Employment Application for Service and Support Personnel
PERSONAL DATA
 * Required Fields
Attach Resume:  (optional)
Name (Last, First, Middle): *  ,    
Current Address: *
Current City, State, Zip: *  ,    

- Other address where you may be reached -
Other Address:
Other City, State, Zip:  ,    
Home Phone: *
Work Phone:
Cell Phone:
Email:
Name used on records if different from present name:
Name (Last, First, Middle):  ,    

If hired, can you show verification of your legal right to work in the United States of America?  *

Will you require sponsorship to work in the United States? *
POSITION DATA
Please select all for which you wish to apply: *
Type of Employment: *
Date you can begin work: *    MM/DD/YYYY
Have you ever been employed by this school district? *
If yes, give dates of employment:
EDUCATION/TRAINING
Check highest educational level attained: *
Not high school graduate (select last grade completed)
Other training or education  
Licenses/certificates held    
Schools Attended: List all applicable information:
Name of School and Location:
Course of Study- Major/Minor Fields:
Diploma/Degree:
Year Graduated (College only):  MM/YY
Name of School and Location:
Course of Study- Major/Minor Fields:
Diploma/Degree:
Year Graduated (College only):  MM/YY
Name of School and Location:
Course of Study- Major/Minor Fields:
Diploma/Degree:
Year Graduated (College only):  MM/YY
Name of School and Location:
Course of Study- Major/Minor Fields:
Diploma/Degree:
Year Graduated (College only):  MM/YY
WORK EXPERIENCE
Please provide a complete listing of all jobs or positions you have held in the past 10 years. List most recent first.
School District/Firm Name:
Position/Title:
Dates Employed:
Reason for Leaving:
School District/Firm Name:
Position/Title:
Dates Employed:
Reason for Leaving:
School District/Firm Name:
Position/Title:
Dates Employed:
Reason for Leaving:
School District/Firm Name:
Position/Title:
Dates Employed:
Reason for Leaving:
List specific skills and any machines or equipment you can operate. Including typing speed and number of years of experience.
GENERAL INFORMATION

Do you have a relative who serves on the Board of Education or is an employee of Jacksonville ISD? *
If yes, please give the name of relative and relationship:

Have you been convicted of, pled guilty or no contest(nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or any offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)? *
If yes, please state where, when and the nature of the offense: indicate the outcome of proceedings:

(A felony conviction is not an automatic bar to employment. The district will consider the nature, date, and relationship between the offense and the position for which you are applying.)
REFERENCES
Please list references the district can contact regarding your work history. Include all managers and supervisors who evaluated or supervised your performance at your last two employers.
Full Name:
School District/Firm Name:
Position/Title:
Mailing Address:
Phone:
Full Name:
School District/Firm Name:
Position/Title:
Mailing Address:
Phone:
Full Name:
School District/Firm Name:
Position/Title:
Mailing Address:
Phone:
Full Name:
School District/Firm Name:
Position/Title:
Mailing Address:
Phone:
PERSONAL STATEMENT
In this space, please share your reasons for desiring a position with Jacksonville ISD:
Please review and check where indicated

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment. I authorize the references listed on the application to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I waive my right of access to any such information and, without limitation, I hereby release the Jacksonville Independent School District and references from liability for any damage that may result from their furnishing the information to you. This application becomes the property of the school district. The district reserves the right to accept or reject it. This application shall be considered active for a period of one year. Any applicant who wishes to be considered for employment beyond this time period must submit a new application. I understand that the district is authorized by Texas Education Code 22.083 to obtain criminal history on the applicants the district intends to employ.


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