APPLICATION FOR CLASSIFIED POSITIONS
I. POSITION DESIRED: ______Secretary ______Food Service
______Bus Driver ______Maintenance
______Day Care ______Teacher Associate
II. PERSONAL INFORMATION
______
Last Name First Name Middle initial Date
______
Street Address Home Phone
______
City, State, Zip Business Phone
Have you ever applied for employment with us?______Yes ______No
If yes: Month and Year______for what position ______
Are you legally eligible for employment in the United States? ___Yes ___No
When will you be available to begin work? ______
Other special training or skills (languages, machine operations, etc.) ______
______
III. TO BE COMPLETED BY SECRETARIES, CLERICAL AND TEACHER ASSOCIATES APPLICANTS ONLY
Typing Speed ______wpm
Office Machines (check the ones that you have experience or training with).
___ Electric Typewriter _____ Computer _____ Fax Machine
___ Postage Machine _____ MAC/Apple _____ Multi-line phone
___ Adding Machine _____ IBM/Word
Indicate experience with the following:
___ Basic Payroll Preparation ___ Cash Receipts
___ Manual Posting of Ledgers ___ Customer Service
___ Vouchering ___ First Aid
___ Tax Reports ___ Community Involvement
Please list the computer software that you are familiar with. ______
______
IV. TO BE COMPLETED BY CUSTODIAL AND MAINTENANCE APPLICANTS ONLY
If you have experience or training with any of the following indicate with a checkmark:
___ Bus Driving ___ Furnace Work ___ Motor Vehicle Repair
___ Carpenter Work ___ Grass Cutting ___ Painting
___ Cement Work ___ Ground Care ___ Plumbing
___ Cleaning ___ Machine Shop ___ Roofing
___ Electrical Work ___ Masonry Work Other ______
V. TO BE COMPLETED BY BUS DRIVER APPLICANTS ONLY:
Drivers License No. ______No. of Years Qualified ______
Chauffeurs License No. ______No. of Years Qualified ______
(con’t)
Has your motor vehicle license been revoked within the past 10 years? ______
Have you been convicted of violating either a State or Federal Law? ______
Experience Driving: Experience-Mechanical: Please indicate
Type of Vehicle No. of any training or experience on motors,
Years For Whom ignition, bodies, etc. If none so indicate.
1. 2-ton or over single ______
unit ______
2. Semi w/tractor ______
3. Bus ______
4. Other ______
VI. EMPLOYMENT RECORD
LIST PREVIOUS EMPLOYMENT AND EXPERIENCE:
Dates Name & Address of Employer Salary Duties Supervisor Reason
To – From for leaving
______
VII. EDUCATION Name & Location Yrs. Attended Date Graduated
High School ______
College/University ______
Other (Trade, Business
Correspondence School) ______
VIII. MILITARY RECORD
Branch ______Dates ______
Rank ______Duty ______
IX. REFERENCES
Name Address Occupation
______
______
______
X. I HEREBY CERTIFY, UNDER PENALTY OF IMMEDIATE DISMISSAL, THAT ALL OF
FOREGOING STATEMENTS ARE TRUE AND CORRECT. I AUTHORIZE THE DISTRICT TO CONSULT PREVIOUS AND PRESENT EMPLOYERS. THE DISTRICT IS ALSO AUTHORIZED TO DO A CRIMINAL RECORDS CHECK.
Applicant ______Date ______
DO NOT WRITE BELOW THIS LINE
XI. INTERVIEWED BY ______Date ______
XII.
Remarks: ______
______
______
Pekin Community Schools This application will remain
An Equal Opportunity Employer on file for 90 days.