Applications must
be printed, completed by hand,
and returned to the Central Office
at 2810 N. Swan Street
Silver City, New Mexico 88061
SILVER CONSOLIDATED
SCHOOL DISTRICT #1
2810 North Swan Street
(575) 956-2000
(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
PREPARTION
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List schools you attended High Schools & Colleges |
Address |
When? Give
Dates |
How
long? Months Year |
Did you graduate? Give
degree |
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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
___Word
Processor ___Shorthand
wpm___ ___Payroll
___Calculator ___Data Management ___Other
___Dictaphone/Transcriber
All
clerical 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.
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Dates From To |
Employer’s
Name |
Address
& Phone
No. |
Nature
of Position |
Annual
Salary |
Reason
for Leaving |
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PERSONAL REFERENCES: Give the name of three (3) persons, who are
not relatives and who have known you for at least two (2) years.
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Name |
Address
& Phone Number |
Official
Position |
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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 handicaps.
Applicants 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 personal office.
I
certify that answers given herein are true and complete to the best of my
knowledge. I understand any false
statements or misrepresentation of facts are grounds for dismissal.
If
understand and agree that any offer of employment that I may receive from the
Silver Consolidated School District is conditioned upon the District’s receipt
of information pursuant to a criminal background check of myself.
I hereby authorize the
Silver Consolidated School District to investigate my work history and
education history, and to conduct personal reference inquiries. Any person or entity providing information is
released from any and all claims or liability for compliance.
I further authorize the
Silver Consolidated School District to release to any potential employer and
all relevant information concerning my job history.
______________________________________________ _________________________
Signature of Applicant Date