AN EQUAL OPPORTUNUITY EMPLOYER
Application for Non-Teaching Position
860 W. Vest
(660) 886-7414
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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. |
(Please Print or Type)
POSITION DESIRED
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(please
attach college transcript documenting at least 60 credit hrs) |
Nurse |
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PERSONAL INFORMATION
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Name |
Date of Application |
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Home Address
Home Telephone Number |
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E-mail Address (Optional) |
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Are you a
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
WORK EXPERIENCE
NOTE: Begin with most recent
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Name/Location |
Period of Service |
Type of Work |
Reason for Leaving |
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REFERENCES
List three references who are
qualified to answer questions concerning your fitness for the position you
seek.
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Name |
Present Address |
Phone Number |
Official Position and Dates Acquainted With Your Work |
EDUCATION
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Institution |
Name & Location of School |
Years Attended |
Date of Graduation |
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Grammar School |
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High School |
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College |
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Business or Trade School |
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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.
Attach additional paper if needed.
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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
( ) I
request that this application and consideration of same be kept confidential.
Date Signature of Applicant