Vian Public School - Application for Support Personnel

Please Fill Out The Application for Support Personnel Below

SUPPORT PERSONNEL APPLICATION

Date

Name: Last, First, Middle

Address, City, State, Zip Code

Phone Number

Position Applying for:

Are you legally eligible for employment in the United States? (Proof of eligibility will be required prior to employment.)

Yes

Do you have a high school diploma?

Yes

Do you have a grade equivalent diploma?

Yes

Please list: College or University, Hours, Degree.

Name and relation of all relatives who work for Vian Public School.

Name of present employer, Phone number, Address

Dates of employment with present employer.

Reason for considering leaving your current job:

Employment History

What type of equipment can you operate?

Special Training:

Employer references (Please list at least three references and phone numbers.)

May we communicate with your present employer?

Yes

Have you ever entered a plea of guilty or nolo contendere to a state or federal felony charge?

Yes

Have you ever been convicted of a state or federal felony offense(s)?

Yes

Have you ever entered a plea of guilty or nolo contendere to, or been convicted of, a state or federal misdemeanor charge involving illegal chemical substances or illegal sexual activity?

Yes

Email a copy to

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Required Fields