Job Application Form
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I. Personal Data
Name *
First and last name
Address *
Email
Phone number *
II. Job Interest - Please list specific posting number and/or interest in being a substitute. *
Have you taken and passed the competency test for the position(s) you are applying for? If so, please list date taken.
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Which position(s) are you interested in? *
必填
III. Educational Background
Where did you attend elementary school?
Where did you attend high school? *
Do you have a high school diploma? *
Do you have a GED?
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Have you had any additional training? If so, please describe below.
Do you hold a college degree?  If so, from where?
Character References
Name, Address, Phone number *
Name, Address, Phone number *
Name, Address, Phone number *
IV. History of Employment
Last three positions held
Employer Name, address, phone number, years employed *
Employer Name, address, phone number, years employed
Employer Name, address, phone number, years employed
V. Disclosure of Background Information
Have you ever been discharged from any employment due to misconduct?  Is so, please explain. *
Is any action now pending against you for alleged misconduct in any school district?  If so, please explain. *
Have you ever been convicted of or are you currently charged with or under indictment for a felony?  If so, please explain. *
VI. Affirmation and Signature
I hereby make application for a position with the Webster County Board of Education and assert that the information given in this application is true and accurate to the best of my knowledge.
Type your name and date *
Webster County School District does not discriminate on the basis of race, color, national origin, sex, age, or handicap in the administration of any of its education programs, activities, or with respect to employment.  Inquiries should be directed to the Title IX/Section 504 Coordinator, 315 South Main Street, Webster Springs, WV 26288. 304-847-5638
Webster County Schools is an Equal Opportunity Employer
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