Your Details

Position Details

List names and relationship of relatives working at this school district
Please choose your source for referral and enter the name below

United States Military Service

Education & Training

Please list educational institutions (high school, technical schools, college) attended beginning with the most recent

Work Experience

List below your previous employers, starting with the most current one.
Please list any additional experience.

Professional References

Include three professional references who supervised your previous work (principals, supervisors, superintendents).
Include City, State & Zip
Include City, State & Zip
Include City, State & Zip

Background

THIS SECTION MUST BE COMPLETED AS PART OF THE APPLICATION PROCESS. PLEASE MAKE CERTAIN THAT YOU ANSWER ALL OF THE QUESTIONS TRUTHFULLY. OMISSION OR FALSIFICATION OF ANY CRIMINAL INFORMATION WILL BE GROUNDS FOR IMMEDIATE DISMISSAL
(IF YES, EXPLAIN BELOW)

Signature

By signing below, I understand that the information provided is true and correct, and that any misstatements or omission of material facts in the application or the hiring process may result in discontinuing of the hiring process or termination of employment, no matter when discovered. I agree that the district shall not be held liable in any respect if my employment is terminated because of false statements, answers or omissions made by me in this application. I authorize the school district to analyze the truthfulness of all statements made on this application, complete reference checks from my current and former employers, and others that may provide information regarding my education and experiences. I also authorize a criminal background, sex offender, and other checks required by Federal and State government and the school code. I acknowledge that consideration for employment is contingent on the results of these background check(s). In addition, I give my consent for all contacted persons including current and former employers to provide information concerning this application, and I release each such person from liability for providing information to the school district. I hereby attest that all statements made by me above are true to the best of my knowledge, and I agree to the terms noted above.
Clear Signature