USD 220 Employment Application (Classified Positions Only)
Classified Application for USD 220
Last Name:
Your answer
First Name:
Your answer
Position applying for:
Required
Mailing Address:
Your answer
Phone Number and Email:
Your answer
Are you over the age of 18?
Education (check highest level completed):
Work Experience 1 (Current employer or most recent position. Please include contact information and supervisor's name):
Your answer
Work Experience 2 (Please include contact information and supervisor's name):
Your answer
Work Experience 3 (Please include contact information and supervisor's name):
Your answer
Have you ever been convicted of or pled guilty or nolo contender to a felony?
Have you ever been dismissed or asked to resign from employment?
Are you aware of any reasons you would not be able to perform the duties required of the position for which you are applying?
Reference 1 - Supervisor (Name and Contact):
Your answer
Reference 2 - Supervisor (Name and Contact):
Your answer
Reference 3 - Supervisor (Name and Contact):
Your answer
List any additional information regarding your knowledge, skills and experience relative to the job for which you are applying.
Your answer
AGREEMENT: By submitting this application, I hereby certify that the above information to the best of my knowledge is true, accurate, and complete. Any misrepresentation or willful omissions of facts shall be sufficient cause for disqualification of this application or termination of employment. Furthermore, it is understood that this application and records become the property of the District which reserves the right to accept or reject it. I further agree to observe all rules, regulations and policies of the District now in force and effect or as they may change during my employment, if I am employed by the District.
I hereby authorize the District to conduct work history and personal reference inquiries for employment (by typing your full name, you agree to the terms and conditions in this application):
Your answer
Notice of Non-Discrimination Ashland Public Schools, USD 220, does not discriminate on the basis of race, color, national origin, sex, religion, handicap/disability, or age. Persons having inquiries may contact the districts ADA and Section 504 coordinator, 311 JE Humphreys, Ashland, KS 67831. Telephone: 620-635-2220
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