Online Application: Intermediate/High School Non-Teacher - Employment Opportunities

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.

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.


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:

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

	Highest Level of Education
		High School
		Trade, Business, or Other School
		College
		Graduate School

Subjects of Social Study or Research Work

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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:

Zip:

Supervisor's Name:

Reason You Left:

Description of Duties:



Company:

Phone:

Address:

Address:

City:

State:

Zip:

Supervisor's Name:

Reason You Left:

Description of Duties:



Company:

Phone:

Address:

Address:

City:

State:

Zip:

Supervisor's Name:

Reason You Left:

Description of Duties:



Company:

Phone:

Address:

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:

Email:

Address:

Address:

City:

State:

Zip:

Years Known:



First Name:

Last Name:

Phone:

Email:

Address:

Address:

City:

State:

Zip:

Years Known:



First Name:

Last Name:

Phone:

Email:

Address:

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.