Classified Staff Application

First NameMiddle NameLast Name

Example: maiden name

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

This will be used to communicate with you.

Please enter a valid phone number. This will be used to communicate with you. Format: (000) 000-0000.

Please enter a valid phone number. If completed, this will be used to communicate with you. Format: (000) 000-0000.

Full-TimePart-TimeSubstitute

ComputerPC or MacMicrosoft OfficeWeb Applications

Please watch our Vision Culture video before answering the questions below.

Video Link: www.youtube.com/watch?v=CQ6sNORweHo

Vision Culture Graphic: https://drive.google.com/file/d/1yDrVQLa91PbZJqwQGHTtaoGhBXtOXfpi/view

I consent and acknowledge that any background check information obtained during this hiring and application process may be used in making any final determination for hiring.

It is the policy of Oskaloosa Community School District not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, religion, creed, sexual orientation, age (for employment), and actual or potential family, parental, or marital status (for programs). If you have a question or complaint related to this policy, or for information about the district’s grievance procedures, contact the district's Equity Coordinator, Marcia DeVore, Director of Teaching and Learning, 1800 N 3rd St., Oskaloosa, Iowa, 52577, (641)673-8345 or the Director of the Office for Civil Rights, U.S. Department of Education, Cesar E. Chavez Memorial Building, 1244 Speer Boulevard, Suite 310, Denver, CO 80204-3582, Telephone: (303) 844-5695 FAX: (303) 844-4303, TDD: (800) 877-8339, Email: OCR.Denver@ed.gov.

I hereby authorize reference checks, background investigations, and former employers to release information.

I hereby certifiy the information given in this application is correct and true.

By typing my name I acknowledge, consent, and agree to all the terms previously stated.

CLASSIFIED STAFF APPLICATION

Personal Information

Position(s)

Employment History

Education

Skills and/or Training

References

Candidate Statements

Disclosures

Legal Information, Consent & Acknowledgment