PROFESSIONAL APPLICATION FOR EMPLOYMENT
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Date of Application *
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Last Name *
First Name *
Middle Name
Street *
City *
State *
Zip Code *
Other Address You May Be Reached
Home Phone *
Cell Phone *
Email Address: *
Position Desired:
Are you aware of any reason why you would not be able to perform the duties required of the position for which you are making the application?   *
If yes, please explain:
Do you have a relative who is a member of the Cisco ISD Board of Education? *
If yes, please give the name of the relative and the relationship *
Have you ever been convicted of a felony or offense involving moral turpitude (including, but not limited to theft, murder, swindling, and indecency with a minor? )and/or received probation or deferred adjudication:   *
(Conviction of a felony is not an automatic bar to employment.  The district will consider the nature, date and relationship between the offense and the position for which you are applying.)                                                     If yes, please state: *
Education        
What is your grade point average? *
Are you a graduate or undergraduate?  
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If Undergraduate
Name of High School from which you graduated:
Name of college or university: *
Certification
Type of Certification:
Date of Certification: *
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Field of Certification: *
Are you certified in the field for which you are applying? *
Experience:
Name of Employer and Job Description                                         *
Please put when you started and when you ended as well.
Name of Employer and Job Description                                         *
Please put when you started and when you ended as well.
Name of Employer and Job Description                                         *
Please put when you started and when you ended as well.
Name of Employer and Job Description                                         *
Please put when you started and when you ended as well.
Current Employment Status
When could you start work?
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Would you be willing to take additional training, if required for certification?
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                                                         AGREEMENT                                                                                                                                                                                                                                                                                                  I hereby certify that the above information, to the best of my knowledge, is true, accurate and complete. Any misrepresentation or willful omission of facts shall be sufficient cause for disqualification of this application or termination of employment. Furthermore, it is understood that this application and records become the property of the district which reserves the right to accept or reject this application.  I further agree to observe all rules, regulations, and policies of the district.The Cisco ISD is required by state law to obtain criminal history record information on all applicants for employment with the District. (Texas Education Code 22.083)I understand the information set forth below will be used by the District solely for the purpose of obtaining criminal history record information and will not be used in any manner related to determining the eligibility for employment with the District.
Full Name:   *
Social Security *
Date of Birth *
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Driver’s License Number/State *
Signature of Applicant *
By typing your First, Middle and Last name. You certify that you signed this document.
Date
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No action will be taken regarding employment unless this authorization is complete.
Cisco Independent School District is an Equal Opportunity Employer.

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