Orleans Community Schools
Support Staff Application
Civil Rights Nondiscrimination Statement
Orleans Community Schools is committed to equal opportunity. It is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, handicapping conditions, or national origin, including limited English proficiency, in any employment opportunity.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Social Security Number
Date of Birth
Mother's Maiden Name
Date Available For Assignment
-
Month
-
Day
Year
Date
Position
Corporation Bus Driver
Custodian
Food Services
Secretary-Clerical
Teacher Aide
Treasurer/Deputy Treasurer
Coaching
Nurse
Nursing Assistant
Record of Employment: Include Employer, Location, Position, Dates of Employment, and Reason for Leaving
Education: School, Location, and Diploma or Degree
Why are you interested in this position?
What special abilities do you possess or what experiences have you had that qualify you for this position?
References: List at Least Three (3) Persons, Their Position, and Contact Information
Have you ever been convicted of a felony?
Yes
No
If yes, explain
Signature
Submit
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