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Elmira City School District Logo

ECSD Online Application.pdf

6a58393

Elmira, NY

Today

25 - 33 USD

Elmira City School District

Elmira, NY

Sara Lattin

Unknown / Non-Applicable

School / School District

Education

1957


Job Description

Elmira City School District
“Preparing Students for the Future”

APPLICATION FOR EMPLOYMENT
NAME
Last: First: M.I.: Maiden:
ADDRESS
Street or P.O. Box: City: State: Zip:

Home Phone: Cell Phone: Email address:

POSITION APPLYING FOR: (check all that apply)

Bus Attendant Bus Driver Trainee Bus Driver Clerical Custodial
Food Service Nursing School Monitor Teacher Aide

Sub Bus Attendant Sub Bus Driver Sub Clerical Sub Custodial Sub Food Service
Sub Teacher Aide

CURRENT EMPLOYEE - Please check transfer or promotion and position/building. Sign the back and submit to Personnel.
TRANSFER PROMOTION Position/Building:

EDUCATION:

Type of School Name & Address of School From – To Degree Degree
(Mo. & Yr.) Program Awarded

High School or GED#
GED

College/Graduate School or
other Education


WORK EXPERIENCE: Complete all information required.

Length of Employment Employer Phone

From: To:
Job Title: Type of Business:

Name & Title of Supervisor: Reason for Leaving:

Job Duties:


Length of Employment Employer Phone

From: To:
Job Title: Type of Business:

Name & Title of Supervisor: Reason for Leaving:

Job Duties:



Administration Building 430 W. Washington Ave Elmira, NY 14901 PHONE (607) 735 – 3000 FAX (607) 735 – 3009





REFERENCES: (List the names of three (3) individuals familiar with your abilities.)

NAME ADDRESS PHONE NUMBER

1.


2.


3.

IT IS THE POLICY OF THE ELMIRA CITY SCHOOL DISTRICT TO PROVIDE FOR AND PROMOTE THE EQUAL
OPPORTUNITY OF EMPLOYMENT, COMPENSATION, AND OTHER TERMS AND CONDITIONS OF EMPLOYMENT
WITHOUT DISCRIMINATION BECAUSE OF AGE, RACE, CREED, COLOR, NATIONAL ORIGIN, SEX, DISABILITY,
MARITAL STATUS OR CRIMINAL RECORD.

INDICATE YOUR ANSWER BY PLACING AN “X” IN THE APPROPRIATE SPACE: YES NO

A. Have you ever been convicted of any crime (felony or misdemeanor)? * _____ _____

  • If yes, please give a full explanation.

If you answered “yes” you will not necessarily be disqualified. Each case is evaluated on an individual basis in relation to the duties and
responsibilities of the position for which you have applied. Omit parking or speeding violations assigned a fee of $50.00 or less and any other offense
adjudicated in Juvenile Court or under a Youthful Offender Law.

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________

STATEMENT: I declare that all statements made in this application are true and complete to the best of my knowledge. I understand that any false
statements made on this application or in interviews will result in immediate rejection or discharge from employment. I authorize the Elmira City
School District to contact schools/college and former employers cited in the statement contained in this application for employment as may be
necessary in arriving at an employment decision. I understand the acceptance of this application for employment by the Elmira City School District
does not constitute or imply a commitment or willingness to offer employment to me in this or any other position. When required, I agree to take a
drug screen testing and comply with fingerprinting and authorize the release of these confidential test results to the Elmira City School District.

DATE: _____________________ SIGNATURE: ______________________________________________________________

Mail to: Elmira City School District * 430 W. Washington Ave * Elmira, NY 14901 or Fax to: 607-735-3009

Administration Building 430 W. Washington Ave Elmira, NY 14901 PHONE (607) 735 – 3000 FAX (607) 735 – 3009


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