Application For Employment Form

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APPLICATION FOR EMPLOYMENT
Please print or type all information except signature.
Non-Discrimination Policy: Pymatuning Valley School District is committed to the principle of equal opportunity in education and
employment. The District does not discriminate on the basis of sex, race, color, creed, national origin, age, religion, sexual orientation, gender
identity, gender expression, veteran status, or disability in admission to, access to, treatment in, or employment in its programs and activities.
GENERAL INFORMATION
Date
Position(s) Applied For
________________________________________
Referral Source
Newspaper
Friend
Relative
Employment Agency
Walk-in
Other____________________
Name
Last
First
Middle
Address
Number
Street
City
State
Zip
Home Telephone (
)
Cell Phone (
)
E-mail address
Have you ever filed an application here before?
Yes
No
If yes, give date
Have you ever been employed here before?
Yes
No
If yes, give date
Are you currently employed?
Yes
No
If yes, may we contact your employer?
Yes
No
Are you a United States citizen?
Yes
No
If no, do you have a valid work permit?
Yes
No
(Proof of citizenship or immigration status may be required upon employment)
Employment desired:
Full-Time
Part-Time
Temporary
Substitute
When are you available for work?
Do you have any relatives/friends employed by PV Schools? If so, who?
EDUCATION
LOCATION
NUMBER OF YEARS
MAJOR &
TYPE OF SCHOOL
NAME OF SCHOOL
(Complete mailing address)
COMPLETED
DEGREE
High School
College
Other
COMPUTER SKILLS (Only for positions which require computer skills)
Check off those computer skills with which you are proficient (any version).
PC User
Macintosh User
Windows
Microsoft Word
Microsoft Access
Microsoft Excel
Microsoft Publisher
Web Page Design/
E-mail
Internet
Maintenance
Other. Please list
OTHER SPECIAL SKILLS
Please list other special skills you may have, e.g., fluency in other languages, licenses, special training required for the position for
which you are applying, etc.
12/2014

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