Job Application Form
I. Personal Data
Name
First and last name
Your answer
Address
Your answer
Email
Your answer
Phone number
Your answer
II. Job Interest
Which position(s) are you interested in?
Required
III. Educational Background
Where did you attend elementary school?
Your answer
Where did you attend high school?
Your answer
Do you have a high school diploma?
Do you have a GED?
Have you had any additional training? If so, please describe below.
Your answer
Do you hold a college degree? If so, from where?
Your answer
Character References
Name, Address, Phone number
Your answer
Name, Address, Phone number
Your answer
Name, Address, Phone number
Your answer
IV. History of Employment
Last three positions held
Employer Name, address, phone number, years employed
Your answer
Employer Name, address, phone number, years employed
Your answer
Employer Name, address, phone number, years employed
Your answer
V. Disclosure of Background Information
Have you ever been discharged from any employment due to misconduct? Is so, please explain.
Your answer
Is any action now pending against you for alleged misconduct in any school district? If so, please explain.
Your answer
Have you ever been convicted of or are you currently charged with or under indictment for a felony? If so, please explain.
Your answer
VI. Affirmation and Signature
I hereby make application for a position with the Webster County Board of Education and assert that the information given in this application is true and accurate to the best of my knowledge.
Type your name and date
Your answer
Webster County School District does not discriminate on the basis of race, color, national origin, sex, age, or handicap in the administration of any of its education programs, activities, or with respect to employment. Inquiries should be directed to the Title IX/Section 504 Coordinator, 315 South Main Street, Webster Springs, WV 26288. 304-847-5638
Webster County Schools is an Equal Opportunity Employer
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