Waldron Public School Classified Application

Waldron School District

(An Equal Opportunity Employer) 1560 West 6th Street Waldron, Ark. 72958
Classified Application for Employment
What position are you applying for:
Full Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Social Security Number
Have you ever been convicted of a felony

YesNo
If Yes, Please Explain:
Education: Highest Grade Completed:
Upload Your Resume (if applicable)

Cancelof
References: Include at least one business person and one professional (no relatives)
Reference #1 (Name-Phone#)
Reference #2 (Name-Phone#)
Reference #3 (Name-Phone#)
Any Additional comments:
To the best of my knowledge, the above statements are true and correct. I authorize the investigation of all statements contained in this application. I understand misrepresentation or omission of facts called for is cause for dismissal without notice at any time during my employment. Date Signature
NOTICE: All New Employees are required to be fingerprinted for State and FBI Background checks at their own expense.
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Waldron School District