III. Personal Data |
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*State: | |
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IV. Position Desired |
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Are you either a U.S. citizen or legally eligible to hold employment in the United States?: |
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Have you previously worked for this company?: |
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*If Yes, please describe the type of accommodation requested: | |
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*List all other names under which you have been employed or under which your employment or educational records may be found: | |
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V. WORK/VOLUNTEER EXPERIENCE List all work experience, whether or not relevant to this position, and all relevant volunteer experience, most recent to be listed first. |
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VI. EDUCATION Include high school and/or institution issuing GED and any additional education/courses taken. Do not list dates of attendance for high school. List most recent first. |
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*List/describe any other training and/ore experience relevant to the position for which you are applying: | |
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VII. REFERENCES These should be people in a position to discuss your qualifications for the position you seek. Include especially managers, directors, or heads of departments under whom you have worked. Indicate any who are related to you. The District reserves the right to contact all prior employers, educational institutions, or institutions where you have volunteered in addition to references listed below. |
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*Address: | |
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*State: | |
*Zip: | |
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VIII. CRIMINAL BACKGROUND INFORMATION: |
Have you ever been convicted [or charged] with a misdemeanor or a felony?: |
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*If Yes, please explain the nature of the charge and the circumstances: | |
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IX. PRIOR EMPLOYMENT |
Have you ever been discharged or forced to resign from prior employment, other than in relation to a human rights charge or lawsuit in which you were the claimant/plaintiff?: |
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*If so, identify the employer and describe the circumstances: | |
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*X. PERSONAL STATEMENT: Please indicate why you are interested in the position and what you hope to accomplish if selected.: | |
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XII. CERTIFICATION, ACKNOWLEDGEMENT AND RELEASE I certify that the answers I have given on this application are true and correct to the best of my knowledge. I understand that any false or misleading information provided, or any omission of concealment of facts, will disqualify me form consideration of employment, and constitutes grounds for my immediate dismissal should I be employed by the Company. I understand that the Company will use this information to determine my fitness/qualifications for the position that I am seeking. This authorization expires one year from the date of my signature, below. |
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* Indicates Required fields. |
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