Lead Hill School District - Online Application

Lead Hill School District

Online Application

11.22.09

[Visitor Login]

Step :

Items denoted with a red asterisk * are required.

Personal Information

Name

First Name / Last Name

Address

Phone

- -

Cell Phone

- -

Email Address

Date Available

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Social Security Number

Current Salary

* Position Applied for

High School Teacher Elementary Teacher
Pre-School Teacher Counselor
Principal Superintendent
Teacher Aide Maintenance
Custodial Bus Driver
Secretary Bookkeeper
Cafeteria Nurse

Are you a citizen of the United States?

Yes No

If no, are you authorized to work in the US?

Yes No

Have you ever worked for the Lead Hill School District?

Yes No

If yes, when and in what capacity?

Have you ever been convicted of a felony?

Yes No

If yes, please explain

Education

High School Attended

High School Attended

Address

Did you graduate?

Yes No

Diploma, GED, other

College Attended

College Attended

College Attended

Address

Address

Address

Did you graduate?

Yes No

Degree

Degree

Degree

Vocational Education

Address

Did you graduate?

Yes No

Degree

References

Reference

First Name / Last Name

Relationship

Company

Phone

- -

Address

Reference

First Name / Last Name

Relationship

Company

Phone

- -

Address

Reference

First Name / Last Name

Relationship

Company

Phone

- -

Address

Employment History

Most Recent Employment

Address

Phone

- -

Supervisor

First Name / Last Name

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

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End Date

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Reason for Leaving

May we contact this employer?

Yes No

Previous Employer

Address

Phone

- -

Supervisor

First Name / Last Name

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

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End Date

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May we contact this employer?

Yes No

Reason for Leaving

Previous Employer

Address

Phone

- -

Supervisor

First Name / Last Name

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

Click to View Date Picker

End Date

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Reason for Leaving

May we contact this employer?

Yes No

Previous Employer

Address

Phone

- -

Supervisor

First Name / Last Name

Job Title

Starting Salary

Ending Salary

Responsibilities

Start Date

Click to View Date Picker

End Date

Click to View Date Picker

Reason for Leaving

May we contact this employer?

Yes No

Military Service

Branch

Enlistment Date

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Date of Discharge

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Rank of Discharge

Type of Discharge

If other than honorable, please explain

Disclaimer and Signature

By submitting this form you are providing an electronic signature that is providing the same permissions as a signed original.

Acknowledge
Does not acknowledge

Signature

Date

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We are an Equal Opportunity Employer

© 2005 - 2009 Lead Hill School District. All Rights Reserved.