NON-TEACHING APPLICATION
COWAN COMMUNITY SCHOOL CORPORATION
9401 S. Nottingham St.,
Muncie, IN 47302
(765) 289-4866 Fax: 284-0315
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Digital Signature
****By selecting "I Accept" and typing your name, you are signing this document electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this document. By submitting this document using any device, means or action, you consent to the legally binding terms and conditions of this document. You further agree that your signature on this document (hereafter referred to as your "Digital Signature") is as valid as if you signed the document in writing.**** *
INFORMATION FOR APPLICANT
If you have no objections, please fill out all information to the best of your ability. Applications will be moved to the inactive file in January of each year unless notified by a letter or telephone call of your continued interest. You are not obligated to answer any questions; but doing so will enable us to have a better knowledge of your background for the position desired.

Speed tests may be given by the administration for such positions as secretary, treasurer, cashier and those positions that require expertise in a designated skill to allow the best candidate available to secure the position.
POSITION REQUESTED: *
General Personal Data
Name: *
Address: *
City: *
State: *
Zip Code: *
Phone Number: *
Do you have any physical conditions or personal problems about which the persons who are interested in your personal and professional growth should know? *
Date you are available for employment: *
MM
/
DD
/
YYYY
Education
Number of years you attended high school: *
Did you graduate? *
What high school did you attend: *
Address: *
What high school activities did you participate in: *
College 1
Enter more than one if it applies
1. Name of college or university
1. Dates Attended
1. Date of Graduation
1. Degree
College 2
2. Name of college or university
2. Dates Attended
2. Date of Graduation
2. Degree
Technical School 1
Enter more than one if it applies
1. Name of technical school
1. Dates Attended
1. Date of Graduation
1. Technical Area
Technical School 2
2. Name of technical school
2. Dates Attended
2. Date of Graduation
2. Technical Area
EXPERIENCE
(list in chronological order places in which you have worked: most recent experience first) List: Place; Location (City/Township/State); From/To; Number of Years; Immediate Supervisor
1. *
2.
3.
May we contact the employers listed above? *
List any experience which you have had that will make you a better candidate for the position in which you have applied: *
REFERENCES
(List at least three individuals) List: Name, Position, Address and Telephone Number.
1. *
2.
3.
MILITARY SERVICE:
Have you served on active duty in the United States Armed Forces? *
Dates of active duty:
From:
MM
/
DD
/
YYYY
To:
MM
/
DD
/
YYYY
Date of discharge
MM
/
DD
/
YYYY
Type of discharge
Signature: *
Date: *
MM
/
DD
/
YYYY
(To the best of our knowledge, this application complies with current law. The information requested is used only for school corporation administrative/statistical purposes.)

It is the policy of this Corporation that no candidate for a position in this Corporation shall be discriminated against on the basis of race, color, religion, national origin or citizenship status, creed or ancestry, age, gender, marital status, non-disqualifying disability, height, or other protected categories.

In accordance with Federal law, any person employed by this Corporation must provide evidence that s/he is eligible to work in the United States.
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