CLASSIFIED STAFF Revised: 07/07 EMPLOYMENT APPLICATION

Transcription

1 CLASSIFIED STAFF Revised: 07/07 EMPLOYMENT APPLICATION CARBON COUNTY SCHOOL DISTRICT NUMBER TWO P.O. BOX N. FIRST STREET SARATOGA, WYOMING (307) Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status or the presence of a non-job-related medical condition or disability. An Equal Opportunity Employer (Please Print or Type) Date: Name: Last First Middle Mailing Address: City State ZIP Home Telephone: Alternate Telephone: Social Security Number: Are you over the age of 18? Yes No SPECIFIC POSITION(S) APPLIED FOR: Secretary / Bookkeeper Aide Business Manager Lunchroom Cook / Helper Substitute Teacher District Secretary Custodian School Nurse Coach Specify Other Specify Have you filed an application with our School District before? Yes No If yes, give date: and position applied for: This application will remain on file for two years from the date of application only. It must be renewed by written or oral request of the applicant if further consideration for a specified position is desired. If the applicant desires to be considered for additional specific positions rather than those checked above, the applicant must so indicate in writing, or by calling

2 CLASSIFIED STAFF APPLICATION Page 2 EDUCATION: School Type Last High School Attended *Colleges or Universities Business or Trade School Name City & State Dates Attended Diploma or Degree *If you did not receive a degree, indicate the number of college hours attained: (OPTIONAL: You may attach a photo copy of your transcripts to this application.) If you are applying for a substitute teaching position, please request an official college transcript to be sent to the Carbon County School District No. 2, P.O. Box 1530, Saratoga, WY The transcript will then be attached to this application. EXPERIENCE: List all experience. Use a separate sheet if necessary or attach your resume FROM TO Number of Years Name and Address of Employer Immediate Supervisor Type of Job REFERENCES: Full Name of Reference Phone Number Position City State

3 CLASSIFIED STAFF APPLICATION Page 3 If you have a relative who works for this District, or who serves as a member of the Board of Trustees, please give their name and address: Moral turpitude is an act of business, vileness or depravity in the private and social duties which a person owes another member of society or society in general and which is contrary to the accepted rule of right and duty between persons, including, but not limited to, theft, attempted theft, murder, rape, swindling, and indecency with a minor. Have you ever been convicted of a felony or any offense involving moral turpitude? Yes No If yes, please explain: Have you ever been convicted of a felony or any other offense involving moral turpitude and received probation? Yes No If yes, please explain: Has any court ever received a plea of guilty or a plea of nolo contendere from you for any offense involving moral turpitude, deferred further proceedings without entering a finding of guilty and placed you on probation? Yes No If yes, please explain: Conviction of a crime is not an automatic bar to employment. The District will consider the nature of the offense, the date of the offense, and the relationship between the offense and the position for which you are applying. Why do you desire to leave your current position, or why did you leave your last position? Have you ever been involuntarily terminated or asked to resign from the employment of another school district? Yes No If yes, please give the name of the district, the date and the reason for the termination or request for resignation: Are you able to perform the essential job functions of the position for which you are making an application? Yes No If no, please explain: SUBSTITUTE TEACHER / SCHOOL NURSE / COACH APPLICANTS Type of Wyoming Certificate held: Substitute Permit School Nurse Permit None Standard Professional Ed Specialist Head Coach Permit for Assistant Coach Permit for List the endorsement(s) on your Wyoming Teaching Certificate: Note: Payment will not be made until you are certified. Please call the Central Office or Principal with questions on certification.

4 CLASSIFIED STAFF APPLICATION Page 4 SECRETARY / BOOKKEEPER and SUBSTITUTE SECRETARY APPLICANTS Do you have office computer experience? Yes No Years of computer experience: Type(s) of computer used: What computer software are you skilled in using? How would you rate your keyboarding skills: Excellent/Accurate Average Minimal How would you rate your computer skills: Excellent Average Minimal Please check any additional office machines with which you have had previous experience: FAX Copy machine Calculator Office telephone system Other: ALL APPLICANTS List any additional information you think would be helpful concerning your knowledge, skills and experience related to the job for which you are applying. Briefly state what you feel you can contribute as an employee for the School District in the position for which you are applying.

5 CLASSIFIED STAFF APPLICATION Page 5 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. Furthermore, it is understood that this application and records become the property of the District which reserves the right to accept or reject it. I further 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 employed by the District. I understand all employment with the District is AT WILL. Signature of Applicant I hereby authorize the District to conduct work history, personal reference or police record inquiries to determine my acceptability for employment. Signature of Applicant Please return this application directly to: Office of Superintendent of Schools (or to the location specified in the job advertisement) Carbon County School District No. 2 P.O. Box N. First Street Saratoga, Wyoming 82331