Online General Application

Position for which you are applying *

If other, please explain

Position for which you are applying*

Full Name*

First NameMiddle NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Home Phone Number

Work Phone Number

Cell Phone Number*

Email Address

High School Name*

Years Attended*

Graduated?*

YesNo

College Name

Years Attended

Graduated?

YesNo

Degree / Major

Trade School

Years Attended

Graduated?

YesNo

Certification

Employment Experience

Please include dates employed, Employer name, address and phone number, Position,
Salary, Wage, Supervisor's name and phone number, and your reason for leaving.

Most recent position

Second most recent position

Please list four individuals who are very familiar with you and your character who may
be contacted. Please include their name, position, business phone, home or cell phone, and address.

References

BACKGROUND INFORMATION

Are you, or have you ever been, listed on a sex offender registry?

YesNo

Are you, or have you ever been, listed on a child or dependant adult abuse registry?

YesNo

Have you ever been asked to resign from a position, or been given the choice of resigning or being terminated from your position?

YesNoOther

Briefly explain any “yes” response(s):

Are you legally eligible to work in the United States?

YesNo

Are you able to perform with or without reasonable accommodation, the essential job functions required of the position?

YesNo

AGREEMENT (Read carefully before signing or submitting electronically)

By my signature:

• I acknowledge that individuals who provide false, inaccurate, or incomplete information in the application form, in an interview, or any other part of the hiring process or who fail to disclose information requested in the application form, in an interview, or any other part of the hiring process will not be eligible for employment, or, if they are hired, they will be subject to termination.

• I acknowledge that to the fullest extent permitted by state and federal law, the District will consider all information concerning an applicant or an employee in making hiring, termination, and other employment-related decisions. The term "all information" includes information of any kind (verbal, written, photographic, videographic, etc.) that is accessible in any medium (print, electronic, etc.) from any source.

• I acknowledge that the District will consider public information and other information to which it has lawful access. This may include information that is contained in social networking sites, blogs, and other electronic sites, such as YouTube. If there is information that pertains to me that I believe requires explanation, interpretation, or clarification when it is considered by the District, it is my obligation to communicate this information to the District.

• I authorize the District to conduct a complete check regarding my background including, but not limited to, criminal record, child and dependent adult abuse registry screening, and sex offender registry. I agree to prepare and sign any other form necessary to complete a criminal background check. I further authorize all government agencies departments, bureaus, or related entities to release any and all information regarding my criminal history, if any. I agree to immediately notify the District if I should be convicted of any crime while my application is pending, or during my period of employment, if hired.

• I authorize all current and former employers, teachers, and references to release all information regarding my professional competence, performance, character, and background. I waive any right I may have against any person contacted as a reference concerning this application.

• I acknowledge that information that is relevant to the District’s decisions will be considered regardless of the date on which the District obtains the information and regardless of the date on which the information was first published, created, or made accessible to the District.

• I agree to submit to both pre-employment and post-employment random drug and alcohol testing.

By my electronic submission of this form:

• I attest that all the information contained in this application is accurate, complete, and true.

• I am bound by all elements of the agreement section of the application.

• I understand and accept that electronic submission will be considered equivalent to an original hand written signature on a paper copy of the application.

Name*

Signature*

Please Upload any of the following documents that you may have.

Upload Resume

Upload a File

Upload High School Diploma

Upload a File

Upload Trade School Certification

Upload a File

Application for General Employment

Personal Information