Simple Job Application Form

Job Application

Please complete the form below to apply for a position with us.
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number
Date available to start job

MonthDayYear
Date
Upload Resume

Optional
Cancelof
Applying for Position
List any additional information regarding your knowledge, special skills or experience relative to the job you are applying:
Education
High School
Name
Location
Dates Attended
Diploma
College/University
Business or Trade School
References
Reference 1
Name

First NameLast Name
Email
example@example.com
Phone Number
Reference 2
Name

First NameLast Name
Email
example@example.com
Phone Number
Reference 3
Name

First NameLast Name
Email
example@example.com
Phone Number
Previous Work Experience
Work Experience 1
Business Name
Years of Employment
Job Title
Supervisor's Name

First NameLast Name
Business Phone Number
Work Experience 2

If applicable
Business Name
Years of Employment
Job Title
Supervisor's Name

First NameLast Name
Business Phone Number
Work Experience 3

If applicable
Business Name
Years of Employment
Job Title
Supervisor's Name

First NameLast Name
Business Phone Number

Have you ever been convicted of a Felony?

YesNo
If Yes, please explain. Conviction of a crime is not an automatic bar to employment.
Why did you leave your last position?
Have you been dismissed or asked to resign from any employment?

YesNo
If yes, please explain:
Are you aware of any reason you would not be able to perform the duties for which you are making application?

YesNo
If Yes, please explain

I certify that all of my answers are true.
I agree that all the information provided by me in this application is true and complete. I understand that any misstatement, falsification, or omission of information is grounds for refusal to hire or if I am hired and the same is discovered thereafter, terminated. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information, personal or otherwise, with regard from all liability for any damages that may result from furnishing such information to you. I authorize any background checks by any third party.

I authorize you to request, receive, and verify all information given on this application and I release you from all damages that may result from your doing so.

I authorize you to conduct a criminal background investigation using any and all methods necessary to successfully complete such investigation and I release you from all liability for any damages that may result from your doing so. . The board can terminate employment if the results of the criminal history records check reveal that the employee has been convicted of any offenses specified in law.

I agree to observe all rules, regulations and policies of the district now in force and effect or as they may change during my employment if I am hired by this district.
Use your mouse to draw your signature on the line.

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Are you over the age of 18?

YesNo
Date of Birth

MonthDayYear
Date
Should be Empty:

Job Application

Education

References

Reference 1

Reference 2

Reference 3

Previous Work Experience

Work Experience 1

Work Experience 2

Work Experience 3

I certify that all of my answers are true.