JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Non-Certificated Staff Information
The information below is required for employment as per the NJDOE. This information will be submitted to the NJDOE through the NJSMART platform. Please answer the questions accurately.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Last Name:
*
Your answer
First Name:
*
Your answer
District Employment Date:
*
MM
/
DD
/
YYYY
Select the building(s) you will be employed in:
*
Memorial High School
Memorial Middle School
Gilbert Ave School
Gantner Ave School
16th Ave School
Required
Position:
*
Custodian
Classroom Aide
One-to-One Aide
Lunch Aide
Business Office
Other:
Current Salary/Pay per Hour:
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Gender:
*
Female
Male
Prefer not to say
Other:
Social Security Number:
*
Your answer
Ethnicity:
*
Hispanic or Latino
American Indian/Alaskan
Asian
Black
Pacific Islander/Hawaiian
White
Languages you speak:
*
Your answer
Highest Level of Education Completed:
High School Diploma
Vocational Certificate
Specialist's Degree
Associate's Degree
Bachelor's Degree
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Elmwood Park Public Schools.
Report Abuse
Forms
