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Application for Employment - Support Staff
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School District of Oostburg
Position(s) applied for:
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Your answer
Date of Application
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MM
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DD
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YYYY
Referral Source (select all that apply)
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Employee
Relative
Employment Agency
Walk-In
Other:
Name (Last, First Middle)
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Your answer
Street Address, City, State, ZIP
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Employment Information
Have you filed an application here before?
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Yes
No
Have you been employed here before?
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Yes
No
Are you legally eligible for employment in this country?
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Yes
No
Type of employment desired.
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Full Time
Part Time
Temporary
Seasonal
Other:
Date available for work
MM
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DD
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YYYY
Are you on layoff and subject to recall?
Yes
No
Clear selection
Will you travel if job requires it?
Yes
No
Clear selection
Are you able to meet the attendance requirements of this position?
Yes
No
Clear selection
Have you ever been bonded?
Yes
No
Clear selection
Driver's License Number (if job related)
Your answer
Employment History
List your last four (4) employers, assignments, or volunteer activities, starting with the most recent. Explain any gaps in employment.
Your answer
Your answer
Your answer
Your answer
Educational Background
List the last three (3) schools attended, starting with the most recent.
Include number of years completed, degree or diploma, GPA or class rank, and major and minor fields of study.
Your answer
Your answer
Your answer
References
List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors.
If not applicable, list three school or personal references who are not related to you.
Your answer
Your answer
Your answer
Experience, Skills and Qualifications
List professional, trade, business or civic associations and any offices held.
Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability, or other protected status.
Your answer
Summarize any special training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform job-related functions for the position for which you are applying.
Your answer
The School District of Oostburg is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, disability or age.
This application is current for six (6) months. At the conclusion of this time, if you have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.
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