EMPLOYMENT APPLICATION FOR PROFESSIONAL PERSONNEL

CAYUGA ISD P. O. BOX 427 CAYUGA, TEXAS 75832
EMPLOYMENT APPLICATION FOR PROFESSIONAL PERSONNEL
We consider applicants for all positions without regard to race, color, national origin, religion, sex, marital, or veteran status, the presence of medical condition, disability, or any other legally protected status.
PERSONAL DATA
Date of application

MonthDayYear
Date
Social Security Number
Driver's License #
Last Name
First Name
Middle Name
Maiden Name
Physical Address & Box
Date of Birth
Work Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Mobile Phone
Format: (000) 000-0000.
Other name that may appear on records
(to be used for reference checks)
POSITION DATA
List the positions for which you are applying
ResumeAll teaching and professional certificates or licenses (front and back, if appropriate)All transcripts showing degrees
Date you can begin work

MonthDayYear
Date
YesNo
If yes, give dates of employment

MonthDayYear
Date

EDUCATIONAL/TRAINING

Rows	Names and locations of schools attended	Course of study: Major/minor fields	Diploma, Degree, Certificate or License held	Year graduated (college only)

EDUCATIONAL/TRAINING
NoneValid TexasEmergency (Texas only)Texas one-year certificate:Valid other state
Texas temporary administrative:
Expires on
Areas of Certification :
Nurse
Other (specify)
Secondary (Jr. and Sr. High) (specify)

TEACHING EXPERIENCE

Rows	Names and locations of schools	Type of assignment	Dates Taught	Reason for leaving

OTHER WORK EXPERIENCE

Rows	School District/Firm Name	Position/Title	Dates Employed	Reason for leaving

PROFESSIONAL DATA
Please list relevant professional activities. Omit references to organizations that would reveal race, age, ethnic origin, or religious persuasion.
Seminars/workshops conducted
Other related professional activities
GENERAL INFORMATION
YesNo
If so, please provide the name of the relative and the relationship
YesNo
If yes, please state where, when, and the nature of the offense
A felony conviction is not an automatic bar to employment. The District will consider the nature, date, and relationship between the offense and the position for which you are applying

MonthDayYear
Date
GENERAL INFORMATION

Please list references the District may contact regarding your work history, include all managers and supervisors who evaluated or supervised your performance at your last two employers.

Rows	Full name of reference	School District/ Firm Name	Mailing Address	Position/Title	Area Code/Phone Number

Upload Resume If Available -

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EMPLOYMENT APPLICATION FOR PROFESSIONAL PERSONNEL

PERSONAL DATA

POSITION DATA

EDUCATIONAL/TRAINING

PROFESSIONAL DATA

GENERAL INFORMATION

GENERAL INFORMATION