SILVER CONSOLIDATED SCHOOL DISTRICT #1

2810 North Swan Street

Silver City, NM  88061

(575) 956-2000

 

EDUCATIONAL ASSISTANT APPLICATION

 

(Fill in all blanks)

Name_____________________________________   Date___________________________

Address__________________________________________________________________________

          Street or Box                     City              State            Zip Code

Home Telephone_____________________      Message Telephone____________________

Are you a citizen of the United States?   Yes____   No____

Social Security Number_______________________

Are you presently employed?    Yes____             No____     By Whom?______________________

 

EDUCATION PREPARATION

 

List schools you attended High Schools & Colleges	Address	When? Give Dates	How long? Months Year	Did you graduate? Give degree

 

TRAINING

Place a “T” in the following spaces if you have been trained in the use of the following equipment and/or an “E” if you have had experience in using the equipment:

 

___Computer                                      ___Typewriter wpm___                        ___Copy Machine

 

___Calculator                             ___Other____________

                  

Instructional Assistant applicants may be required to take and pass a skills test, depending upon the type of position desired.

EMPLOYMENT RECORD:  Give the names of firms for whom you have worked, beginning with the most recent.  Fill in completely, as all former employers may be asked to verify your employment.

Dates From   To	Employer’s Name	Address & Phone No.	Nature of Position	Annual Salary	Reason for Leaving

 

PERSONAL REFERENCES:  Give the name of three (3) persons, who are not relatives and who have known you for at least two (2) years.

Name	Address & Phone Number	Official Position

IMPORTANT – PERSONAL AUTOBIOGRAPHY

Attach to this application a separate sheet of paper on which is a short personal autobiography containing any information you think will assist us in arriving at a true estimate of your qualifications for the position you seek.  Be sure to include your reason for seeking a position with this school system and why you left your last position.  The personal autobiography must be in your own handwriting.

 

Silver Consolidated Schools is an Equal Opportunity Employer.  Applications are considered without regard to race, gender, creed, age, national origin or disability.

 

Applications will remain active for 90 days from the date they are received and may be renewed for an additional 90 days by providing a written request to the personnel office.