AUXILIARY APPLICATION FOR EMPLOYMENT
Cisco Independent School District
P O Box 1645
Cisco, TX 76437
Date of Application: *
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Last Name: *
First Name *
Middle
Current Address: Street/PO Box *
City *
State *
Zip Code *
Home Phone:
Cell Phone: *
Email Address:
Select the position or postions for which you are applying. *
Required
Date you can begin to work *
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Least Salary per month would accept? *
Do you have a relative who is a member of the Cisco ISD Board of Education?_ *
If yes, please give the name of the relative and the relationship.
List any special skills *
Have you ever been convicted of a felony or offense involving moral turpitude (including, but not limited to theft, murder, swindling, and indecency with a minor) and/or received probation or deferred adjudication:
Clear selection
If yes, please state where, when, and the nature of the offense.
Name of School or Institution *
Dates attended *
*
Required
Dates Attended From *
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Dates Attended To *
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Credits Received *
*
Work Experience
Company or Organization Lat Position First *
Position Held *
Date Worked *
Salary *
Duties Performed *
List Four References, Including Employers Name Address Position/Phone Number *
I hereby certify that the above information, to the best of my knowledge, is true, accurate and complete. Any misrepresentation or willful omission 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 this application. I further agree to observe all rules, regulations, and policies of the district.I hereby authorize the district to conduct work history, personal references, and police record inquiries to determine acceptability for employment.The Cisco Independent School District is required by state law to obtain criminal history record information on all applicants for employment with the District. (Texas Education Code Section 22.083)I understand the information set forth below will be used by the District solely for the purpose of obtaining criminal history record information and will not be used in any manner related to determining the eligibility for employment with the District.
Full Name *
Social Security Number
Date of Birth *
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Driver's License Number/State *
Signature of Applicant By typing your First, Middle and Last name. You certify that you signed this document. *
Date *
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No Action will be taken regarding employment unless this authorization is complete. Cisco ISD is an Equal Opportunity Employer.
TEMPORARY EMPLOYMENT ACKNOWLEGEMENT FORM
I acknowledge that my employment as a substitute teacher/aide/foodservice/bus driver employee is only temporary and there is no assurance of employment on more than a day - to – day basis.
Signature By typing your First, Middle and Last name. You certify that you signed this document. *
Date *
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Submit
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