JOB APPLICATION-Attendance Specialist-Adams/Brown (11-24-20)
Regional Office of Education (ROE) 1
507 Vermont St., Quincy, Illinois 62301
217-277-2080

Regional Office of Education 1 is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

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Applicant Information
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Date of Application: *
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Employment Position
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Personal Information
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Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying: (Note: Regional Office of Education 1 complies with ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.) *
Education and Training
High School Name *
High School Location (City, State) *
High School Year Graduated *
High School Degree Earned *
Education and Training
College/University Name
College/University Location (City, State)
College/University Year Graduated
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Education and Training
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Vocational School/Training Location (City, State)
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Vocational School/Training Degree Earned
Previous Employment
Employer Name *
Job Title *
Supervisor Name *
Employer Address *
Employer Telephone *
Dates Employed *
Reason for Leaving *
Previous Employment
Employer Name
Job Title
Supervisor Name
Employer Address
Employer Telephone
Dates Employed
Reason for Leaving
Previous Employment
Employer Name
Job Title
Supervisor Name
Employer Address
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Dates Employed
Reason for Leaving
Professional References
Please provide 3 professional reference(s) below:
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Reference #2 Contact Information *
Reference #3 Name *
Reference #3 Contact Information *
AT-WILL EMPLOYMENT
The relationship between you and the Regional Office of Education 1 is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without case, with or without notice, by you or the Regional Office of Education 1. No representative of ROE 1 has authority to enter into any agreement contrary to the foregoing "employment at will' relationship. You understand that your employment is "at will", and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Regional Superintendent or Assistant Regional Superintendent.
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Date *
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