• Personal Information:

  • SERRC Employment Application

  • Format: (000) 000-0000.
  • Date You Can Start
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  • Education/Skills/Qualifications:

  • HS Graduation Status:

  • Current Employment:

  • Dates Employed: Pick a Date toPick a Date

  • Rate
  • May We Contact?

  • Previous Employment:

    List most recent employment first

  • Previous Dates Employed: Pick a Date toPick a Date

  • Rate
  • May We Contact?

  • Previous Dates Employed #2Pick a Date  to   Pick a Date  

  • Rate
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  • List 3 Professional References:

    Including your most recent/current Supervisor
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Cover Letter & Resume (Optional):

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  • Upload a File
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  • Disclosures:

  • Are you authorized to work in the US?*
  • Will you now or in the future require sponsorship for employment visa status?*
  • Are you currently under contract with a district?*
  • Have you ever had any indicated finding of child abuse filed in your name?*
  • Does your name appear on any Sex Offender Database in any state or country?*
  • Have you ever failed to be rehired, been terminated, been asked to resign, or resigned to avoid termination?*
  • Have you ever been arrested, charged or convicted of a criminal offense other than a minor traffic violation?*

  • Send Application:

  • By clicking the submit button below candidate authorizes the employer to conduct an investigation of candidate pursuant to The School Code to determine whether candidate has been convicted of any criminal or drug offenses as outlined in such statute, and, upon request, agrees to execute an investigation authorization form as a condition for candidate’s employment. The School Code also stipulates that the School District perform a check on the Statewide Sex Offender Database. Candidate may not be employed unless such investigations have been initiated.

    I certify that the information given by me in this application is true in all respects, and I agree that if the information provided is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in the application to verify my statement, and I authorize past employers, all references and any other person to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.

    I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.  

  • Date
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  • Time
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