CRAWFORD INDEPENDENT SCHOOL DISTRICT 200 ... AWS
CRAWFORD INDEPENDENT SCHOOL DISTRICT 200 Pirate Drive Crawford, Texas 76638 * Paraprofessional & Auxiliary Employment Application *
I. PERSONAL DATA ________________________
________________________
Date of Application
___________________________
Date Available
Social Security Number
Name: __________________________________________________________________________________ First
Middle
Last
Address: ________________________________________________________________________________ Street / PO Box
City
Home Phone: ___________________________
State
Zip Code
Cell Phone: ______________________________
II. Education/Training: (Check the Highest Level Attended) o Not high school graduate (circle last grade completed) 1 2 3 4 5 6 7 8 9 10 11 12 o GED o High School Graduate o Less than two years of college o Two or more years of college o College Degree Major/Minor Field __________________ Year Earned _________________ Licenses/Certification: _____________________________________________________________________ SCHOOLS ATTENDED Name of School
Dates Attended
Course of Study
Degree/Certificate
Year Earned
______________________ ___________________ ___________________ ______________ __________ ______________________ ___________________ ___________________ ______________ __________ ______________________ ___________________ ___________________ ______________ __________ It is the policy of Crawford ISD not to discriminate on the basis of sex, handicap, race, color and national origin in its educational and vocational programs, activities or employment as required by Title IX, Sec 504 and Title VI.
III. WORK EXPERIENCE (List most recent job first - Include military experience): Employer
Job/Position
Salary/Wages
Reason for Leaving
______________________ ___________________ ___________________ ________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________ IV. SPECIAL SKILLS (List specific skills and/or any machines or equipment you can operate): ________________________________________________________________________________________ ________________________________________________________________________________________
V. General Information: Do you have any physical or health impairments that would limit your ability to perform the job(s) for which you are applying? o NO o YES Please explain: __________________________________________________________________
Have you ever been convicted of a felony? o NO o YES Please explain: __________________________________________________________________
VI. EMPLOYMENT REFERENCES: School District/Firm Name
Address
Phone Number
Immediate Supervisor
______________________ ___________________ ___________________ ________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________
__________________________________________________________________ ____________________ Legal Signature of Applicant
Date
I. PERSONAL DATA ________________________
________________________
Date of Application
___________________________
Date Available
Social Security Number
Name: __________________________________________________________________________________ First
Middle
Last
Address: ________________________________________________________________________________ Street / PO Box
City
Home Phone: ___________________________
State
Zip Code
Cell Phone: ______________________________
II. Education/Training: (Check the Highest Level Attended) o Not high school graduate (circle last grade completed) 1 2 3 4 5 6 7 8 9 10 11 12 o GED o High School Graduate o Less than two years of college o Two or more years of college o College Degree Major/Minor Field __________________ Year Earned _________________ Licenses/Certification: _____________________________________________________________________ SCHOOLS ATTENDED Name of School
Dates Attended
Course of Study
Degree/Certificate
Year Earned
______________________ ___________________ ___________________ ______________ __________ ______________________ ___________________ ___________________ ______________ __________ ______________________ ___________________ ___________________ ______________ __________ It is the policy of Crawford ISD not to discriminate on the basis of sex, handicap, race, color and national origin in its educational and vocational programs, activities or employment as required by Title IX, Sec 504 and Title VI.
III. WORK EXPERIENCE (List most recent job first - Include military experience): Employer
Job/Position
Salary/Wages
Reason for Leaving
______________________ ___________________ ___________________ ________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________ IV. SPECIAL SKILLS (List specific skills and/or any machines or equipment you can operate): ________________________________________________________________________________________ ________________________________________________________________________________________
V. General Information: Do you have any physical or health impairments that would limit your ability to perform the job(s) for which you are applying? o NO o YES Please explain: __________________________________________________________________
Have you ever been convicted of a felony? o NO o YES Please explain: __________________________________________________________________
VI. EMPLOYMENT REFERENCES: School District/Firm Name
Address
Phone Number
Immediate Supervisor
______________________ ___________________ ___________________ ________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________ ______________________ ___________________ ___________________ _________________________
__________________________________________________________________ ____________________ Legal Signature of Applicant
Date
