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School Reopening Staff Survey
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Infinite Campus
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Kentucky Academy of Technology Education (KATE)
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Student Applications
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Employment
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Online Classified Application
Online Classified Application
This form requires Javascript to be enabled for submission and authorization.
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Please submit resume, cover letter and references
Attach up to 5 files with a maximum size of 10MB
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Name
*
required
First Name
Last Name
Address
*
required
Street Address
Address
*
required
City
Address
*
required
State
Address
*
required
Zip
Phone Number
*
required
Alternate Phone Number
Email Address
*
required
Date Available
*
required
Must contain a date in M/D/YYYY format
School Preference
Bracken County High School
Bracken County Middle School
Taylor Elementary
No Preference
Position for which you are applying:
*
required
High School:
*
required
Nae of the High School you graduated from.
Graduation Date:
*
required
Date you graduated High School.
Obtained a GED:
*
required
Yes
No
If yes, date of GED:
Degree:
College/University:
Date of Degree:
MM/DD/YYYY (Must contain a date in M/D/YYYY format)
Most recent employment:
*
required
Phone Number of most recent employer.
*
required
Please enter your most recent employer's phone number.
Supervisor:
*
required
Title of Supervisor:
Position Held:
*
required
Responsibilities:
*
required
Start Date:
*
required
End Date:
*
required
May we contact this employer?
*
required
Yes
No
Previous Employer:
Phone Number of Previous Employer:
Supervisor:
Title of Supervisor:
Position Held:
Responsibilities:
Start Date:
End Date:
May we contact this employer?
Yes
No
Previous Employer:
Phone Number of Previous Employer:
Supervisor:
Title of Supervisor:
Position Held:
Responsibilities:
Start Date:
End Date:
May we contact this employer?
Yes
No
Name of Reference 1:
Relationship:
Phone Number of Reference 1:
Name of Reference 2:
Relationship:
Phone Number of Reference 2:
Name of Reference 3:
Relationship:
Phone Number of Reference 3:
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
Yes
No
Is any such action as stated in the above question pending?
*
required
Yes
No
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
Yes
No
Please type your full name to sign this form
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Select today's date
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Must contain a date in M/D/YYYY format
Email Address
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