Riverview School District Application For Employment (Page 3 of 3) in pdf

Riverview School District Application For Employment Page 3

[Type text]

2. What role does this position have in supporting Riverview School District children and customizing

education?

______

WORK REFERENCES:

(List two references that are able to evaluate your ability in terms of the position for which

you are applying)

Name

Address

Phone

Company/

Organization

Validity and Release Statement

I hereby certify that the answers and statements given or made are true and correct. I hereby authorize my previous

employers, or references, to furnish any information concerning my personal character, habits, or employment record. You

may investigate through credit and other investigating agencies. I hereby release all such persons from liability as a result of

inquiry and furnishing this information.

Upon receipt of this application and the requested accompanying data, all information compiled on an applicant shall become

the sole and exclusive property of Riverview School District.

No questions contained in this application blank are designed to secure racial, religious or other discriminating information.

Applicants who believe that a question requires an answer of a racial, religious or other discriminating nature may choose not

to answer the specific question.

Signature

Date

Riverview School District is an equal opportunity educational institution and will not discriminate on the basis of race,

color, national origin, sex, handicap or age in its activities, programs or employment practices in accordance with federal and

state statutes and regulations.

Riverview School District Application For Employment Page 3