Lenape Regional High School District



LENAPE REGIONAL HIGH SCHOOL DISTRICT

93 WILLOW GROVE ROAD SHAMONG, NJ 08088

APPLICATION FOR EMPLOYMENT

Applicant for (check one):

|Teacher | |Certificated Staff | |Clerical | |

|Street Address | |City | |State, Zip | |

|Email | |Home Phone | |Cell Phone | |

Educational Experience (start with most recent):

| |College / University / High School |Location |Degree |Major |# Credits |

|1. | | | | | |

|2. | | | | | |

|3. | | | | | |

|4. | | | | | |

|5. | | | | | |

Employment Experience (start with most recent):

|1. |Employer |Position |Dates |# Years |

| | | | |

| Address |Reason for Leaving |Supervisor |Salary |

| | | | |

|2. |Employer |Position |Dates |# Years |

| | | | |

| Address |Reason for Leaving |Supervisor |Salary |

| | | | |

|3. |Employer |Position |Dates |# Years |

| | | | |

| Address |Reason for Leaving |Supervisor |Salary |

| | | | |

|4. |Employer |Position |Dates |# Years |

| | | | |

| Address |Reason for Leaving |Supervisor |Salary |

| | | | |

LRHSD APPLICATION FOR EMPLOYMENT – PAGE 2

List all relatives who are presently employed by the Lenape Regional High School District:

| |Name |School |Relationship |

|1. | | | |

|2. | | | |

|3. | | | |

References: Please indicate individuals who have first-hand knowledge of your job performance or who can remark on your suitability for our job offering.

| |Name |Organization / Address |Phone |

|1. | | | |

|2. | | | |

|3. | | | |

Technology: List all courses taken in technology related areas, your specific technology related skills, and any related applications.

| |

Extra Curricular: List all activities which you have experience directing or coaching.

| | | |

| | | |

| | | |

Extra Curricular: List all activities which you would be willing to direct or coach.

| | | |

| | | |

| | | |

Indicate any additional information from your employment experience that would prepare you to adequately perform the job you are seeking:

| |

|The above information is to the best of my knowledge accurate and complete. I understand that any falsification of information provided will be grounds for |

|rejection of the application or termination of subsequent employment. |

|Signature: | |

|Date: | |

LENAPE REGIONAL HIGH SCHOOL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER

Application may be emailed as an attachment to resumes@

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