APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT

OF CERTIFIED / CLASSIFIED EMPLOYEES
ADAMS COUNTY OHIO VALLEY SCHOOL DISTRICT

141 Lloyd Road

West Union, OH 45693

Telephone: 937-544-5586

FAX: 937-347-5897

AN EQUAL OPPORTUNITY EMPLOYER

We are an equal opportunity employer. Any information solicited by this application is not to be construed as a solicitation of information to render a decision based upon race, color, religion, age, sex, national origin or ancestry of any person, but is only to be used in determining the applicant’s ability to meet the job criteria and perform the job satisfactorily.

REFERENCES*
EDUCATION:

Name of High School High School*
Location (City, State) HS-City/State*
Date of Graduation Date*
What additional schooling or educational experiences have you completed beyond your education?

YesNo
List additional schooling
Requirement for employment: must have a diploma or GED. Please attach a copy.

Cancelof
If you don't have a file to upload, you may use the function below to take a picture of your document(s).

EMPLOYMENT EXPERIENCE

List all full-time employment in chronological order, with present employment first. (Use additional pages if necessary.)
Name of School or Other Employer Name of School or Other Employer
Address Street Address City State Zip
Duties (grade level, subjects, position, etc.)
Dates Employed: from Date to Date
Name of Supervisor: First Name Last Name
Phone: Area Code Phone Number
Approximate annual salary: Salary$
Reason for Leaving
Do you wish to add an additional employer?

YesNo
Name of School or Other Employer Name of School or Other Employer
Address Street Address City State Zip
Duties (grade level, subjects, position, etc.)
Dates Employed: from Date to Date
Name of Supervisor: First Name Last Name
Phone: Area Code Phone Number
Approximate annual salary: Salary$
Reason for Leaving
Do you wish to add anything further?

YesNo
Name of School or Other Employer Name of School or Other Employer
Address Street Address City State Zip
Duties (grade level, subjects, position, etc.)
Dates Employed: from Date to Date
Name of Supervisor: First Name Last Name
Phone: Area Code Phone Number
Approximate annual salary: Salary$
Reason for Leaving
Can you perform the essential functions of the job, with or without a reasonable accommodation?

YesNo
please explain
REMARKS
Please add any information you may consider pertinent to your application for employment.
Have you ever been convicted of a felony and/or a misdemeanor?

YesNo
please explain
Signature of Applicant*

Clear
Date*

MonthDayYear
Should be Empty:

APPLICATION FOR EMPLOYMENT

EMPLOYMENT EXPERIENCE