Support Staff App

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CCS Employment App for Support Staff

Part I - Personal Information and Educational Experience

Application For:

Name:

Social Security #:

Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Email Address:

Driver's License #:

Type of License:

Exp:

Date Available for Employment:

Are you presently employed?

When could you come for an interview?

Have you previously held a position within the Calhoun City School System?

If yes, please give dates of employment and name of supervisor/principal:

EDUCATION AND TRAINING

Please list all education and training including names of schools, courses of study, years attended, and dimploma/degree received.

Part II - Additional Questions for Bus Driver Applicants (Skip to Part III if you are not an applicant for a bus driving position.)

1. Have you ever received a traffic ticket in any jurisdiction?

If your answerto question one is Yes, answer the following in relation to each ticket.

Please give the date, jurisdiction, violation and disposition for each ticket received.

Has your driver's license ever been suspended or revoked?

If your answer to question two is Yes, answer the following in relation to each suspension or revocation.

Please give the state suspending or revoking license, period of suspension or revocation and reason for suspension or revocation.

Part III -- Work Experience
LIST ALL PRESENT AND PAST EMPLOYMENT - BEGINNING WITH THE MOST RECENT.
Give complete and thorough information of work experience for the past five years.

Please list the Firm/Organization, location, supervisor, dates of employment and the type of work.

REFERENCES
Please give the names, addresses and telephone numbers of three people (not related to you) as personal references.

Reference 1

Name:

Phone:

Mailing Address:

Reference 2

Name:

Phone:

Mailing Address:

Reference 3

Name:

Phone:

Mailing Address:

Are you legally authorized to work in the State of Georgia and/or the United States?

Have you ever been arrested or convicted of a misdemeanor or felony, including pleading nolo contrendere (no contest), or are you now under investigation for any such influence, other than a minor traffic offense? Please note: Driving Under the Influence (DUI), Driving While Intoxicated (DWI), are similar charges and are NOT considered minor traffic offenses.

If yes, please give detailed information below as to each offense, including the specific offense for which you are charged, the disposition of the offense and the date, court, state and county where you were charged:

By submitting this form you agree to the following:

I signify that I am legally authorized to work in the United States on a full-time basis. I signify that all information on this application to be true to the best of my knowledge. I also understand that any misrepresentation or omission of any information requested shall be reason for non-employment or immediate dismissal from employment.

According to legislation set forth by the state of Georgia, all employees must submit to a criminal background check. If I am offered employment, I agree to the background check, which includes fingerprint checks by both the GBI and the FBI.

It is the policy of Calhoun City Board of Education, not to employ anyone who has not received at the least a high school diploma or it's equivalent.
The Calhoun City School System does not discriminate on the basis of race, color, sex, age, religion, national origin, or disability in any educational programs, activities, or employment practices.

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