Telephone Numbers and Email
Colleges, Universities, or Other Education
Second Colleges, Universities, or Other Education
Most Recent Work Experience
Second Most Recent Work Experience
Third Most Recent Work Experience
Fourth Most Recent Work Experience
Additional Pertinent Information
In the box below please add any additional information you would like us to know.: Achievements & Skills Summary *
Have you been convicted, or are charges currently filed against you, for a felony or crime involving a sex offense? *
Have you ever been arrested for, or charged with or convicted of a felony or misdemeanor? (Exclude traffic offenses for which you were not sentenced to jail or for which the fine was less than $100.00) *
Have you ever pleaded guilty or no contest to a felony or misdemeanor? (Exclude traffic offenses for which you were not sentenced to jail or for which the fine was less than $100.00) *
Has the Missouri Division of Family Services or any agency in any other state or jurisdiction, ever issued a determination or finding of cause or reason to believe or suspect that you have engaged in physical, emotional, psychological or sexual abuse? *
Have you ever failed to be re-employed by an educational institution? *
If the answer to any of the foregoing questions is "yes" please explain below
READ CAREFULLY BEFORE SUBMITTING
1. I hereby authorize my current and former employers and references to furnish any information about me and about my work experience. I release my current and former employers and references from any and all liabilities or damages of any nature as a result of providing such information. My current and former employers and references may rely on a signed copy of this release.
2. I understand and consent to having criminal and arrest records checks as well as background checks by the Missouri Department of Health and Senior Services as a condition for consideration of my application for employment.
3. I certify that the answers given in this application are true and complete to the very best of my knowledge. In the event I am employed by the District and in the further event that I have provided false or misleading information in this application or in subsequent employment interviews, I understand that my employment may be terminated at any time after discovery of the false or misleading information.
4. I understand that this application will be considered active through the upcoming school year. I understand that if I wish my candidacy to remain open after that date I must submit another application.
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