Augusta Independent Certified Application
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Last Name *
First Name *
Middle Name *
Current Street Address *
City *
State *
Zip Code *
Home Phone Number *
Work Phone Number
Driver's License Number *
Social Security Number
Email Address *
Position Desired
Please indicate position(s) desired by listing in order or preference with the number of 1 being
your first choice.
Position Desired *
Required
Please list the specific position you are applying for. If more than one position, please list the positions in order of preference.
Criminal History
"FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE CRIMINAL HISTORY BACKGROUND CHECK AND HAVE A LETTER, PROVIDED BY THE INDIVIDUAL, FROM THE CABINET FOR HEALTH AND FAMILY SERVICES STATING THE EMPLOYEE IS CLEAR TO HIRE BASED ON NO FINDINGS OF SUBSTANTIATED CHILD ABUSE OR NEGLECT FOUND THROUGH A BACKGROUND CHECK OF CHILD ABUSE AND NEGLECT RECORDS MAINTAINED BY THE CABINET FOR HEALTH AND FAMILY SERVICES AS A CONDITION OF EMPLOYMENT.”
Equal Opportunity Employer
The Augusta Board of Education is an equal opportunity employer. Applicants will receive consideration without regard to race, color, national origin, sex, religion, age, veteran's status or disability and is required by Title IX of the Education Amendments of 1972 (P.L. 92-318) not to discriminate in such a manner.
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