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Extracurricular Employment Application

Please complete the form below. Required fields marked with an asterisk *

Date*

Answer required for "Date"

Position you are applying for*

Answer required for "Position you are applying for"

Contact Information

First Name*

Answer required for "First Name"

Last Name*

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Email*

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Phone*

Number Required

Home Address

Street Address*

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City*

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Zip/Postal*

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Personal and Professional Information

Do you have any physical limitations that would affect the type of work to be performed?*

Answer required for "Do you have any physical limitations that would affect the type of work to be performed?"

Yes

If "Yes", please explain.

Answer required for "If \"Yes\", please explain."

Have you ever been convicted of a crime? Please remember a background check will be conducted if you are hired.*

Answer required for "Have you ever been convicted of a crime? Please remember a background check will be conducted if you are hired."

Yes

If "Yes", please give a detailed explanation.

Answer required for "If \"Yes\", please give a detailed explanation. "

Do you claim veteran's preference?*

Answer required for "Do you claim veteran's preference?"

Yes

If "Yes", please list branch and dates of service.

Answer required for "If \"Yes\", please list branch and dates of service."

Education History

High School Name, Location, and Graduation Year*

Answer required for "High School Name, Location, and Graduation Year"

College Name(s), Graduation Year(s), and Degree(s)

Answer required for "College Name(s), Graduation Year(s), and Degree(s)"

Employment Experience

Please list name of your current employer and dates of employment *

Answer required for "Please list name of your current employer and dates of employment "

Job Related Skills

List any experience, skills, or training which qualify you for the position sought. For coaching positions, if you have been a head coach in the sport and at the level for which you are applying, please include that information including win/loss record, numbers of seasons coached at that level, accolades earned for teams/athletes or as a coach. If you have not been a head coach at the level for which you are applying, please share with us why you believe you are ready to make the transition to the next step of coaching and what experience you bring. If you are applying for an assistant coaching position, please detail your experience and what you believe your contributions could be to the program. *

Answer required for "List any experience, skills, or training which qualify you for the position sought. For coaching positions, if you have been a head coach in the sport and at the level for which you are applying, please include that information including win/loss record, numbers of seasons coached at that level, accolades earned for teams/athletes or as a coach. If you have not been a head coach at the level for which you are applying, please share with us why you believe you are ready to make the transition to the next step of coaching and what experience you bring. If you are applying for an assistant coaching position, please detail your experience and what you believe your contributions could be to the program. "

References

List three people who are not related to you, including current or former employers or supervisors, who can provide information about your suitability for this position.

Reference # 1 First and Last Name, Position, & Phone Number*

Answer required for "Reference # 1 First and Last Name, Position, & Phone Number"

Reference # 2 First and Last Name, Position, & Phone Number*

Answer required for "Reference # 2 First and Last Name, Position, & Phone Number"

Reference # 3 First and Last Name, Position, & Phone Number*

Answer required for "Reference # 3 First and Last Name, Position, & Phone Number"

I understand that in filing this application my work experience, character, attitude, and related information is subject to investigation to determine the desireability of my employment with the Whitehall School District, and that this information will be kept confidential. I grant permission for such an investigation to be conducted. If I am selected for an interview, I understand I may have to undergo a name-based and fingerprint criminal background investigation to determine if I have been conviceted of certain criminal or drug offenses.*

Answer required for "I understand that in filing this application my work experience, character, attitude, and related information is subject to investigation to determine the desireability of my employment with the Whitehall School District, and that this information will be kept confidential. I grant permission for such an investigation to be conducted. If I am selected for an interview, I understand I may have to undergo a name-based and fingerprint criminal background investigation to determine if I have been conviceted of certain criminal or drug offenses."

Yes, I understand and grant my permission.

Signature*

Signature Required

Confirmation Email

Confirmation Email *

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