APPLICATION FOR EMPLOYMENT – ADMINISTRATIVE

FORT SCOTT USD 234

424 S. MAIN

FORT SCOTT, KS 66701

(This application will be kept on file for one year from date of application.)

                                                                                                                                                                _____________________

                                                                                                                                                                Date

1.             Name_______________________________________

 

2.             Present Address_____________________________________Telephone Number____________________

 

3.             City, State, Zip__________________________________________________________________________

 

4.             Permanent Address______________________________________Telephone Number_________________

 

5.             City, State, Zip__________________________________________________________________________

 

6.             Position Applied For____________________________________Present Position____________________

 

7.             Expiration Date of Current Kansas License___________________________________________________

 

8.             Available Beginning Date_____________________________Salary you would accept $_______________

 

9.             Are you legally eligible for employment in the United States? ____________________________________

 

EDUCATIONAL AND PROFESSIONAL TRAINING

INSTITUTION & LOCATION

DEGREE

DATE

MAJOR

HOURS

MINOR

HOURS

High School

 

 

 

 

 

 

Jr. College

 

 

 

 

 

 

College

 

 

 

 

 

 

University

 

 

 

 

 

 

 

Teaching Experience

NAME OF SCHOOL LOCATION

GRADES, SUBJECT TAUGHT

EMPLOYMENT DATES

NO. YEARS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May we contact the employers listed above? _________________________________________________________

 

 

REFERENCES:  give at least five references, including especially your superintendent or principal, who have firsthand knowledge of your character, personality, scholarship, industry or teaching ability.

NAME

ADDRESS

OFFICIAL POSITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On the reverse side, write a short paragraph in which you give your reasons for applying to the Board of Education for employment, and mention any particular skills that may deserve special consideration.

 

-AN EQUAL EMPLOYMENT/EDUCATIONAL OPPORTUNITY AGENCY-