USD 475 Classified Jobs Application

NOTE:  If you wish to apply for any of our Certified Positions, click here.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL if you
have a resume
or a vita online

Please indicate the position(s) for which you are applying by placing a check in the box:

After School   Maintenance Food Service  
Data Processing Teacher Assistant    Instructional Aide   Paraprofessional     
Secretary Clerk Secretary Substitute

If you are applying for a position not listed above, please indicate the position and location (building):

AVAILABILITY: Please check the box below which best describes your availability:

Full Time
Part Time A.M. Only
Part Time P.M. Only

SKILLS AND QUALIFICATIONS:
Please indicate the skills in which you have training and experience by checking the appropriate box(es). Note: You may check multiple boxes if appropriate.

Typing W.P.M.  Mechanic  Kansas Driver License  
Computer Plumber    Defensive Driving Course  
Custodial Heating/Air Conditioning  Truck Driver  
Painter  Carpentry Class A-B or Chauffeur License 
Electrician 

NOTE:  Please indicate any additional skill(s) here:

WORK EXPERIENCE: 
Please list the most recent first. Include name of employer, type of work, dates of employment, and reason for leaving.

Note: If you have practical job related experience and wish to comment briefly, you may do so here.

EDUCATIONAL PREPARATION:
     Please choose the highest grade you completed:      

     Do you have a college degree?  If yes, how many hours? Please send Official Transcripts.

Yes Number of credit hours
No

    Major Field in College:

If you have completed job related courses at night school, vo-tech, online, etc., please list the classes:

PERSONAL DATA:

 

1. Are you employed now? Yes
No
  2. Can your employer be contacted for references? Yes
No
3. Have you ever been dismissed or forced to resign from employment for misconduct or unsatisfactory service? Yes
No
  4. Have you ever pleaded guilty to or been convicted of a felony or misdemeanor other than a traffic violation?
Except as required by law, prior convictions do not constitute an automatic bar to employment.		 Yes
No
5. Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Yes
No
  6. List any language(s) other than English in which you are proficient.  
Language Name: Speak
Read
Write
Language Name: Speak
Read
Write


If you have ever been convicted of a misdemeanor other than a traffic violation, please explain:

If you have ever been convicted of a crime involving the physical, mental, or sexual abuse or exploitation of minors, or have ever been convicted of a felony, please explain. Affirmative answers to these questions will not automatically disqualify you from consideration for employment.

REFERENCES:
List only those qualified to pass judgment on your qualifications for the position you seek. Qualified persons are those who have first hand knowledge of your performance and/or future potential in the area for which you are applying. 

Include the person's name, address, telephone number, email address (if any), and position. Please list a minimum of three references.

 

Please be aware that the District may conduct work history, personal reference, or police inquiries to determine your acceptability for employment.
USD 475 is an Affirmative Action Equal Opportunity Employer.   USD 475 does not discriminate on the basis of race, religion, color, national origin, sex, age, or disability in admission or access to, or treatment or employment in, its programs and activities.
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Personnel Dept.
Last revised: April 17, 2008