Employment Application for Auxiliary Personnel

VAN ALSTYNE INDEPENDENT SCHOOL DISTRICT
Employment Application for Auxiliary Personnel

We consider applicants for all positions without regard to race. color, national origin, age, religion, sex, marital or veteran status, the presence of a medical condition, disability, or any other legally protected status.
Personal Data
Date

MonthDayYear
Date
Last
First
Middle Initial
Date of Birth

MonthDayYear
Date
Address- Street/Box
City
State
Zip Code
Home Phone
Cell Phone
Drivers License #
Social Security #
Email Address
example@example.com
Position Applying For:

MaintenanceSecretary/ReceptionistCustodialAideCafeteriaDistrict Police Officer

Education:
High School
Did you graduate?

YesNo
Graduation date

MonthDayYear
Date
College
Did you graduate?

YesNo
Graduation date

MonthDayYear
Date
Degree

Previous Employment
Company
Phone
Job Title
Employed from
to
Supervisor Name
Reason for leaving

Previous Employment Cont.
Company 2
Phone
Job Title
Employed from
to
Supervisor Name
Reason for leaving

Previous Employment Cont.
Company 3
Phone
Job Title
Employed from
to
Supervisor Name
Reason for leaving

References

Please list three (3) references
Full Name
Relationship
Company Name
Phone Number
Full Name
Relationship
Company Name
Phone Number
Full Name
Relationship
Company Name
Phone Number
Do you have a relative who is a member of the Van Alstyne ISD Board of Trustees?

YesNo
If yes, please give the name of relative and relationship
Why do you desire to leave your present position, or why did you leave your last position?
Have you ever been involuntarily terminated from another school district?

YesNo
If yes, give name of District, the date and reason for termination.
Are you aware of any reasons you would not be able to perform the duties of the position for which you are applying for?

YesNo
If yes, please explain
Have you ever filed an application with our District before?

YesNo
Have you ever filed an application with our District before?
MORAL TURPITUDE IS AN ACT OF BASENESS, VILENESS OR DEPRAVITY IN THE PRIVATE AND SOCIAL DUTIES WHICH A PERSON OWES ANOTHER MEMBER OF SOCIETY OR SOCIETY IN GENERAL AND WHICH IS CONTRARY TO THE ACCEPTED RULE OF RIGHT AND DUTY BETWEEN PERSONS INCLUDING BUT NOT LIMITED TO THEFT, ATTEMPTED THEFT, MURDER, RAPE. SWINDLING AND INDECENCY WITH A MINOR

Have you ever been convicted of a felony or any offense involving moral turpitude?

YesNo
If yes, please explain
Have you ever been convicted of a felony or any offense involving moral turpitude and received probation or deferred adjudication?

YesNo
If yes, please explain
CONVICTION OF A CRIME IS NOT AN AUTOMATIC BAR TO EMPLOYMENT THE DISTRICT WILL CONSIDER THE NATURE OF THE OFFENSE AND THE RELATIONSHIP BETWEEN THE OFFENSE AND THE POSITION FOR WHICH YOU

Agreement

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge, and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment.I authorize the references listed, to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release all such parties from liability for any damage that may result from furnishing same to you.I understand that the District is required by Texas Education Code 21.917 to obtain criminal history record information on applicants selected to employment.This application becomes the property of the District. The District reserves the right to accept or reject it. This application shall be considered active for a period of time not to exceed one (1) year. Any applicant wishing to be considered for employment beyond this time period may inquire as to whether or not applications are being accepted at that time.
Signature of Applicant

Clear
Date

MonthDayYear
Date
Should be Empty: