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Online Classified Application

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Namerequired
First Name
Last Name
Street Address
City
State
Zip
Must contain a date in M/D/YYYY format
School Preference
Nae of the High School you graduated from.
Date you graduated High School.
Obtained a GED:required
MM/DD/YYYY (Must contain a date in M/D/YYYY format)
Please enter your most recent employer's phone number.
May we contact this employer?required
May we contact this employer?
May we contact this employer?
Have ever been dismissed, resigned, or asked to resign/retire or discharged from employment or military service for immorality, incompetence, willful neglect of duty, misconduct or presenting false information toward obtaining the position?required
Is any such action as stated in the above question pending? required
Have you ever been convicted of a felony or misdemeanor (other than a moving traffic violation), been found guilty, or entered a plea of nolo contendere (no contest), even if adjudication was withheld, in Kentucky or any other state? required

I AFFIRM AND DECLARE THAT ALL INFORMATION GIVEN BY ME ON THIS FORM IS TRUE, AND CORRECT, AND COMPLETE TO THE BEST OF MY KNOWLEDGE.  I UNDERSTAND THAT ANY MISREPRESENTATION OF FACTS, BY OMMISION OR ADDITION MAY RESULT IN THE DENIAL OF EMPLOYMENT.

NOTE:  THIS SCHOOL DISTRICT DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, RELIGION, MARITAL STATUS, SEX, DISABILITY, EDUCATIONAL PROGRAMS OR ACTIVITIES.

Must contain a date in M/D/YYYY format