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Application - Classified

To print off a copy of the employment classified application click here.


Name:        Social Security #

Mailing Address:        Telephone:

Physical Address:        Cell Phone:


Employment Desired:

Position(s):  Start Date:Wage:




Check the appropriate box indicating: 9 to 10 Month Position or 12 Month Position

Check the appropriate box indicating: Part time (Less than 40 Hrs.) or Full Time

Are you employed now? Yes No   Current employer

Person to Contact at place of employment:

Have you ever been convicted of or are there charges pending concerning a misdemeanor or felony? Yes No

If yes, explain the nature of the offense and location:



School Name and Location of School Course of Study No. of Years Completed Did you graduate? Degree or Diploma
High School


Work Experience

Employer Position Dates From-To Reason for Leaving




Names Position Address Phone

Summarize special job-related skills and qualifications acquired from employment or other experiences.

(Use an attachment if necessary)



I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. I further authorize appropriate personnel to contact the references and/or former employers listed above for additional information pertaining to my suitability for employment.

Signature:        Date:

Deshler Public Schools does not discriminate on the basis of sex, race, national origin,religion, marital status, age, or handicap in admissions or access to, or treatment or employment, in, its programs and activities.



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