LCSD Employment Application

First

Middle

Last

Address

Street Address

Street Address Line 2

CityState

Zip Code

Birth Date

Date

Phone

E mail address

example@example.com

Please select the desired position

Please select the desired position.

ClassifiedCertified

Available Start Date

Date

What classified position are you seeking?

What certified position are you seeking?

Desired Salary

Have you worked here before?

YesNo

Have you worked here before?

YesNo

High School

Number of Years Attended

Did you graduate from high school?

YesNo

Did you attend college?

YesNo

College/University

Number of Years Attended

Did you graduate from college?

YesNo

Area of Study/Degree

Graduate School

Number of Years Attended

Did you complete graduate school?

YesNo

Area of Study/Degree

Did you attend a trade or other school?

Number of Years Attended

Did you complete a Trade/Other school?

YesNo

Area of Study/Degree

Do you have a teaching certificate?

YesNo

What state(s) are you licensed?

Date of certification expiration

Date

What certification level do you have?

Subject Area

Have you completed the PRAXIS exam?

YesNo

Which PRAXIS exam did you complete?

List any relevant skills that you have.

List any relevant qualifications or certifications that you have.

Current Employer

What position did you hold?

What was your annual salary?

What was your reason for leaving?

Start Date

Date

May we contact your current employer?

YesNo

Previous Employer 1:

What position did you hold?

What was your annual salary?

What was your reason for leaving?

Start Date

Date

May we contact your previous employer #1?

YesNo

Previous Employer 2

What position did you hold?

What was your annual salary?

What was your reason for leaving?

Start Date

Date

May we contact your previous employer #2?

YesNo

1. Reference name:

Relationship to reference (1):

Years acquainted with reference (1):

Phone number of reference (1):

Email address of reference (1):

example@example.com

2. Reference name:

Relationship to reference (2):

Years acquainted with reference (2):

Phone number of reference (2):

Email address of reference (2):

example@example.com

3. Reference name:

Relationship to reference (3):

Years acquainted with reference (3):

Phone number of reference (3):

Email address of reference (3):

example@example.com

By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR NONEMPLOYMENT OR FOR DISMISSAL.

I AGREE, IF EMPLOYED, TO FOLLOW ALL POLICIES, RULES AND REGULATIONS OF THE DISTRICT AND OF THE SCHOOL TO WHICH I MAY BE ASSIGNED.

I AGREE TO PROMPTLY NOTIFY THE DISTRICT OF ANY CHANGE OF ADDRESS DURING MY EMPLOYMENT.

I UNDERSTAND THAT AS A CONDITION OF MY EMPLOYMENT I WILL BE REQUIRED TO APPLY TO THE IDENTIFICATION BUREAU OF THE DEPARTMENT OF ARKANSAS STATE POLICE FOR A STATE AND NATIONWIDE CRIMINAL RECORDS CHECK, TO BE CONDUCTED BY THE FEDERAL BUREAU OF INVESTIGATION. I FURTHER UNDERSTAND THAT I WILL BE REQUIRED TO PAY FOR THESE BACKGROUND CHECKS FROM THE ARKANSAS STATE POLICE ($15.00), AND THE FBI ($24.00) BEFORE THE EMPLOYMENT.

PAYDAY IS BI-WEEKLY IN TH LEE COUNTY SCHOOL DISTRICT, WITH FRIDAY BEING THE DAY THAT CHECKS ARE ISSUED. NEWLY HIRED EMPLOYEES ARE REQUIRED TO WORK FOR A FULL TWO-WEEK PAY PERIOD BEFORE RECEIVING THEIR FIRST CHECK. THE EMPLOYEE WOULD THEN RECEIVE A CHECK TWO WEEKS AFTER RESIGNATION OR TERMINATION.

Please attach your cover letter.

Please attach your resume.