Non-Certified Application

NON-CERTIFICATED APPLICATION
New Lexington Schools

2549 Panther Drive • New Lexington, Ohio 43764 • (740) 342-4133
Personal Information:
Legal Name*

Legal First NameLegal Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:*
example@example.com
SSN: *
Phone Number:*
Please enter a valid phone number.
Employment Type and Position(s) Desired (Please check one or more):*

Full-TimePart-TimeSubstituteBus DriverCookCustodianSecretaryEducation AssistantNursing AssistantLabor Specialist
Employment History (List most recent employer first)
Employer:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Held:*
From:*

MonthDayYear
Date
To:*

MonthDayYear
Date
Phone Number:*
Please enter a valid phone number.
Employment History (List most recent employer first)
Employer:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Held:
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Phone Number:
Please enter a valid phone number.
Employment History (List most recent employer first)
Employer:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Held:
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Phone Number:
Please enter a valid phone number.
Education and Training
High School:*
Did you graduate?*

YesNoGED
Date you graduated:*

MonthDayYear
Date
College:
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Field of Study:
Degree:
College:
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Field of Study:
Degree:
College:
From:

MonthDayYear
Date
To:

MonthDayYear
Date
Field of Study:
Degree:
Applicants for School Bus Driver

Before being considered for a school driver position, one must successfully complete the school bus driver training course, obtain an abstract of their driving record, secure a CDL License, and have a current bus driver physical form on file with the Central Office.
Applicants who served in the Armed Forces or the Ohio Reserves

Attach proof of service to this application and attach proof of honorable discharge if you are nolonger a member of the Armed Forces or the Ohio Reserves.
PLEASE READ CAREFULLY BEFORE SIGNING
It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed.

I give the employer the right to investigate all references and to secure additional informationabout me, if job related. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information.

If I am employed by the New Lexington Board of Education I agree to abide by the policies, rules,and regulations adopted by the New Lexington Board of Education. I agree that any claim orlawsuit relating to my service with the New Lexington School District must be filed no more thansix (6) months after the date of employment action that is subject of the claim or lawsuit. I waiveany statute of limitations to the contrary.
Signature*

Clear
Date*

MonthDayYear
Date
Cover Letter, Resume, Licensure and Letters of Recommendation

Cancelof
Required From All Applicants By Ohio Law

All applicants are subject to a BCI & FBI background check.
This must be completed before working for New Lexington Schools.

An Equal Opportunity Employer
Should be Empty:

New Lexington Schools

Personal Information:

Employment History (List most recent employer first)

Employment History (List most recent employer first)

Employment History (List most recent employer first)

Education and Training

Applicants for School Bus Driver

Applicants who served in the Armed Forces or the Ohio Reserves

PLEASE READ CAREFULLY BEFORE SIGNING