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Certified Staff Application

Please complete form for consideration of employment. If you have any questions, please contact Emily Evans, BOE Clerk, at eevans@usd459.org or (620) 826-3828.

 

Unified School District #459 is an Equal Employment Opportunity Agency and does not discriminate on the basis of sex, color, race, religion, national origin, disability, or age, in admission or access to, or treatment or employment in, its programs or activities.

Certified Staff Application


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Reaquired field: Address Info.


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Min: 1 Max: 5
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Current Employment Information

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Prior Employment Information

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Educational Information

Please list your high school and college education in chronological order.


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Certification Information


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Personal Information











References

Please list three people who may be contacted to give current information on your qualifications to this position

Reference #1

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Reaquired field: Address Info.


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Min: 1 Max: 5
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Reference #2

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Reaquired field: Address Info.


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Min: 1 Max: 5
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Reference #3

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Reaquired field: Address Info.


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Min: 1 Max: 5
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Resume


Acknowledgments
1. I certify that all the information provided by me in this application is true and complete. I understand that any mistatement, falsification, or omission of information is grounds for refusal to hire or, if I am hired and the same is discovered thereafter, termination.
2. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damages that may result from furnishing such information to you. I authorize any background checks by any third party.
3. I authorize you to request, receive, and verify all information given on this application and I release you from all damages that may result from your doing so.
4. I authorize you to conduct a criminal background investigation using any and all methods necessary to successfully complete such investigation and I release you from all liability for any damages that may result from your doing so.

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Contact Information

USD 459 Bucklin Schools
422 S Main St
Bucklin, Kansas 67834
Schedule:

School Office Hours Mon-Fri: 7:30 am – 4 pm

 

 

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Phone: 620-826-3241
Fax: 620-826-9966