Crossing Guard and/or Substitute Crossing Guard Application
Please complete an online application for each vacancy you wish to be considered.

The Waunakee School District is an equal opportunity employer and does not discriminate against any individual on the basis of age, race, religion, creed, color, disability, pregnancy, marital status, sex, citizenship, national origin, ancestry, sexual orientation, gender identity, transgender status, arrest record, conviction record, military service, membership in the National Guard, state defense force or any other reserve component of the military forces of Wisconsin or the United States, political or religious affiliation, use or nonuse of lawful products off the employer’s premises during nonworking hours, declining to attend a meeting or to participate in any communication about religious matters or political matters, the authorized use of family or medical leave or worker’s compensation benefits, genetic information, or any other factor prohibited by state or federal law, or according to District policy.

Reasonable accommodations shall be made for qualified individuals with a disability, unless such accommodations would impose an undue hardship on the District. A reasonable accommodation is a change or adjustment to job duties or work environment that permits a qualified applicant or employee with a disability to perform the essential functions of a position or enjoy the benefits and privileges of employment compared to those enjoyed by employees without disabilities.
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Waunakee Community School District Crossing Guard and Substitute Crossing Guard Application
FIRST Name *
LAST Name *
Middle Initial
Address *
(Street Number, Street Name, and Apartment Number)
City, State, Zip *
Home Phone *
(please include area code)
Work Phone
Email
Best Time/Place to Reach You
Education - High School - Please list name
High School Diploma *
Post-Secondary Education
Tech School, College - Please also list dates attended
Work Experience (1) *
Please list Dates of employment, Employer, Address & Phone of Employer, Position Held/Duties Performed, Supervisor, and Salary.
Work Experience (2) *
Please list Dates of employment, Employer, Address & Phone of Employer, Position Held/Duties Performed, Supervisor, and Salary.
Work Experience (3)
Please list Dates of employment, Employer, Address & Phone of Employer, Position Held/Duties Performed, Supervisor, and Salary.
Review your past work/volunteer experience emphasizing those areas in which you have worked with children *
Please describe any experience you have had working with children and/or coaching
Why are you interested in this position? *
Briefly describe why you would do a good job in this position. *
When can you begin employment with us? *
Please indicate your availability for work: *
Required
Please check the position you are interested in: *
Required
May we contact your current and previous employer(s) for a reference? *
If no to previous question, please explain
If we cannot contact your current and previous employer(s) for a reference please explain
Professional Reference (1)
Please list the person's name, address, phone and position
Professional Reference (2)
Please list the person's name, address, phone and position
Professional Reference (3)
Please list the person's name, address, phone and position
Have you ever been fired or asked to resign? *
Have you ever been convicted of a criminal offense? *
A conviction or pending charge will not necessarily be a bar to employment and will be considered only as it substantially relates to the position applied for.  Upon hire, a criminal history check shall be processed.
Do you have any criminal charges currently pending against you? *
If you answered Yes to either of the two previous questions, please explain.
Please include date, nature and place of charge or conviction and disposition of the case
Signature *
I certify that I have fully read this application form and that all answers to questions in this  application are true and complete to the best of my knowledge.  I hereby  release Waunakee Community School District, including its officers, employees, or related personnel, both individually and collectively, from any and all liability for  damages of whatever kind, which may at any time result to me, my heirs, family or associates as an effect of reference checks and/or criminal background checks which  were carried out.
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