WATERTOWN SCHOOL DISTRICT 14-4

CLASSIFIED APPLICATION FORM

It is the policy of the Watertown School District 14-4 not to discriminate on the basis of sex, race, color, national origin, creed, religion, marital status, status with the respect to public assistance, age, or disability, in its educational programs, activities or employment policies as required by federal and state laws and regulations.

Please fill in all of your information below.  

Date of application:    

Last name:      First name:        Middle name:
Street address:   City:   County:    State:         Zip: 
Telephone number:   Social security number:   U.S. Citizen? 
In case of emergency, who should be notified? 
Name:   Address:   Phone:
Are you under the age of 18?     Yes   No   Email Address
Males born after Dec. 31, 1959, are required to register for Selective Service.  Are you registered?   Yes   No
If you are registered, please provide your Selective Service Number: 
Position that you are applying for:  
Can you work during the time as stated in the school calendar?           
Rate of salary expected:   Date available for employment:           
Have you previously been employed by us? Yes   No     If so, when?

Education and Training

What was your last year completed?   
List schooling beginning with most recent (college, high school, vocational school, etc.):
Name and address of school:  
Attended from    to   Diploma or degree 
Major or course  Minor(s) Graduate?  
Name and address of school:
Attended from to   Diploma or degree
Major or course   Minor(s) Graduate?
List names and addresses of three personal references:
 
 

What skills, experience, education or qualities do you feel specifically qualify you for the position you are seeking?
 
Are you interested in full time or part time?   Full     Part
Are you willing to have your present or most recent employer contacted?  
Begin with your present or last work and complete fully, especially description of duties, responsibilities and number you supervised.  Include volunteer work.
Employed from to      Total years months hours per week
Position held        Starting salary   Last salary
Reason for leaving   Name of employer
Street    City    State    Zip
Immediate Supervisor   Title
Description of duties
 
Employed from to      Total years months hours per week
Position held        Starting salary   Last salary
Reason for leaving   Name of employer
Street    City    State    Zip
Immediate Supervisor   Title
Description of duties
 
Please give any other information that you think may prove helpful.


***Please fill in all information as completely as possible before pressing the submit button.
Once submit is pressed and the confirmation page appears, your information will be sent to the Watertown School District.
If the confirmation page does not appear, please notify the Watertown School District as soon as possible!