Date of Application

Check this box if you are sending a separate resume via email per # 3 above.  (resume is optional)

Personal Data

Last Name   First Name   Middle Name  

Previous Name    US Citizenship Yes  No   

Address:

Phone Number           Email Address 

For what position are you applying?

Education List high school, technical training, and college work completed.  Include location, dates, grade point average, date of graduation, and degree earned. If you have not yet graduated, list degree and date anticipated. 

Other Employment Experience List dates, employer, address, position, full time or part time job. 

References List name, address, and phone number of references.  List 3 references.

May we contact the listed references? Yes  No

Military Service Record List dates, branch of service, length of service.

Statement 
In the space below state why  you are applying for this position and any information which you believe will assist in arriving at a true estimate of your qualifications. 

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interviews may result in discharge. I also understand that I am required to abide by all policies, rules and regulations of the Board of Education and administration. 

Further, I authorize a complete criminal background check and I will allow my record (if any) to be disclosed to the Fort Recovery Local Board of Education.

I hereby attest that I am not prevented from lawfully becoming employed in this country because of Visa or Immigration status. (Proof of citizenship or immigration status will be required upon employment.)

I agree to the terms stated above.  Yes   No

Please note: No acknowledgement of this application will be forthcoming. Unless reactivated by written request this application will be destroyed two years from date of filing. 

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THIS SCHOOL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER. THANK YOU FOR YOUR TIME AND INTEREST IN MAKING APPLICATION TO THE FORT RECOVERY LOCAL BOARD OF EDUCATION.