Application for Non-Teaching Position

Marshall Public School District

860 W. Vest

Marshall, MO   65340

(660) 886-7414

 

We afford equal opportunity to qualified individuals regardless of their age, race, color, national origin, ancestry, religion, socio-economic status, marital status, sex, handicaps or memberships in legally constituted organizations to the extent required by all applicable laws.

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POSITION DESIRED

_____  Bookkeeper

_____  Secretary

_____  Paraprofessional          Specific Position of Interest: ___________________________________

_____  Custodial                      (Position Desired)

_____  Maintenance

_____  Nurse

_____  Other

 

PERSONAL INFORMATION

Name

 

 

Date of Application

 

Home Address                                                                                                                                            Home Telephone Number

 

 

 

E-mail Address (Optional)

 

 

 

Are you a United States citizen or able to work legally in this country?      _____ Yes       _____ No

Have you ever been convicted of a crime?                                              _____ Yes       _____ No

Are you presently under contract with any school district for next year?   _____ Yes       _____ No

Are you presently employed?                                                                 _____ Yes       _____ No

If yes, may we contact your present employer?                                       _____ Yes       _____ No

Name, address & phone number of your present employer

 

 

 

Date available for employment ___________________________________________________________

 

EDUCATION

Institution

 

Name & Location of School

Years Attended

Date of Graduation

Grammar School

 

 

 

 

High School

 

 

 

 

College

 

 

 

 

Business or Trade School

 

 

 

 

 

 

QUESTION:  In your own handwriting, please write a short statement as to why you are interested in this position and why you feel you would be a good candidate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REFERENCES

List three references who are qualified to answer questions concerning your fitness for the position you seek.

Name

Present Address

Phone Number

Official Position and Dates Acquainted With Your Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGREEMENT

 

I hereby certify that the above information to the best of my knowledge is true, accurate and complete.  Any misrepresentation or willful omissions of facts shall be sufficient cause for disqualification of this application or termination of employment.  Furthermore, it is understood that this application and records become the property of the Marshall Public School District which reserves the right to accept or reject it.  I further agree to observe all rules, regulations and policies of the Marshall Public School District now in force and effect or as they may change during my employment, if I am employed by the District.  I also hereby authorize the District to conduct a background investigation and authorize release of information in connection with my application for employment.  This investigation may include such information as criminal convictions, driving records, previous employers and educational institutions, personal references, professional references and other appropriate sources.  I waive my right of access to any such information, and without limitation hereby release the school district and the reference source from any liabilities in connection with its release or use.

 

(         )   I request that this application and consideration of same be kept confidential.

 

 

______________________________________                    _______________________________________

        Date                                                                  Signature of Applicant