Non Teaching Staff Application - SLIDEBLAST.COM
Bowlegs Public School APPLICATION for NON-TEACHING STAFF POSITION Bowlegs Public School District P.O. Box 88 Bowlegs, OK 74830-0088 (405) 398-4322
Type of Position Desired (check all that apply)
Custodial
Cafeteria
Transportation
Teacher Asst.
Secretary
Substitute
Applicant: _________________________________________________ SSN: _______________________ Mailing Address: ___________________________________________ Phone: ______________________ City/ST/Zip: ___________________________________________________________________________ Permanent Address: _________________________________________ Phone: ______________________ City/ST/Zip: ___________________________________________________________________________ Professional Certification:
1. 2. 3. 4.
5.
Language ability other than English: _________________________________________________ Is there any reason you could not effectively perform the functions required of the job for which you are applying? __________ If yes, please explain: ___________________________________ _______________________________________________________________________________ Are you, or have you been, a member of Oklahoma Teacher Retirement System? _____________ Have you ever been convicted of a felony involving moral turpitude? _______________________ If yes, state in full detail: __________________________________________________________ _______________________________________________________________________________ Offense: ______________________________________ Date: _______________________ Court: ________________________________________ Disposition: __________________ (Failure to answer correctly will be cause to be barred from employment or dismissed at a later date. Please note that a conviction in itself does not void your chance of employment as selections are based on job qualifications.) When will you be available for employment? __________________________________________
Applications are kept on file in the Superintendent’s Office for one year. If you are interested in employment at a later date, you must either update your application by certified letter or submit another application. Bowlegs Schools Do Not Discriminate On the Basis of Race, Creed, Sex, Age, Marital Status, Political Affiliation, National Origin, The Presence of a Non-Job Related Medical Condition or Handicap, Or Any Other Legally Protected Status.
Professional Training: School Name and Address
Attended From To
Graduated Yes No
Comments
PROFESSIONAL EXPERIENCES: List most recent first Name Address Inclusive Dates Of Business (City & State) From To
Other Experiences: Name Of Employer
Address (City & State)
Description Of Duties
Description Of Duties
Employment From To
REFERENCES: If you do not have a confidential placement file, list at least three (3) persons, including supervisors, principals, etc., who have recent knowledge of your character, scholarship, and professional competence.
Name
Position
Address
Telephone
COMMENTS Please attach a brief statement of any of your qualifications, which you wish to stress, or to present any additional information, which you have not been able to include elsewhere on the application. I hereby certify that the foregoing information is accurate in all respects, and I authorize investigation of all statements herein recorded. I release from all liability persons and organizations reporting information required by this application. I will be willing to take a loyalty oath at the time of employment.
__________________________ Date
____________________________________ Signature of Applicant
Print
Type of Position Desired (check all that apply)
Custodial
Cafeteria
Transportation
Teacher Asst.
Secretary
Substitute
Applicant: _________________________________________________ SSN: _______________________ Mailing Address: ___________________________________________ Phone: ______________________ City/ST/Zip: ___________________________________________________________________________ Permanent Address: _________________________________________ Phone: ______________________ City/ST/Zip: ___________________________________________________________________________ Professional Certification:
1. 2. 3. 4.
5.
Language ability other than English: _________________________________________________ Is there any reason you could not effectively perform the functions required of the job for which you are applying? __________ If yes, please explain: ___________________________________ _______________________________________________________________________________ Are you, or have you been, a member of Oklahoma Teacher Retirement System? _____________ Have you ever been convicted of a felony involving moral turpitude? _______________________ If yes, state in full detail: __________________________________________________________ _______________________________________________________________________________ Offense: ______________________________________ Date: _______________________ Court: ________________________________________ Disposition: __________________ (Failure to answer correctly will be cause to be barred from employment or dismissed at a later date. Please note that a conviction in itself does not void your chance of employment as selections are based on job qualifications.) When will you be available for employment? __________________________________________
Applications are kept on file in the Superintendent’s Office for one year. If you are interested in employment at a later date, you must either update your application by certified letter or submit another application. Bowlegs Schools Do Not Discriminate On the Basis of Race, Creed, Sex, Age, Marital Status, Political Affiliation, National Origin, The Presence of a Non-Job Related Medical Condition or Handicap, Or Any Other Legally Protected Status.
Professional Training: School Name and Address
Attended From To
Graduated Yes No
Comments
PROFESSIONAL EXPERIENCES: List most recent first Name Address Inclusive Dates Of Business (City & State) From To
Other Experiences: Name Of Employer
Address (City & State)
Description Of Duties
Description Of Duties
Employment From To
REFERENCES: If you do not have a confidential placement file, list at least three (3) persons, including supervisors, principals, etc., who have recent knowledge of your character, scholarship, and professional competence.
Name
Position
Address
Telephone
COMMENTS Please attach a brief statement of any of your qualifications, which you wish to stress, or to present any additional information, which you have not been able to include elsewhere on the application. I hereby certify that the foregoing information is accurate in all respects, and I authorize investigation of all statements herein recorded. I release from all liability persons and organizations reporting information required by this application. I will be willing to take a loyalty oath at the time of employment.
__________________________ Date
____________________________________ Signature of Applicant
