USD 308 Hutchinson Public Schools


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CLASSIFIED POSITION APPLICATION (you must use Internet Explorer 6.0 or higher)

First Name:

Last Name:

Middle Name:

Permanent Address:

City:

State:

Zip:

Phone:

Temporary Address:

City:

State:

Zip:

Phone:

SSN:

Email Address:

Have you ever been convicted for a misdemeanor or felony other than a minor traffic violation? Yes No

All employees hired by USD 308 will undergo a background check. Any applicant who does not answer honestly the above question will not be employed by Hutchinson Public Schools. If either question is marked yes, a confidential letter of explanation must be submitted to the Human Resources Director or Superintendent before consideration for employment will be made.

INDICATE POSITION AND LEVEL FOR WHICH APPLICATION IS BEING SUBMITTED

Para Educator (requires 48 college hours) Your Total College Hours
Emotionally Disturbed Mentally Retarded Learning Disabled Gifted

Severely Multiply Handicapped Hearing Impaired Speech Language Impaired Other

Head Start

Specific Position(s)

HHS Day Care

Specific Position(s)

Educational Aide

Specific Position(s)

Food Service

Specific Position(s)

Maintenance

Specific Position(s)

Secretarial/Clerical

Specific Position(s)

Custodial

Specific Position(s)

Medical Aide

Specific Position(s)

Parent-as-Teacher

Specific Position(s)

Other

Specific Position(s)

Full-Time Part-Time Substitute

Have you ever been employed by the Hutchinson Public Schools? Yes No

If yes, please list the dates (month/year)

Check below any additional skills or qualifications, which you would bring to the job if hired:

Child Care	Contacting Public	CAL Certification	CDL Certification
Handling Money	First Aid/CPR	Accounting	Food Handling
Quality Cooking	Piano	CNA or CMA	Bookkeeping
Filing	P.C. Skills	Spreadsheets	10 Key Skills
Word Processing	Data Entry	wpm
Fluent 2nd Language
Other language

Education and Other Specialized Training:
Please include the name of the High School/College/Business or Trade School, the city, state and zip of the school as well as the degree/diploma received.


Employment Experience: (List your last four employers and position, starting with the most recent including military experience)
Employing Agency
City, State
Position
Number of Years in Position

Employing Agency
City, State
Position
Number of Years in Position


Employing Agency
City, State
Position
Number of Years in Position



Employing Agency
City, State
Position
Number of Years in Position

Reason for leaving present or last position

References:

REFERENCE #1

Name
Relationship

Address, City, State, Zip
Phone

REFERENCE #2

Name
Relationship

Address, City, State, Zip

Phone

REFERENCE#3

Name
Relationship

Address, City, State, Zip

Phone

REFERENCE#4

Name
Relationship

Address, City, State, Zip Phone

I hereby authorize the District to conduct work history, personal reference check and/or police record inquiries to determine my acceptability for employment. I further affirm that all information given in this application is true and complete. If the district receives information to the contrary, I understand I will be terminated from my position.

I acknowledge the above statement Date:

A personal interview is required. We will inform you of procedures. All communication should be directed to the Human Resources Department, 1520 N. Plum, Hutchinson, KS 67501.

If you are employed by Hutchinson Public Schools, part of your employment processing will be to have a criminal background check and pass a medical examination. In addition, you will need to furnish the following: social security card, driver's license or other form of picture identification.

Any misstatements or omissions of material facts in this application may be cause for dismissal if hired by the Hutchinson Public Schools.

This application will remain active for one year. Please notify us of any changes on the application throughout the year.

USD 308 does not discriminate on the basis of race, religion, color, national origin, sex, age, or disability in employment or in access to or the use of its programs and activities. The following person has been designated to handle inquiries regarding nondiscrimination policies: Superintendent of Schools, Hutchinson Public Schools, 1520 N. Plum, Hutchinson, Kansas 67501, 620.665.4408.

USD 308 is a member of the North Central Commission on
Accreditation and School Improvement, Koalaty Kids and Quality Keys