Non Certified Staff Employment Application
Applicants are considered for all positions without regard to race, color, religion, sex, national origin, marital or veteran status, or the presence of a non-job-related medical condition or handicap.  An Equal Opportunity Employer
Sign in to Google to save your progress. Learn more
Name *
Address *
Include address, city, state, and zip code.
Telephone Number *
E-mail Address *
Specific Position Applied For *
Include position and subject area/grade level.
Have you filed an application with our school before? *
Education - Last High School Attended *
Include Name of Institution, Location (City & State), Years Attended, and Diploma/Degree (Yes or No)
Education - Colleges or Universities
Include Name of Institution, Location (City & State), Years Attended, and Diploma/Degree (Yes or No)
Education - Business or Trade School
Include Name of Institution, Location (City & State), Years Attended, and Diploma/Degree (Yes or No)
Education - Other
Include Name of Institution, Location (City & State), Years Attended, and Diploma/Degree (Yes or No)
*If you did not receive a degree, indicate the number of college hours attained:
Please send your college transcript with this application.
Work Experience #1 *
List most recent experience here. Include dates of employment, name of employer, immediate supervisor, and type of job.
Work Experience #2
Include dates of employment, name of employer, immediate supervisor, and type of job.
Work Experience #3
Include dates of employment, name of employer, immediate supervisor, and type of job.
Work Experience #4
Include dates of employment, name of employer, immediate supervisor, and type of job.
Work Experience #5
Include dates of employment, name of employer, immediate supervisor, and type of job.
Why do you desire to leave your present position or why did you leave your last position? *
If you have a relative who works in this district or who serves as a member of the Board of School Trustees, please give the name(s) below.
Professional Reference #1 *
Include full name, title, place of employment, and phone number.
Professional Reference #2 *
Include full name, title, place of employment, and phone number.
Professional Reference #3 *
Include full name, title, place of employment, and phone number.
Please provide 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 Rush County Schools in the position for which you are applying. *
Moral turpitude is an act of baseness, 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? *
If yes, please explain:
Have you ever been convicted of a felony or any offense involving moral turpitude and received probation or deferred adjudication? *
If yes, please explain:
Have you ever been involuntarily terminated from employment or have you ever resigned to avoid involuntary termination? *
If yes, please explain:
Are you aware of any reason you would not be able to perform the duties required of a position for which you are making an application? *
If yes, please explain:
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. *
Place initials in box to verify the certification of this information.
I hereby authorize the district to conduct work history, personal reference, and criminal background checks to determine my acceptability for employment. *
Place initials in box to verify the authorization of this information.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rush County Schools. Report Abuse
Google Forms