EXPERIENCE (list most recent first)

WORK REFERENCES (person who can describe your job performance):

PERSONAL REFERENCES (person who can attest to your character):

USD #247 Southeast does not discriminate on the basis of race, color, national origin, sex, handicap, or age in admission or access to, or treatment or employment in, its programs or activities. Any questions regarding compliance with Title VI, Title IX, or Section 504 may contact Dr. Brad Miner, Superintendent, at 620-457-8350 or 506 S. Smelter, Cherokee, KS 66724.

APPLICANT JOB APPLICATION ACKNOWLEDGMENTS

1. I certify that all the information provided by me in this application is true and complete. I understand that any misstatement, falsification, or omission of information is grounds for refusal to hire or, if I am hired and the same is discovered thereafter, termination.
2. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damages that may result from furnishing such information to you. I authorize any background checks by any third party.
3. I authorize you to request, receive, and verify all information given on this application and I release you from all damages that may result from your doing so.
4. I authorize you to conduct a criminal background investigation using any and all methods necessary to successfully complete such investigation and I release you from all liability for any damages that may result from your doing so.
5. I attest that the information provided in this application is true and accurate to the fullest extent of my knowledge.
6. I understand omissions or inaccurate information on this application are grounds for termination for cause.

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