Allen Parish School Board

ALLEN PARISH SCHOOL BOARD
SUPPORT PERSONNEL APPLICATION

Please Fill Out The Online Support Personnel Application Below

Job Title

Name

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Phone Number(s)

Social Security #

SOCIAL/PERSONAL CHARACTERISTICS (OPTIONAL)

Birth Date

Parish of Residence

Marital Status

Race

Handicapped

Sex

Number of Dependents

Health

Have you ever been arrested and/or charged legally for anything other than minor traffic violations?

EDUCATION

High School

Place

Date of Graduation

College

Place

Number of Years Attended

Date of Graduation

Degree(s)

Other School(s)

Place

Number of Years Attended

Date of Graduation or Completion

EMPLOYMENT HISTORY (Begin with most recent employer.)

Employer

Phone

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Beginning Date

Ending Date

Full Time?

Job Title

Supervisor

Duties Performed

Reason for Leaving

Employer

Phone

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Beginning Date

Ending Date

Full Time?

Job Title

Supervisor

Duties Performed

Reason for Leaving

Employer

Phone

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Beginning Date

Ending Date

Full Time?

Job Title

Supervisor

Duties Performed

Reason for Leaving

I certify that all information on this application is true and correct to the best of my knowledge, and I authorize inquiries as to the validity of the information.

Applicant's Signature

Date

The Allen Parish School Board is an equal opportunity employer, we are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, or national origin, or physical defects.

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