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Colbert School Support Staff Application

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shaw5083
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9 views

Colbert School Support Staff Application

Uploaded by

shaw5083
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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COLBERT PUBLIC SCHOOL

ADMINISTRATION OFFICE
PO BOX 310
630 COLLINS STREET
COLBERT, OK 74733
(580) 296-2624
FAX NUMBER: 580-296-2088

SUPPORT PERSONNEL APPLICATION


*An Equal Opportunity Employer

(Please print or Type)

Date________________________________

APPLICANT NAME________________________________________________________________________________
Last Name First Name Middle Name

PRESENT ADDRESS____________________________________________________________________________
Number & Street City State Zip

HOME TELEPHONE____________________________________ CELL NUMBER____________________________

SOCIAL SECURITY NUMBER_____________________________________

E-MAIL _____________________________________________________

SPECIFIC POSITION(S) APPLIED FOR:

( ) Secretarial/Clerical ( ) Teacher Assistant/Paraprofessional ( ) Aide

( ) Food Service ( ) Custodial/Maintenance

( ) Bus Driver ( ) Other__________________________________

Have you applied with our district before? _________ If yes, give date__________________________ and position

applied for______________________________________________________________________________________

This application will remain on file for one year from the date of application. Applications must be renewed if further
consideration for the position(s) is desired.
EDUCATION

Last High School Attended__________________________________ Located at _______________________________

Dates Attended__________________________________________ Diploma? Yes______________ No_____________

College/Universities________________________________________________________________________________

Degree? Yes______ No_______ If yes, type of degree:______________________________________________________

Business/Trade Schools_______________________________________________________________________________

Other_____________________________________________________________________________________________

EXPERIENCE

(List all experience – Use separate sheet if necessary)

FROM/TO NUMBER NAME & ADDRESS IMMEDIATE TYPE OF JOB


OF YEARS OF EMPLOYMENT SUPERVISOR

2
REFERENCES

FULL NAME OCCUPATION PHONE ADDRESS


OF REFERENCE(s) NUMBER City, State, ZIP

*Have you ever been convicted of a felony or any offense involving moral turpitude and received probation or deferred
adjudication?

_____Yes ______No. If yes, please explain_______________________________________________________________

*Why do you desire to leave your present position, or why did you leave your last position? _______________________

__________________________________________________________________________________________________

*Have you ever been involuntarily terminated from the employment of another school district? _____Yes _____No. If
yes, please give the name of the district, date and the reason for the termination.

__________________________________________________________________________________________________

*Are you aware of any reason you would not be able to perform the duties required of the position for which you are
making an application? _____ Yes _____No. If yes, please explain_____________________________________________

_________________________________________________________________________________________________

AGREEMENT

I hereby certify that the above information to the best of my knowledge is true, accurate and complete. Any
misrepresentation or willful omissions of facts shall be sufficient cause for disqualification of this application or
termination of employment. I authorize Colbert Public Schools to check any and all references that apply to my
employment at Colbert Public Schools. Furthermore, it is understood that this application and records become the
property of the Colbert Public Schools. The District reserves the right to accept or reject all applications. I further agree
to observe all rules, regulations and policies of the District. I also certify that I am not related to a current member of the
Colbert Public School Board of Education (State Law prohibits such employment if within third degree of consanguinity).

Signature of Applicant Date Signed

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