Technology Assistant | Ozark Mountain School District

* Have you previously worked for the Ozark Mountain School District?

Yes

No

* Are you employed at the present time?

Yes

No

* Have you ever been convicted of a Felony? (All applicants will be subject to a background check by law enforcement agencies.)

Yes

No

* Have you ever been released or requested to resign from a place of employment?

Yes

No

* Do you have any reason to believe that you may not be able to perform all the essential duties required by the position for which you are applying?

Yes

No

* Why do you wish to work for Ozark Mountain School District?

Please explain why you wish to work.

Education

* Please list your highest level of education:

Please list your highest level of education.

* List any specialized education or training that might further qualify you for this position:

Please list any specialized education or training.

Employment History

(Please begin with most recent employment)

* Employer

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* Date From

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* Date To

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* Supervisor

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* Reason for Leaving

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* Employer

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* Date From

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* Date To

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* Supervisor

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* Reason for Leaving

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* Employer

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* Date From

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* Date To

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* Supervisor

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* Reason for Leaving

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References

(References should be able to verify your work skills, work history, and/or personal character traits.)

Reference

* Name

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* Phone

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* Relationship

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Reference

* Name

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* Phone

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* Relationship

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Reference

* Name

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* Phone

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* Relationship

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Agreement

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 Ozark Mountain School District, which reserves the right to accept or reject. If I am employed by the Ozark Mountain School District, I further agree to observe all currently enforced rules, regulations, and policies of the District and as they may change during my employment.

I authorize the Ozark Mountain School District to conduct work history, personal reference, or police inquiries to determine my acceptability for employment.

* Signature of Applicant

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* Date of Applicant

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