Support Staff Employment Application
The School District considers all applicants for all positions without regard to race, color, religion, sex, national origin or disability.  If you have a disability or handicap which may require accommodation for you to participate in our application process (including filling out this form, interviewing or any other employment procedure or requirement), please make us aware of any accommodation you feel is necessary.  If you have any inquiries, complaints or concerns about any pre-employment procedure or requirement, including completing this application, or about the District policy of non-discrimination, you may contact Steve Combs at 573-875-5604,  1000 S Harris, Harrisburg, MO  65256.

All applicants are expected to answer all questions on this application.  Answer "none" or "not applicable" where necessary.  
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Name (last, first, middle) *
Date *
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YYYY
Other names that may appear on your transcripts or records (skip if not applicable
Social Security Number *
Current Address *
Current Phone Number *
Permanent Address *
Permanent Phone Numer *
Date Available *
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YYYY
Position for which you are applying *
Skills you possess pertaining to the position(s) for which you are applying *
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