Online Application: Elementary Non-Teacher

Blooming Prairie Public Schools
202 4th Ave NW
Blooming Prairie, MN 55917

APPLICATION FOR EMPLOYMENT

Blooming Prairie Public Schools is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on the basis of race, color, creed, religion, national origin, age, sex, disability, marital status, or status with regard to public service.

_________________________________________________________________

First Name

Last Name

Phone

Address

City

State

Zip

Date Available for Work

Position Desired

Military Service: Are you a Veteran?

Yes No

Branch of Service

Type of Discharge

Community Work and Other Interests/Activities

Please upload your resume here.

Resume Upload

EDUCATION

Highest Level of Education

High School Trade, Business, or Other School College Graduate School

Subjects of Social Study or Research Work

Employment History

Starting with your present or most recent employer, please list your last four jobs. Do not omit any work experience.

Company

Phone

Address

City

State

Zip

Supervisor's Name

Reason You Left

Description of Duties

____________________________________________________________

Company

Phone

Address

City

State

Zip

Supervisor's Name

Reason You Left

Description of Duties

____________________________________________________________

Company

Phone

Address

City

State

Zip

Supervisor's Name

Reason You Left

Description of Duties

____________________________________________________________

List any special skills/qualifications you possess which are directly related to the position for which you are applying (ie: Clerical, Typing, Machines/Equipment)

Are you employed now?

Yes No

May we contact your present employer?

Yes No

May we contact your past employers?

Yes No

Comments

List three persons not related to you who have known you for at least a year, preferably job related.

First Name

Last Name

Phone

Address

City

State

Zip

Years Known

____________________________________________________________

First Name

Last Name

Phone

Address

City

State

Zip

Years Known

____________________________________________________________

First Name

Last Name

Phone

Address

City

State

Zip

Years Known

By clicking yes, I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for refusal of employment or dismissal. I also understand that my employment is subject to the Blooming Prairie Publics School's personnel policies and procedures.

Yes No

AFFIRMATIVE ACTION SURVEY

Applicants are considered for all positions, and employees are treated without regard to race, color, creed, religion, national origin, sex, disability, age, marital status, or status with regard to public assistance.

As an employer, we comply with government regulations and affirmative action responsibilities. To assist us with government record keeping, reporting and other legal requirements, we ask that you fill out this survey. Providing this information is voluntary, and the information you provide will be kept confidential. Thank you.

Check One

Male Female

Race/Ethnic Group - Check One of the Following

Caucasian Black Hispanic American Indian/Alaskan Native Asian/Pacific Islander

Check if any of the following are applicable

Vietnam Era Veteran Disabled Veteran Handicapped Individual

How did you learn about this position (check all that apply)

Posted Job Announcement at this Office Friend or Relative State Employment Office Private Employment Agency Rehire Wanted Ad Walk-in

_____________________________________________________

Minnesota Fraud Statue: Any person who, with intent to defraud, receives workers' compensation benefits to which the person is not entitled by knowingly misrepresenting, misstating, or failing to disclose any material fact is guilty of theft and shall be sentenced pursuant to section 609.52, subdivision 3.

Blooming Prairie Public Schools
202 4th Ave NW
Blooming Prairie, MN 55917

APPLICATION FOR EMPLOYMENT

_________________________________________________________________

First Name

Last Name

Phone

Address

City

State

Zip

Date Available for Work

Position Desired

Military Service: Are you a Veteran?

Yes No

Branch of Service

Type of Discharge

Community Work and Other Interests/Activities

EDUCATION

Employment

Highest Level of Education

High School Trade, Business, or Other School College Graduate School

Subjects of Social Study or Research Work

Upload your resume here.

Resume Upload

Employment History

Starting with your present or most recent employer, please list your last four jobs. Do not omit any work experience.

Company

Phone

Address

City

State

Zip

Supervisor's Name

Reason You Left

Description of Duties

____________________________________________________________

Company

Phone

Address

City

State

Zip

Supervisor's Name

Reason You Left

Description of Duties

____________________________________________________________

Company

Phone

Address

City

State

Zip

Supervisor's Name

Reason You Left

Description of Duties

____________________________________________________________

List any special skills/qualifications you possess which are directly related to the position for which you are applying (ie: Clerical, Typing, Machines/Equipment)

Are you employed now?

Yes No

May we contact your present employer?

Yes No

May we contact your past employers?

Yes No

Comments

List three persons not related to you who have known you for at least a year, preferably job related.

First Name

Last Name

Phone

Address

City

State

Zip

Years Known

____________________________________________________________

First Name

Last Name

Phone

Address

City

State

Zip

Years Known

____________________________________________________________

First Name

Last Name

Phone

Address

City

State

Zip

Years Known

Yes No

AFFIRMATIVE ACTION SURVEY

Check One

Male Female

Race/Ethnic Group - Check One of the Following

Caucasian Black Hispanic American Indian/Alaskan Native Asian/Pacific Islander

JMC Parental Information

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