Online Application

Online Job Application
I. EQUAL EMPLOYMENT OPPORTUNITY

It is the policy of our company to provide equal employment opportunity for all, without discrimination on the basis of race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, disability, sexual orientation, or age.

II. DATA PRIVACY NOTICE

The information requested on this application is intended to be used by the company in determining suitability for employment for the position, which you are currently seeking or may seek in the future. You are not legal required to provide any of the information on this form at this time. However, failure to provide complete, accurate information may result in the District being unable or unwilling to offer employment to you. With respect to any special accommodations necessary for completing your application or the interview process, the District may be unable to provide the necessary accommodations if you do not provide the information in Section IV. The information on this application which is classified as private date under the Minnesota Government Data Practices Act will not be released outside the District without your consent except as necessary for tax purposes or as otherwise required by state or federal law.
III. Personal Data
*First Name: 
*Last Name: 
*Phone: 
*Address: 
*City: 
*State: 
*Zip: 
*Email: 
IV. Position Desired
*Position Desired: 
*Date Available to Begin Employment: 
Are you either a U.S. citizen or legally eligible to hold employment in the United States?:
Yes
No
Have you previously worked for this company?:
Yes
No
*If Yes, please describe the type of accommodation requested: 
*List all other names under which you have been employed or under which your employment or educational records may be found: 
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.
*Employer Name: 
*Employer Address: 
*Employer Phone: : 
*Job Title: 
*Job Duties: 
*Dates of Employment: 
*Reason for leaving: 
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.
*Name of School: 
*Address of School: 
*Degree/Diploma Received: 
*Major/Minor: 
*Dates of Attendance: 
*List/describe any other training and/ore experience relevant to the position for which you are applying: 
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.
*Name of Reference: 
*Address:
*City:
*State:
*Zip:
*Title: 
VIII. CRIMINAL BACKGROUND INFORMATION:
Have you ever been convicted [or charged] with a misdemeanor or a felony?:
Yes
No
*If Yes, please explain the nature of the charge and the circumstances: 
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?:
Yes
No
*If so, identify the employer and describe the circumstances: 
*X. PERSONAL STATEMENT: Please indicate why you are interested in the position and what you hope to accomplish if selected.: 
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.
*Signature: 
*Date: 
* Indicates Required fields.
 
 
 

 



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