CLASSIFIED EMPLOYMENT APPLICATION - Amazon Web Services



22860-61849000Classified Employment ApplicationThe Alaska Gateway School District is an Equal Opportunity EmployerPosition being applied for: FORMTEXT ?????Name: FORMTEXT ?????Social Security Number: FORMTEXT ??? FORMTEXT ?? FORMTEXT ???Address: FORMTEXT ?????Contact Number:( FORMTEXT ??? ) FORMTEXT ??? - FORMTEXT ???? FORMTEXT ?????Work Number: ( FORMTEXT ??? ) FORMTEXT ??? - FORMTEXT ???? FORMTEXT ?????Are you at least 18 years old?Yes FORMCHECKBOX No FORMCHECKBOX Have you been convicted of or pleaded no contest to a misdemeanor in the past ten years? Yes FORMCHECKBOX ??No FORMCHECKBOX Have you been convicted of or pleaded no contest to a felony of any kind? Yes FORMCHECKBOX ??No FORMCHECKBOX If “Yes” please explain FORMTEXT ?????Are you able to perform the job duties of the position you are applying for? Yes FORMCHECKBOX ??No FORMCHECKBOX Do you have a valid Alaska Driver’s License? Yes FORMCHECKBOX ?No FORMCHECKBOX License Number: If hired, when could you report for work? FORMTEXT ?????Education and Experience Circle highest year of high school completed:9101112Other FORMTEXT ?????Name and address of last high school attended: FORMTEXT ?????High School Graduate? FORMTEXT ????? Yes FORMCHECKBOX ?No FORMCHECKBOX FORMTEXT ?????High School Equivalency (GED)? FORMTEXT ????? Yes FORMCHECKBOX ?No FORMCHECKBOX List any courses or trainings completed that relate to the position you are applying for: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????If typing or keyboarding is required how many words per minute do you type?Education or Training after High SchoolName and LocationNumber of hours (qtr/sem)Continuing Education UnitsDegree or CertificateYearMajor/Hours FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????List equipment you are able to operate:List computer software you are able to use: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Employment History- List all employment within the past five years. Give earlier employment history if pertinent to the job you are applying for. Start with last or present position and work backwards. If needed, use additional pages.? Employing Firm FORMTEXT ?????From: FORMTEXT ?????To: FORMTEXT ?????Firm Address: FORMTEXT ?????Hours Per Week: FORMTEXT ????? FORMTEXT ?????Starting Salary: $ FORMTEXT ?????per FORMTEXT ?????Job Duties FORMTEXT ?????Final Salary: $ FORMTEXT ?????per FORMTEXT ????? FORMTEXT ?????No. of employees supervised FORMTEXT ????? FORMTEXT ?????Name of Supervisor: FORMTEXT ????? FORMTEXT ?????Reason for leaving: FORMTEXT ?????? Employing Firm FORMTEXT ?????From: FORMTEXT ?????To: FORMTEXT ?????Firm Address: FORMTEXT ?????Hours Per Week: FORMTEXT ????? FORMTEXT ?????Starting Salary: $ FORMTEXT ?????per FORMTEXT ?????Job Duties FORMTEXT ?????Final Salary: $ FORMTEXT ?????per FORMTEXT ????? FORMTEXT ?????No. of employees supervised FORMTEXT ????? FORMTEXT ?????Name of Supervisor: FORMTEXT ????? FORMTEXT ?????Reason for leaving: FORMTEXT ?????? Employing Firm FORMTEXT ?????From: FORMTEXT ?????To: FORMTEXT ?????Firm Address: FORMTEXT ?????Hours Per Week: FORMTEXT ????? FORMTEXT ?????Starting Salary: $ FORMTEXT ?????per FORMTEXT ?????Job Duties FORMTEXT ?????Final Salary: $ FORMTEXT ?????per FORMTEXT ????? FORMTEXT ?????No. of employees supervised FORMTEXT ????? FORMTEXT ?????Name of Supervisor: FORMTEXT ????? FORMTEXT ?????Reason for leaving: FORMTEXT ?????? Employing Firm FORMTEXT ?????From: FORMTEXT ?????To: FORMTEXT ?????Firm Address: FORMTEXT ?????Hours Per Week: FORMTEXT ????? FORMTEXT ?????Starting Salary: $ FORMTEXT ?????per FORMTEXT ?????Job Duties FORMTEXT ?????Final Salary: $ FORMTEXT ?????per FORMTEXT ????? FORMTEXT ?????No. of employees supervised FORMTEXT ????? FORMTEXT ?????Name of Supervisor: FORMTEXT ????? FORMTEXT ?????Reason for leaving: FORMTEXT ?????? Employing Firm FORMTEXT ?????From: FORMTEXT ?????To: FORMTEXT ?????Firm Address: FORMTEXT ?????Hours Per Week: FORMTEXT ????? FORMTEXT ?????Starting Salary: $ FORMTEXT ?????per FORMTEXT ?????Job Duties FORMTEXT ?????Final Salary: $ FORMTEXT ?????per FORMTEXT ????? FORMTEXT ?????No. of employees supervised FORMTEXT ????? FORMTEXT ?????Name of Supervisor: FORMTEXT ????? FORMTEXT ?????Reason for leaving: FORMTEXT ?????References - Below, give the names of three employment references to whom you are not related.NameAddressBusinessYears Acquainted1 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Certificate of Applicant - I hereby certify that all information made on or in connection with this application is true and complete to the best of my knowledge and belief, and that I have not knowingly withheld any fact or circumstance. I understand that any misrepresentation or concealment of material fact will be sufficient ground for rejection of this application or removal from employment. I authorize my present and previous employers to release to the Alaska Gateway School District any information they may have regarding my character or my employment record and release said employers from any damage or claim for furnishing said information. I hereby agree to submit to such physical and/or mental examination as may be required.Signature: FORMTEXT ?????Date: FORMTEXT ?????Equal Opportunity Employment - The following questions are made for statistical purposes in administering a fair employment program. This information will be filed numerically and no discriminatory actions based on the information provided will be taken by this agency.I am: (check those boxes that apply) FORMCHECKBOX ?Male FORMCHECKBOX Female FORMCHECKBOX ?Alaska Native FORMCHECKBOX ?American Indian FORMCHECKBOX ?Asian FORMCHECKBOX ?Black FORMCHECKBOX ?Eskimo FORMCHECKBOX ?Spanish FORMCHECKBOX ?White FORMCHECKBOX ?Other I was born in the United States: Yes FORMCHECKBOX ??No FORMCHECKBOX I am a United States citizen: Yes FORMCHECKBOX ??No FORMCHECKBOX If “No”, I am authorized to work in the United States: Yes FORMCHECKBOX ??No FORMCHECKBOX A# I am a Veteran: Yes FORMCHECKBOX ??No FORMCHECKBOX If “Yes,” list branch of service and type of discharge:Dates of Alaskan Residency: From to If hired, I authorize the Alaska State Troopers to release my criminal record to the Alaska Gateway School District: Applicant’s SignatureDatePrinted Name Of NotaryState Of My Commission Expires: ................
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