SCHOOL BUS DRIVER APPLICATION
|
|
- Mercy Terry
- 5 years ago
- Views:
Transcription
1 SCHOOL BUS DRIVER APPLICATION SCHOOL CITY OF HOBART SERVICE CENTER 200 SOUTH HOBART ROAD HOBART, INDIANA Social Security # Contact Phone # Name (Last) (First) (Middle) Permanent Address (Street) (City, State) (Zip) Driver s License # (State) (Exp. Date) Commercial Driver s License # (State) (Exp. Date) Commercial Driver s License Class Air Brake: Yes No Passenger: Yes No Years of driving experience: Auto School Bus Other (explain) Has your driver s license ever been suspended or revoked: Yes No If Yes, (explain) Do you own your own car? Name of auto insurance company In case of emergency, whom shall we notify? Name Relationship Phone Address
2 PRESENT AND PAST EMPLOYMENT RECORD List below a complete employment history beginning with your most recent:
3 DRIVER-APPLICANT AUTHORIZATION TO RELEASE DRUG AND ALCOHOL TEST INFORMATION In conformity with sections , and of Title 49 of the Code of Federal Regulations, I hereby authorize the carriers listed below to furnish the School City of Hobart the following information concerning drug and alcohol tests, including pre-employment tests, the carriers conducted during the post two years: (i) the dates on which I tested positive for drugs, and the drug(s) involved; (ii) the dates on which I tested 0.02 or greater for alcohol and the test result levels; (iii) the dates on which I refused to be tested for drugs and/or alcohol. I fully understand that the information I authorize the School City of Hobart to receive involves tests which were required by the Department of Transportation (DOT), and may also include information concerning tests which DOT did not require but with the carriers listed below may have voluntarily conducted under their own authority unless I instruct the carriers in writing not to release information concerning non-dot tests. If any carrier listed below furnishes information concerning items (I,II) or (III), I also authorize that carrier to releases and furnish: (iv) the dates of my negative drug tests and/or alcohol tests and/or tests with results below 0.02 during the two-year period; and (v) the name and phone number of any substance abuse professional who evaluated me during the past two years. (Please print clearly) Termination Date Name of Company City and State Phone Number (Attach additional form if needed) By signing below, I certify that I have read the fully understand this release, that prior to signing I was given an opportunity to ask questions and to have those questions answered to my satisfaction, and that I executed this release voluntarily and with knowledge that the information being release could affect my being hired. I further certify that all of the information which have furnished on this form is true and complete, and that I have listed every company that I worked for as a driver during the past two years and every company that I took a pre-employment drug and/or alcohol test for during the past two years. The School City of Hobart is an Equal Opportunity Employer. The School City of Hobart ensures equal employment opportunities regardless of race, creed, sex, color, national origin, religion, age, sexual orientation or disability. The School City of Hobart has a policy of active recruitment of qualified minority teachers and non-certified employees. Any individual needing assistance in making application for any opening should contact the Department of Human Resources. Print Name: Social Security # (Applicant name) Signed: Date: (Applicant signature required) App Bus.doc 5/20/2010
4 SCHOOL CITY OF HOBART 32 EAST 7TH STREET HOBART, IN Dear Applicant: In order to be considered for employment in the School City of Hobart, you must fully complete the following questionnaire and sign it. Dr. Peggy Buffington Superintendent 1. Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer or have you offered a resignation to your previous employer? If yes, explain the circumstances on a separate sheet and attach to this application. 2. Have you ever been reprimanded, disciplined, discharged, or asked to resign from a prior position? If yes, explain the circumstances on a separate sheet and attach it to this application. 3. Have you ever resigned from a prior position without being asked, but under circumstances involving your employer's investigation of sexual contact with another person, of mishandling of funds, or of criminal conduct? If yes, explain the circumstances on a separate sheet and attach it to this application. 4. Have you ever been charged with or investigated for sexual abuse of another person? 5. Have you ever been charged with, pleaded guilty or "no contest" (nolo contendere) to, or been convicted of any crime involving sexual abuse of any person or any other crime of moral turpitude? (Moral turpitude is an act of baseness, vileness or depravity in the private and social duties which a person owes another member of society or society in general and which is contrary to the accepted rule of right and duty between persons, including but not limited to theft, attempted theft, murder, rape, swindling and indecency with a minor.) 6. Have you (a) ever been convicted of a crime, other than a minor traffic offense; or (b) ever entered a plea of guilty or a plea of "no contest" (nolo contendere), or (c) has any court ever deferred further proceedings without entering a finding of guilty and placed you on probation, for any crime other than a minor traffic offense? If you have answered yes to any one of the previous three questions, please explain in detail on a separate sheet and attach it to this application; include the date of the charge, the court action, the offense in question, and the address of the court involved.
5 Conviction of a crime is not an automatic bar to employment. The School City will consider the nature of the offense, the date of the offense, and the relationship between the offense and the position for which you are applying. Any false or misleading information shall be fully sufficient grounds to refuse to employ or, having been employed, shall be immediate cause for dismissal. My signature below constitutes authorization for the School City of Hobart to check my employment history, including without limitation, evaluations; checks on attendance, character, attitude, and dependability; reference checks; and release of investigatory information, including a limited criminal history, possessed by any private or public employer or any state, local or federal agency. I further authorize those persons, agencies or entities that the School City of Hobart contacts in connection with my employment application to fully provide the School City of Hobart any information on the matters set forth above and I will cooperate to the extent necessary to obtain the release of this information. I expressly waive in connection with any request for or provision of such information, any claims, including without limitation, defamation, emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against the School City of Hobart, its officials, employees, trustees or agents, or against any provider of such information. The School City of Hobart is an Equal Opportunity Employer. The School City of Hobart ensures equal employment opportunities regardless of race, creed, sex, color, national origin, religion, age, sexual orientation or disability. The School City of Hobart has a policy of active recruitment of qualified minority teachers and non-certified employees. Any individual needing assistance in making application for any opening should contact the Department of Human Resources. I HAVE READ THIS AUTHORIZATION AND RELEASE OF ALL CLAIMS, AND I EXPRESSLY AGREE TO THE TERMS SET OUT HEREIN. Date Applicant's Signature Applicant's Name Printed/Typed BKGRDINF 5/19/2010
Application for MSD Shakamak Superintendent of Schools Home of the Lakers
1 Application for MSD Shakamak Superintendent of Schools Home of the Lakers The following items must be received by February 28, 2018. Letter of Intent Current Resume Completed Application Form Copy of
More informationNON-TEACHING APPLICATION
WA-NEE COMMUNITY SCHOOLS 1300 North Main Street Nappanee, IN 46550-1015 For Office Use Only Interview (date & time) Reference Check Expanded Criminal Background Check Drug Test Sexual Offender Check CPS
More informationAddress: Street City State Zip
LUNENBURG COUNTY PUBLIC SCHOOLS P.O. Box 710 Kenbridge, VA 23944 APPLICATION FOR PROFESSIONAL EMPLOYMENT PERSONAL INFORMATION Date of Application: Date of Availability: Name: Last First Middle Social Sec.
More informationScott Ellis CLERK OF THE CIRCUIT AND COUNTY COURTS BREVARD COUNTY, FLORIDA
Scott Ellis CLERK OF THE CIRCUIT AND COUNTY COURTS BREVARD COUNTY, FLORIDA APPLICATION TO UPDATE EMPLOYMENT STATUS AND/OR APPLICATION FOR EMPLOYMENT We are an equal opportunity employer dedicated to non-discrimination
More informationEMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF
EMPLOYMENT PROCEDURES FOR SUBSTITUTE TEACHING STAFF PHASE I 1. Secure application form in person, mail, telephone, or website (www.pittsville.k12.wi.us). 2. Return the completed application form with a
More informationEMPLOYMENT PROCEDURES FOR PARAPROFESSIONAL STAFF
EMPLOYMENT PROCEDURES FOR PARAPROFESSIONAL STAFF PHASE I 1. Secure application form in person, mail, telephone, or website (www.pittsville.k12.wi.us). 2. Return the completed application form with a copy
More informationVolunteer Application
Volunteer Application Applicant Information First Name: Middle Initial: Last Name: Address: City: State: Zip: Home Phone: Cell Phone: Email: Occupation: Special Skills: Volunteer Preferences Have you previously
More informationCarlisle Police Department Employment Application
Employment Application POLICE OFFICER APPLICATION Carlisle Police Department 195 N. First Street Carlisle, IA 50047 (515)-989-4121 CARLISLE POLICE DEPARTMENT Instruction for Applicants **Please do Not
More informationGilmer Independent School District 500 So. Trinity Gilmer, Texas Phone: (903) FAX: (903)
Gilmer Independent School District 500 So. Trinity Gilmer, Texas 75644 Phone: (903) 841-7400 FAX: (903) 843-5279 Employment Application for Professional Personnel POSITION (S) FOR WHICH YOU ARE APPLYING:
More informationMissouri Sheriffs Association Training Academy APPLICATION
Location of Training Missouri Sheriffs Association Training Academy APPLICATION [ Please print all requested information legibly in black ink ] Date Social Security Number Age Date of Birth A. NAME Last
More informationREINSTATEMENT APPLICATION PACKET:
REINSTATEMENT APPLICATION PACKET: According to the SC Code of Laws, Chapter 63, Section 40-63-250(E), expired licenses can be reinstated only with successful completion of a Reinstatement Application Packet
More informationPresent Address Telephone ( ) Street City State Zip. Permanent Address Telephone ( ) Social Security Number / / address
Application for Classified Personnel Minden Public Schools An Equal Opportunity/Affirmative Action Employer 543 West Third Phone: (308) 832-2440 Minden, NE 68959 Fax: (308) 832-2567 Please type or print
More informationPERSONNEL SERVICES Form 4120 APPLICATION FOR A CERTIFICATED POSITION
PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff APPLICATION FOR A CERTIFICATED POSITION The School District considers applicants for all positions without regard to
More informationEMPLOYMENT APPLICATION & INSTRUCTIONS
EMPLOYMENT APPLICATION & INSTRUCTIONS An Equal Opportunity Employer Lander County Sheriff s Office P.O. Box 1625, Battle Mountain, NV 89820 (775) 635-1100 ~~ FAX (775) 635-2577 If you believe you require
More informationPLEASE TYPE OR PRINT CLEARLY USING A PEN. Today s Date:
Name: Previous Name/s: Home Phone No: Work Phone No: E-mail: What class of Administrative Certificate do you hold? PLEASE TYPE OR PRINT CLEARLY USING A PEN Today s Date: If you do not possess an administrative
More informationWaccamaw Economic Opportunity Council, Inc Highway 501 East, Suite B, Conway, SC 29526
Waccamaw Economic Opportunity Council, Inc. 1261 Highway 501 East, Suite B, Conway, SC 29526 The Community Action Agency serving Horry, Georgetown and Williamsburg Counties EMPLOYMENT APPLICATION (WE ARE
More informationMARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland
MARYLAND BOARD OF PHYSICIANS P.O. Box 2571 Baltimore, Maryland 21215 www.mbp.state.md.us E-mail: mdh.mbppadispense@maryland.gov : ADDENDUM FOR PHYSICIAN ASSISTANT (PA) TO DISPENSE PRESCRIPTION DRUGS INSTRUCTIONS
More informationAPPLICATION FOR EMPLOYMENT The City of DeBary is an Equal Employment Opportunity Employer
APPLICATION FOR EMPLOYMENT The City of DeBary is an Equal Employment Opportunity Employer APPLICANT S STATEMENT: I understand that the City of DeBary is committed to providing equal opportunity in all
More informationSt Johns Unified School District #1
St Johns Unified School District #1 PO Box 3030 St. Johns, AZ 85936 928-337-2255 (Phone) 928-337-2263 (Fax) APPLICATION FOR CERTIFIED PERSONNEL Position Applied For: Date of Application: Last Name First
More informationGuard Force International 7301 Ranch Rd N. 620 N. Suite 155 #284, Austin, TX 78726
Guard Force International 7301 Ranch Rd N. 620 N. Suite 155 #284, Austin, TX 78726 Rev 4-2010 GFI Employment Form Received Applications will be active for 6 months Position applying for: Location: PERSONAL
More informationPawling Central School District 515 Route 22 Pawling, NY (845) (845) Fax
Pawling Central School District 515 Route 22 Pawling, NY 12564 (845) 855-2028 (845) 855-2152 Fax The Pawling Central School District is an equal opportunity school district/employer, which does not discriminate
More informationMOUNT CARMEL ACADEMY SCHOOL GUIDANCE COUNSELOR APPLICATION
MOUNT CARMEL ACADEMY SCHOOL GUIDANCE COUNSELOR APPLICATION Mount Carmel Academy is an Equal Opportunity Employer and does not discriminate against applicants or employees by reason of race, age, sex, handicap,
More informationDiocese of St. Augustine
Diocese of St. Augustine Office of Catholic Education 11625 Old St. Augustine Road Jacksonville, FL 32258 (Tel) 904-262-0668 (Fax) 904-596-1042 Email, fax, or mail application to the school APPLICATION
More informationAPPLICATION FOR EMPLOYMENT
Human Resources Use Only Email/postcard sent: Meets Requirements: Yes No Interview Date: Interview Time: Offer: Date: 6133 The Plaza, Charlotte, NC 28215 Phone: (704) 887-3840 Fax: (704) 887-3844 APPLICATION
More informationIndependent School District No Browns Valley Public Schools. Application Form
Independent School District No. 801 Browns Valley Public Schools Application Form 1. EQUAL EMPLOYMENT OPPORTUNITY It is the policy of Independent School District No. 801 to provide equal employment opportunity
More informationAPPLICATION FOR EMPLOYMENT
Alabama Community College System Application No. APPLICATION FOR EMPLOYMENT Northeast Alabama Community College Position Information Title of position for which you are applying: Date of Application Last
More informationEMPLOYEE FILES. Applying for the Job
EMPLOYEE FILES Applying for the Job 1 Assisted Living Center at Sendera Ranch 5406 Ranch Lake Dr Magnolia, Texas 77354 281.804.6182 Phone 936.441.8185 Fax alcsenderaranch@gmail.com email APPLICATION FOR
More informationCarlisle Police Department Employment Application
Employment Application ADMINISTRATIVE ASSISTANT APPLICATION Carlisle Police Department 195 N. First Street Carlisle, IA 50047 (515)-989-4121 WAIVER I, agree to submit to written, physical agility, physical,
More informationEmployment Application
SOURCE (Fields marked with an * are required) Advertisements please list: Employment Agency Name: College/University Recruiting please list: Internal Applicant: Current Employee Volunteer Corporate Website
More informationAPPLICATION FOR EMPLOYMENT CLARK COUNTY SHERIFF S OFFICE
APPLICATION FOR EMPLOYMENT CLARK COUNTY SHERIFF S OFFICE PO Box 566 / 221 West 9th Avenue Ashland, Kansas 67831 Office: 620-635-2802 Fax: 620-635-2148 www. clarkcountysheriffks.com Dear Public Safety Applicant:
More informationInternship Application Student Teacher Acceptance
Orange County Public Schools agrees to accept the following intern for : Internship Application Student Teacher Acceptance Internship Type: Junior Senior Field Experience: ( Field Experience hours for
More informationRockton Fire Protection District. Application for Membership
Rockton Fire Protection District Application for Membership 1 Rockton Fire Protection District Mission Statement The Rockton Fire Protection District is dedicated to protecting the lives and property of
More informationAPPLICATION FOR EMPLOYMENT Wallace Community College Selma
Additional infromation Secondary and Postsecondary Education Personal Information Position Information Alabama Community System Application No. APPLICATION FOR EMPLOYMENT Wallace Community Selma Title
More informationStreet Address City State Zip
Champlain Enterprises, Inc. Application for Employment 24950 Country Club Blvd. Suite 300, rth Olmsted, OH 44070 An Equal Opportunity Employer Operated by CommutAir All applications will remain active
More informationUniform Employment Application for Nurse Aide Staff
Uniform Employment Application for Nurse Aide Staff This application form is required by Title 63 O.S. Section 1-1950.4 of state law and by the Oklahoma State Board of Health Rules OAC 310-2-15-3. This
More informationStreet Address City State Zip
Champlain Enterprises, Inc. Application for Employment 24950 Country Club Blvd. Suite 300, rth Olmsted, OH 44070 An Equal Opportunity Employer All applications will remain active for one year from the
More informationTown of Southampton Police Department
Town of Southampton Police Department David G. Silvernail Police Chief Business 413-527-1120 Fax 413-527-8776 PO Box 239, 8 East Street, Southampton, Ma 01073 Police Officer Application Applications are
More informationDiocese of San Jose Personnel Department School Year. Dear Teacher Applicant:
Diocese of San Jose Personnel Department 1999-2000 School Year Dear Teacher Applicant: Thank you for expressing interest in employment with the Diocese of San Jose. We want to be able to give the principals
More informationPOLICY NO Volunteer Policy (Replaces Policy Adopted 1/26/1998)
POLICY NO. 28-01 Volunteer Policy (Replaces Policy Adopted 1/26/1998) Policy Statement Hernando County recognizes that volunteers are essential to the productivity, efficiency and cost effectiveness of
More informationGeneral Employment Application
City of Jacksonville Beach Human Resources 11 North 3 rd Street Jacksonville Beach, FL 32250 www.cojb.jobs personnel@jaxbchfl.net 904-247-6263 General Employment Application The City of Jacksonville Beach
More informationMental. Health. Court. Handbook
Mental Health Court Handbook Introduction/Eligibility The 8 th Circuit Court Mental Health Court is for people who have been convicted of a crime and have mental health issues suggesting a need for comprehensive
More informationDOUGLAS COUNTY SCHOOL DISTRICT Keith Lewis, Director of Human Resources 1638 Mono Avenue Minden, Nevada
DOUGLAS COUNTY SCHOOL DISTRICT Keith Lewis, Director of Human Resources 1638 Mono Avenue Minden, Nevada 89423 klewis@dcsd.k12.nv.us (775) 782-7177 Fax (775) 782-8351 Dear Volunteer, Volunteers play a vital
More informationApplication for Administrative Position for
Application for Administrative Position for For information, please contact: David N. Branch, Muskingum Valley Educational Service Center Muskingum Valley ESC 205 N. Seventh St., Zanesville, OH 43701 Phone:
More informationCity of Pigeon Forge Police Department. Position: The City of Pigeon Forge Police Department is accepting applications for Communications Officer.
City of Pigeon Forge Police Department Position: The City of Pigeon Forge Police Department is accepting applications for Communications Officer. Qualifications: Must be at least eighteen years of age
More informationGLYNN COUNTY SHERIFF S OFFICE IS AN EQUAL OPPORTUNITY EMPLOYER
100 Sulphur Springs Road Brunswick, GA 31520 Telephone: (912) 554-7600 Web Page Address: www.glynncountysheriff.org INSTRUCTIONS AND INFORMATION PLEASE READ CAREFULLY BEFORE BEGINNING 1. Please complete
More informationCODE OF MARYLAND REGULATIONS (COMAR)
CODE OF MARYLAND REGULATIONS (COMAR) Title 12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES Subtitle 10 CORRECTIONAL TRAINING COMMISSION Chapter 01 General Regulations Authority: Correctional Services
More informationRutherford Co. Rescue
RCLAFA, INC. Rutherford Co. Rescue Application You are only allowed to check one that you are applying for: Reserve Status Specialty Rescue Team Part-Time Paid Employee This application must be completely
More informationGrand River Navigation Company, Inc Hannah Ave STE D Traverse City, MI Phone: Fax:
PRE - EMPLOYMENT APPLICATION for Grand River Navigation Company, Inc. 1026 Hannah Ave STE D Traverse City, MI 49686 Phone: 231-642-4622 Fax: 231-922-1147 The Grand River Navigation Company is an Equal
More informationCITY OF GLADSTONE APPLICATION FOR EMPLOYMENT (An Equal Opportunity Employer)
~C t y i M o f i s G s l o a u d r s i t o n e ~ CITY OF GLADSTONE APPLICATION FOR EMPLOYMENT (An Equal Opportunity Employer) In keeping with our commitment to maintain a drug and alcohol-free workplace,
More informationCODE OF MARYLAND REGULATIONS (COMAR)
CODE OF MARYLAND REGULATIONS (COMAR) Title 12 DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONAL SERVICES Subtitle 10 CORRECTIONAL TRAINING COMMISSION Chapter 01 General Regulations Authority: Correctional Services
More informationPOLICY NO Volunteer Policy (Replaces Policy Adopted 12/13/2011)
POLICY NO. 28-01 Volunteer Policy (Replaces Policy Adopted 12/13/2011) Policy Statement Hernando County recognizes that volunteers are essential to the productivity, efficiency and cost effectiveness of
More information10111 Richmond Avenue, Suite 400, Houston, Texas (713) / (866) (Toll Free) / (713) (Fax)
Application Date: \ \ Date Available: \ \ Provider s Name: O MD O DO O PA O NP SS # : City: State: Zip: Home Phone ( ) Work Phone ( ) Pager ( ) Cell Phone ( ) E-Mail address: Driver s Lic. # Expires: \
More informationSHERIFF OF GARFIELD COUNTY LOU VALLARIO
SHERIFF OF GARFIELD COUNTY LOU VALLARIO 107 8 TH Street Glenwood Springs, CO 81601 Phone: 970-945-0453 Fax: 970-945-7700 106 County Road 333-A Rifle, CO 81650 Phone: 970-665-0200 Fax: 970-665-0253 Dear
More informationCITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST
CITY OF GLENDALE APPLICATION FOR POLICE OFFICER CHECK LIST Be a U.S. Citizen. To apply you must: Have never been convicted of a felony (unless pardoned) Ability to lawfully possess a firearm Prior to appointment
More informationEQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134
EQUAL EMPLOYMENT OPPORTUNITY DATA FORM Please Return to: City of Geneva Human Resources 22 South First Street Geneva, IL 60134 The following information will be used to determine the effectiveness of the
More informationState of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training
State of Florida Department of Health Board of Osteopathic Medicine Application for Registration as an Osteopathic Physician in Training Board of Osteopathic Medicine 4052 Bald Cypress Way, #C-06 Tallahassee,
More informationHuman Resources. Dear Teacher Applicant:
Human Resources Dear Teacher Applicant: Thank you for expressing interest in working as a teacher in the Diocese of San Jose. In order to be considered for employment, please complete and submit the following
More informationRULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING CHAPTER 4
RULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING CHAPTER 4 AS AMENDED 2015 The RULES AND REGULATIONS OF THE MAINE STATE BOARD OF NURSING are adopted and amended as authorized by Title 32, Maine
More informationApplication for Admission
Application for Admission Three Neshaminy Interplex Trevose, PA 19053 Phone (215) 710-3531 Fax (215) 710-3511 http://www.ariahealth.org/nursing Instructions Please read all instructions and information
More informationPACIFIC COUNTY CIVIL SERVICE
PACIFIC COUNTY CIVIL SERVICE EMPLOYMENT APPLICATION PACKET REQUIREMENTS: 21 Years of Age No Felony Convictions Prior to employment must obtain Valid Driver s License United States Citizen High School Diploma
More informationCertified or able to be certified as a Michigan Law Enforcement Officer Must have one of the following:
FULL TIME POLICE OFFICER The City of Lincoln Park is accepting applications to create an eligibility list for Full Time Police Officer. The starting salary offered is $42,525.30. The deadline to apply
More informationState of Iowa Standard Teacher Employment Application
State of Iowa Standard Teacher Employment Application Application Date: Date Available: Name: Social Security #: U.S. Citizen: Are you legally eligible to work in the United States? Current Home Phone:
More informationSUPERINTENDENT APPLICATION
SUPERINTENDENT APPLICATION Directions: Complete the application below in full (type or print). Applications must be filled completely and signed. In addition to the application, please attach a current
More informationFootball & Cheerleading. Youth Sports Coaches Volunteer Application
Football & Cheerleading Youth Sports Coaches Volunteer Application YOUTH SPORTS VOLUNTEER JOB DESCRIPTION TITLE: DESCRIPTION: Volunteer Coach for Gainesville Parks and Recreation Agency. *Coach of male
More informationAPPLICATION FOR EMPLOYMENT FOR CDL DRIVERS
APPLICATION FOR EMPLOYMENT FOR CDL DRIVERS CAREFUL AND THOUGHTFUL COMPLETION OF THIS APPLICATION IS AN IMPORTANT STEP IN OUR CONSIDERATION OF INDIVIDUALS FOR EMPLOYMENT. PLEASE COMPLETE THE ENTIRE APPLICATION.
More informationCHECK ALL DEPARTMENTS OF INTEREST: CAFETERIA BUS DRIVER PRIME TIME
CLASSIFIED EMPLOYMENT APPLICATION AUXILIARY SERVICES POSITION APPLIED FOR: CHECK ALL DEPARTMENTS OF INTEREST: CAFETERIA BUS DRIVER PRIME TIME Per CCS Regulation 6315/7400-R Classified Personnel Requirement
More informationAMERICAN AMBULANCE SERVICE, INC.
AMERICAN AMBULANCE SERVICE, INC. Proud to be a tobacco and smoke-free environment ONE AMERICAN WAY, NORWICH, CT 06360 VOLUNTEER APPLICATION GENERAL INFORMATION Date Name Last First MI Address Street City
More informationSign and return included forms. (Background Check Form, Authorization to Release Information Form, and Vehicle Use Agreement)
To: Employees with Conditional Offers of Employment Re: Background Checks All offers of employment or participation in any activity involving minors in a University sponsored program with The University
More informationThank you for your interest in Tropic Ocean Airways.
Thank you for your interest in Tropic Ocean Airways. Please complete the attached application, scan and return to us as soon as possible. If you are a Military Veteran (thank you for your service), please
More information(e) Revocation is the invalidation of any certificate held by the educator.
Effective October 15, 2009 505-6-.01 THE CODE OF ETHICS FOR EDUCATORS (1) Introduction. The Code of Ethics for Educators defines the professional behavior of educators in Georgia and serves as a guide
More informationFiler Police Department 300 Main Street Office: P.O. Box 140 Dispatch: Filer, Idaho Fax:
Filer Police Department 300 Main Street Office: 208 326-4123 P.O. Box 140 Dispatch: 208 735-1911 Filer, Idaho 83328 Fax: 208 326-5004 www.cityoffiler.com 911 Emergency EQUAL OPPORTUNITY EMPLOYER Prospective
More informationSign and return included forms. (Authorization to Release Information Form, Background Check Form and Vehicle Use Agreement)
To: Employees with Conditional Offers of Employment Re: Background Checks All offers of employment or participation in any activity involving minors in a University sponsored program with The University
More informationUniform Employment Application for Nurse Aide Staff
This application form is required by Title 63 O.S. 1-1950.4 of state law and by the Oklahoma State Board of Health Rules OAC 310-2-15-3. This uniform application shall be used as the only application for
More informationThis is a Legal Document. By completing and signing, this you certify under
APPLICATION FOR WYOMING NURSING ASSISTANT CERTIFICATION BY ENDORSEMENT, DEEMING, or RECERTIFICATION All certificates expire December 31 of every EVEN year This is a Legal Document. By completing and signing,
More informationApplication for Employment
FLORIDA SHERIFFS YOUTH RANCHES, INC. Application for Employment The Florida Sheriffs Youth Ranches, Inc. is an equal opportunity employer. We consider applicants for all positions without regard to race,
More informationWashington County Tennessee Sheriff s Office. Ed Graybeal, Sheriff. Employment Application Packet
Washington County Tennessee Sheriff s Office Ed Graybeal, Sheriff Employment Application Packet PLEASE READ CAREFULLY AND ANSWER ALL QUESTIONS COMPLETELY. INCLUDE A COPY OF YOUR DRIVER S LICENSE, BIRTH
More informationAttachment A: Code of Ethics for Volunteers with Vulnerable Populations
Attachment A: Code of Ethics for Volunteers with Vulnerable Populations This Code of Ethics must be submitted along with the Application to Volunteer with Vulnerable Populations and Authorization for Release
More informationTRAVIS COUNTY EMERGENCY SERVICES DISTRICT #4 FIRE AND EMT ACADEMY CADET CLASS XV APPLICATION
TRAVIS COUNTY EMERGENCY SERVICES DISTRICT #4 FIRE AND EMT ACADEMY CADET CLASS XV APPLICATION 11800 North Lamar #4B Austin, Texas 78753 (512) 836-7566 Office Hours 8:00am - 4:00pm READ ALL OF THE MINIMUM
More informationThe Arc of Vigo County 11 Cherry St. Terre Haute, IN (812) EOE Provider Application
1 The Arc of Vigo County 11 Cherry St. Terre Haute, IN 47807 (812) 232-4112 EOE Provider Application In compliance with Federal and State Equal Opportunity Employment Laws, qualified applicants will be
More informationAPPLICATION FORM - CERTIFIED PERSONNEL
APPLICATION FORM - CERTIFIED PERSONNEL WARROAD PUBLIC SCHOOLS DISTRICT OFFICE 510 CEDAR AVENUE NW WARROAD, MINNESOTA 56763 (218) 386-6099 trish_gausen@warroad.k12.mn.us All applicants will be considered
More informationGEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL
GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL APPLICATION FOR PRE-SERVICE TRAINING Return to: GEORGIA PEACE OFFICER STANDARDS AND TRAINING COUNCIL P.O. Box 349 Clarkdale, Georgia 30111 FOREWORD
More informationApplication for Employment
Human Resources Department Utility Board of the City of Key West Keys Energy Services P.O. Box 6100 Key West, FL 33040 Phone (305) 295-1069 www.keysenergy.com Application for Employment Please print clearly
More informationHillsborough County Fire Rescue Reserve Responder Program 9450 E Columbus Ave Tampa, FL Office: Fax:
Application For Reserve Responder Full Name: Last First M.I. Date Submitted: Street Address Apartment/Unit # City State ZIP Code Email Name As It Appears On Driver s License: Driver s License #: State
More informationCrandall Fire Department
Crandall Fire Department Membership Application Today s Date Please Print or Type all information. All printing must be in BLUE ink. Omissions and/or false information are cause for rejection or dismissal.
More informationSUPERINTENDENT. LARIMORE PUBLIC SCHOOL DISTRICT #44 Larimore, North Dakota
APPLICATION REQUIREMENTS FOR SUPERINTENDENT of LARIMORE PUBLIC SCHOOL DISTRICT #44 Larimore, North Dakota Please submit the following: Cover letter Completed application form supplied by NDSBA (including
More informationVolunteer Service Application
Eureka County P.O. Box 556 Eureka, Nevada 89316 (775)237-5263 Volunteer Service Application An Equal Opportunity Employer If you have a disability and believe you require accommodation for the disability
More informationSECTION ONE - PERSONAL INFORMATION SECTION TWO - EDUCATION INFORMATION
Attachment H ALLIED HEALTH PROFESSIONALS INITIAL APPOINTMENT ADDENDUM TO THE TEXAS DEPARTMENT OF INSURANCE (TDI) STANDARDIZED CREDENTIALING APPLICATION SECTION ONE - PERSONAL INFORMATION Last Name: First
More informationJefferson County Sheriff s Office 200 Courthouse Way, Rigby, ID PH# ~ FX#
Jefferson County Sheriff s Office 200 Courthouse Way, Rigby, ID 83442 PH# 208-745-9210 ~ FX# 208-745-9212 JOB APPLICATION Name: Application Date POSITION APPLIED FOR: Patrol Jail Dispatch Reserve Application
More informationCITY OF FOUNTAIN VOLUNTEER FIRE FIGHTER
CITY OF FOUNTAIN VOLUNTEER FIRE FIGHTER The City of Fountain Fire Department utilizes volunteer fire fighters. The volunteer fire fighters have the same responsibilities and training as the career fire
More information442 N. Grand Street, P.O. Box 8 Schoolcraft, MI
Schoolcraft Police Department 442 N. Grand Street, P.O. Box 8 Schoolcraft, MI 49087 269-679-5600 APPLICATION FOR EMPLOYMENT Position applied for: Date available to start work: PERSONAL (Please Print) Name:
More informationAPPLICATION FOR ADMISSION
APPLICATION FOR ADMISSION UPMC SCHOOLS OF NURSING APPLICATION FOR ADMISSION The following schools are part of the UPMC Schools of Nursing. Please list in order of preference which school of nursing you
More informationState of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training
State of Florida Department of Health Board of Osteopathic Medicine Application for Registration as an Osteopathic Physician in Training Board of Osteopathic Medicine 4052 Bald Cypress Way, #C-06 Tallahassee,
More informationREEDSBURG AREA AMBULANCE SERVICE EMPLOYMENT APPLICATION
REEDSBURG AREA AMBULANCE SERVICE EMPLOYMENT APPLICATION NOTICE: Application must be typewritten or clearly printed in ink. All questions must be answered, if applicable. If not, indicate NA (not applicable).
More informationChapter 247. Educators' Code of Ethics
247.1. Purpose and Scope; Definitions. (a) (b) (c) (d) (e) Chapter 247. Educators' Code of Ethics In compliance with the Texas Education Code, 21.041(b)(8), the State Board for Educator Certification (SBEC)
More informationThis is a Legal Document. By completing and signing this you certify under
APPLICATION FOR WYOMING LICENSED PRACTICAL NURSE (LPN) LICENSURE BY ENDORSEMENT *All licenses expire December 31 of every EVEN year* This is a Legal Document. By completing and signing this you certify
More informationEmployer Instructions for Use ODH Form 805 Uniform Employment Application for Nurse Aide Staff
Effective November 1, 2012 Employer Instructions for Use ODH Form 805 Uniform Employment Application for Nurse Aide Staff Purpose This form is to be used by employers as the only employment application
More informationSUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET
SUMMER INTENSIVE RESIDENT ASSISTANT APPLICATION PACKET Dear Applicant, Thank you for your interest in the Milwaukee Ballet Summer Intensive Resident Assistant Position. Resumes will be collected until
More informationUPGRADE- PRIVATE SECURITY OFFICER (PSO) TO COMMISSIONED SECURITY OFFICER (CSO) OR COMMISSIONED SCHOOL SECURITY OFFICER (CSS0)
UPGRADE- PRIVATE SECURITY OFFICER (PSO) TO COMMISSIONED SECURITY OFFICER (CSO) OR COMMISSIONED SCHOOL SECURITY OFFICER (CSS0) FOR OFFICE USE ONLY EFFECTIVE 8-2015 EXPIRES PROCESSED BY NOTICE: Information
More informationPRELICENSURE BSN PROGRAM OF STUDY APPLICATION PROCESS STUDENT CHECKLIST
APPLICATION DEADLINE for 2018 FALL SEMESTER PRIORITY ADMISSION: 2/15/2018 PRELICENSURE BSN PROGRAM OF STUDY APPLICATION PROCESS STUDENT CHECKLIST INSTRUCTIONS: Use this checklist to be sure you have included
More informationAMHERST COUNTY SHERIFF'S OFFICE An equal opportunity employer Women and Minorities are encouraged to apply.
An equal opportunity employer Women and Minorities are encouraged to apply. Sheriff E.W. Viar Jr. P.O. BOX 410, 115 TAYLOR STREET, AMHERST, VIRGINIA 24521 BUSINESS 434.946.9381 ~ ADMINISTRATION 434.946.9301
More information