USD357 Certified Staff Employment Application
Belle Plaine USD #357 is an Equal Opportunity Employer and does not discriminate on the bases of sex, race color, creed, age or handicapping condition in employment, admissions, educational program, or other activities operated by the district.
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Which position are you applying for? *
First Name *
Last Name *
Middle Name/Initial *
Email Address *
With a valid email address you will receive a copy of your application.
First Contact Number *
Example:  123-456-7890
Second Contact Number
Example:  123-456-7890
Street Address *
City *
State *
Zip Code *
Examples:  12345 or 12345-6789
Date Available *
MM
/
DD
/
YYYY
Are you currently under contract? *
Do you hold a valid Kansas Teaching License? *
Type of License: *
License Expiration Date: *
MM
/
DD
/
YYYY
Areas of Licensure: *
Have you ever been convicted of a felony or had your license revoked? *
Have you ever been convicted of a crime? *
If yes, please explain on the next page with dates and details.
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