Non Certified Staff Application SCR1

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Scott City R-1 Schools is an equal opportunity employer. The School District considers applicants for all positions without regard to race, color, religion, sex, national origin, or disability. If you have a disability or handicap which may require accommodation for you to participate in our application process (including filling out this form, interviewing or any other pre-employment procedure or requirement), please make us aware of any accommodation you feel is necessary. If you have any inquiries, complaints or concerns about any pre-employment procedure or requirement, including completing this application, or about the District policy of non-discrimination, you may contact the superintendent of schools at (573) 264-2131.

Email *

Today's Date *

YYYY

Position applying for *

Name *

Address *

Home Phone Number *

Cell Phone Number *

Birthday Date *

YYYY

Social Security Number *

Driver's License Number *

State Driver's License Issued in *

Are you willing to submit to a background check? *

Yes

Have you ever been found guilty or been convicted of any criminal act in this state or any state? *

Yes

If yes, please give date, city, county, state and circumstance *

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