Bus Driver

HARDEMAN R-10 SCHOOL DISTRICT 21051 HIGHWAY D
MARSHALL, MO 65340
Application for a Bus Driver Position

The Hardeman School District considers applicants for all positions without regard to race, color, creed, religion, sex, national origin, or disability. If you have a disability or handicap which may require accommodation for you to participate in our application process (including filling out this form, interviewing or any other pre-employment procedure or requirement), please make us aware of any accommodation you feel is necessary. If you have any inquiries, complaints or concerns about pre-employment procedure or requirement, including completing this application, or about the District policy of non- discrimination, you may contact Kristy Forrester at 660-837-3400.

All applicants are expected to answer all questions on this application. Answer "none" or "not applicable" where necessary.
Date

MonthDayYear
Date
Name

First NameMiddle NameLast Name
Other names that may appear on your transcripts or records
Social Security Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Available

MonthDayYear
Date
Certification (Life, PCI. Etc.) Other
Certification State(s)
Certification Subject(s)/Area(s)/Grades
Certification Expiration Date
Other information regarding your certification and/or certification status
Position(s) for which you are applying
Educational Preparation: High school, College/University
Education 1
Name & Location
Dates of Attendance
Name of Degree
Major
Overall GPA
Education 2
Name & Location
Dates of Attendance
Name of Degree
Major
Overall GPA
Reference 1
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Position
Reference 2
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Position
Reference 3
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Position
Employment Questions
1) Have you ever been arrested for, or charged with or convicted of a felony or misdemeanor? (Exclude traffic offenses for which you were not sentenced to jail or for which the fine was less than$100.00)
2) Have you ever pleaded guilty or no contest to a fekony or misdemeanor? (Exclude traffic offences for which you were not sentenced to jail or for which the fine was less than $100.00)
3) Has the Missouri Division of Family Services or a similar agency in any other state or jurisdiction, ever issued a determination or finding of cause or reason to believe or suspect that you have engaged in physical. emotional. psychological or sexual abuse or neglect of a child?
4)Have you ever failed to be re-employed by an educational institution? If the answer to any of the foregoing questions is "yes" please explain:
READ CAREFULLY BEFORE SIGNING
I acknowledge and agree to the following provisions as conditions to consideration of my application for employment:

1. I hereby authorize my current and former employers and references to furnish any information about me and about my work experience. I release my current and former employers and references from any and all liabilities or damages of any nature as a result of providing such information. My current and former employers and references may rely on a signed copy of this release.

2. I understand and consent to registering and completing a fingerprint background check utilizing the Missouri Automated Criminal History Site (MACHS), following the procedures given to me, upon my employment by the District.

3. I certify that the answers given in this application are true and complete to the very best of my knowledge. In the event that I am employed by the District and in the further event that I have provided false or misleading information in this application or in subsequent employment interviews, I understand that my employment may be terminated at any time after discovery of the false or misleading information.

4. I understand that this application will be considered active through April 30th. I understand that if I wish my candidacy to remain open after that date, I must submit another application.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

HARDEMAN R-10 SCHOOL DISTRICT 21051 HIGHWAY D

MARSHALL, MO 65340

Educational Preparation: High school, College/University

Education 1

Education 2

Reference 1

Reference 2

Reference 3

Employment Questions

READ CAREFULLY BEFORE SIGNING