Augusta School District Employment Application

Augusta School District Employment Application
Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position Applying for: *
(i.e. custodian, bus driver, support staff, substitute teaching)
Please attach cover letter

Cancelof
Please attach resume

Cancelof
Any Additional Supporting Documents

Cancelof
Work Experience

List your last 3 employers if not attaching a resume with this information.
References

Please list three (3) references if not attaching resume with this information.

Have you ever been employed by the Augusta School District?*

YesNo
If yes, state the position and when you were employed by the District
Have you ever been convicted of a crime?*

YesNo
If yes, give a brief description. Conviction of a crime or arrest is not an automatic bar to employment. The District will consider the nature of the offense, the date of the offense, and the relationship between the offense and the position for which you are applying.
I certify that the answers given by me in this application are true and correct without omission of any kind. I agree that the district shall not be held liable in any respect if my employment is terminated because of false statements, answers or omissions made by me in the application. I authorize the school district to make any investigation of my personal or employment history and authorize any former employer, person, firm, corporation or governmental agency to disclose to the school district any information they may have regarding me. In consideration of the school district’s review of this application, I hereby release the district as well as all providers of information from any liability and for any damage that may result from the furnishing and receiving of this information. A copy of this authorization and release is as valid as the original and should be recognized as such.
Signature*

Clear
Date*

MonthDayYear
Date
The Augusta School District is an equal opportunity employer. The District does not discriminate on the basis of sex, race, color, religion, creed, age, national origin, ancestry, pregnancy, marital status or parental status, sexual orientation, disability or other factors provided for by state and federal laws.
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