The School District considers applicants for all positions without regard to race, color, religion, sex, national origin or disability. If you have a disability or handicap which may require accommodation for you to participate in our application process (including filling out this form, interviewing or any other pre-employment procedure or requirement), please make us aware of any accommodation you feel is necessary. If you have any inquiries, complaints or concerns about any pre-employment procedure or requirement, including completing this application, or about the District policy of non-discrimination, you may contact _________________________ at _______________________.

All applicants are expected to answer all questions on this application. Answer "none" or "not applicable" where necessary.

Date (required)

Email (required)

First Name (required)

Middle Name

Last Name (required)

Other names that may appear on your transcripts or records

Social Security Number (required)

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