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:
Email:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip:
Date Available for Work
Position Desired
-- Paraprofessional
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:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip:
Supervisor's Name:
Reason You Left:
Description of Duties:
Company:
Phone:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip:
Supervisor's Name:
Reason You Left:
Description of Duties:
Company:
Phone:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip:
Supervisor's Name:
Reason You Left:
Description of Duties:
Company:
Phone:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
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:
Email:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip:
Years Known:
First Name:
Last Name:
Phone:
Email:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip:
Years Known:
First Name:
Last Name:
Phone:
Email:
Address:
Address:
City:
State:
-- AL AK AZ AR CA CO CT DC DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
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.