known
Resume
Acknowledgments
1. I certify that all the information provided by me in this application is true and complete. I understand that any mistatement, falsification, or omission of information is grounds for refusal to hire or, if I am hired and the same is discovered thereafter, termination.
2. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damages that may result from furnishing such information to you. I authorize any background checks by any third party.
3. I authorize you to request, receive, and verify all information given on this application and I release you from all damages that may result from your doing so.
4. I authorize you to conduct a criminal background investigation using any and all methods necessary to successfully complete such investigation and I release you from all liability for any damages that may result from your doing so.
Electronic Signature
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Send
Required Fields