EMPLOYMENT APPLICATION FOR SERVICE AND SUPPORT PERSONNEL

CAYUGA I.S.D P. O. BOX 427 CAYUGA, TX 75832
EMPLOYMENT APPLICATION FOR SERVICE AND SUPPORT PERSONNEL
We consider applicants for all positions without regard to race, color, national origin, religion, sex, marital, or veteran status, the presence of a medical condition, disability, or any other legal protected status.
An Equal Opportunity Employer
PERSONAL DATA
Driver's License No.
Social Security Number
Name:
Last Name
First Name
Middle Name
Current Address
Date of Birth
Work Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Mobile Phone
Format: (000) 000-0000.
POSITION DATA
List the positions for which you are applying
Full-timePart-timeSummer Only
Date Available:
Former Cayuga I.S.D. Employee
YesNo
If yes, give dates of employment

MonthDayYear
Date
EDUCATIONAL/TRAINING
Not high school graduate (check last grade completed):123456789101112High school graduateGEDLess than two years collegeTwo or more years collegeBachelor's degreeMaster's degreeOther training or education:
Not high school graduate (check last grade completed):
Licenses/certifications held
Licenses/certifications held
Schools attended: list all applicable information.

Schools attended: list all applicable information.

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

WORK EXPERIENCE

Please provide a complete listing of all jobs or positions you have held in the past 10 years. List most recent first. Attach additional sheets if necessary.

Rows	Employer and Location	Position/Title	Dates Employed	Reason for leaving

SPECIAL SKILLS
List specific skills and/or any machines or equipment you can operate. Include typing speed and number of years experience.
1.
4.
2.
5.
3.
6.
GENERAL INFORMATION
Do have a relative who is a member of the Cayuga ISD Board of Trustees?No
If yes, please provide the name of the relative and the relationship
If yes, please provide the name of the relative and the relationship
Have you ever been convicted of a felony or offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, or indecency with a minor)?
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
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
REFERENCES

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 SERVICE AND SUPPORT PERSONNEL

An Equal Opportunity Employer

PERSONAL DATA

Name:

POSITION DATA

Date Available:

EDUCATIONAL/TRAINING

WORK EXPERIENCE

SPECIAL SKILLS

GENERAL INFORMATION

REFERENCES