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Non-Teaching Application

MEDICINE LAKE PUBLIC SCHOOLS
P.O. BOX 265
MEDICINE LAKE, MT 59247
406-789-2211

Classified Employee Application

Classified Employee Application

PERSONAL INFORMATION

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Min: 1 Max: 5
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POSITION INFORMATION

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PLEASE ANSWER THE FOLLOWING QUESTIONS









All statements and information provided within this application and its attachments, if any, are true and complete. I understand that omission or misrepresentation of material fact may result in refusal of or separation from employment.

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REFERENCES

Please list current information for at least three and no more than four references below.


Reference #1

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Reference #2

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Reference #3

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Reference #4

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EDUCATION

Institution #1 (most recent):

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Institution #2

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Institution #3

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Institution #4

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Additional education information can be uploaded at the end of this application.

EMPLOYMENT RECORD

List your present or most recent employer. Describe your employment history, accounting for all time during at least the last 10 years. You may include volunteer and paid experience. DO NOT substitute a resume. You may attach additional information.


Employment #1 (most recent)

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Min: 1 Max: 5
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Employer #2

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Min: 1 Max: 5
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Employer #3

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Employer #4

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Employer #5

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Employer #6

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Employer #7

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Additional work experience can be uploaded at the end of this application.

Equal Opportunity Employer

Medicine Lake Public Schools prohibit discrimination against or harassment of any person employed by or seeking employment with the school district because of race, creed, religion, color, political affiliation or national origin or because of age, physical or mental disability, marital status, or gender when the reasonable demands of the position do not require an age, physical or mental disability, marital status, or gender distinction. People of disability may request reasonable accommodation in the hiring process by contacting the school district personnel office.


Proof of Employability

Any applicant chosen for employment must be able to produce a social security card, driver's license, or some other acceptable form of verification of employment eligibility in the United States pursuant to Form I-9 of the U.S. Department of Justice. Similarly, a selected applicant must provide a set of fingerprints and be subject of a national fingerprint-based criminal history record check.


Authorization to Release Employment Records

If employed by a participating school district, the applicant authorizes the school district to supply his/her employment record at the school district's sole discretion, in whole or part, to any prospective employer, government agency, or other party, when the school district's interest is deemed appropriate.


Drug Free/Tobacco Free Policies

Medicine Lake School Districts are drug free, tobacco free schools and, as such, require all employees to adhere to specific drug free, tobacco free policies.


Acknowledgement

I understand that no offer of benefits, such as, but not limited to, a pension plan, insurance, vacation, or salary rate, is final until it has been reviewed by , and fully approved by the board of trustees or designated authorized representative. Further, I have read and understand the above policies of employment.


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PLEASE READ THIS SECTION BEFORE SIGNING

Affirmative Action Information

Providing this information is strictly on a voluntary basis. State law requires that employers keep records on the race and sex of applicants and employees to facilitate the enforcement of equal employment opportunity laws. This statement will be filed separately from all of your other employment records. As required by state law, it will be available only to the school district personnel department and federal/state employment enforcement officers.


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Required Fields