APPLICATION FOR EMPLOYMENT

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

Name______________________________________Social Security Number________________

 

Present Address___________________________________Telephone Number______________

 

City, State, Zip_________________________________________________________________

 

Alternate Telephone Number___________________________Date Available_______________

 

Position Applied For_____________________________Present Position___________________

 

Would you work full-time?____________Part-time?____________Substitute?______________

 

I do hereby give my consent for Fort Scott USD 234 to check references, verify information on the application and conduct a background check.       _____________________________________________________________

                                                                                                                           Signature Required

EDUCATION

Name of School              City, State

Circle Highest

Grade Completed

Last Year Attended

High School

    9     10     11      12

 

College

    1       2       3        4

 

WORK EXPERIENCE

Name & Location of Employer

Phone No.

Type of Work Performed

Dates Employed

From         To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

May we contact the employers listed above?__________________

 

REFERENCES:  Give at least five references, including especially people for whom you have worked who have first-hand knowledge of your character, personality, scholarship, industry, and work ability.

NAME

ADDRESS & PHONE NUMBER

OFFICIAL POSITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note:  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-