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SLV BOCES JOB APPLICATION POOL
Applicants understand that by completing this application form, they may be considered for position openings by any of the 14 school district members of the San Luis Valley BOCES or by the BOCES itself. The enclosed/attached information will be shared with the member school districts at their request.
Send Applications to:
Job Application Pool San Luis Valley BOCES 2261 Enterprise Drive Alamosa, CO 81101
Position Desired: __________________________________ Date of Application: ___________
Name: ___________________________________________ Soc. Sec. # _______-_____-_____
Present Address: _______________________________________________________________
Permanent Address: _____________________________________________________________
Phone: Day___________________ Evening ____________________
The San Luis Valley Board of Cooperative Services and its member school districts are Equal Opportunity Employers. PERSONAL DATA
Completion of this section is voluntary.
Date of Birth: _________________ Sex: _____________ Marital Status: _____________
Age: _________ Ethnic origin: _______Black ______ Caucasian __________ Am. Indian ________Oriental __________ Hispanic
EDUCATION
EXPERIENCE
REFERENCES
In your own handwriting, please write a paragraph or more on why you desire to work for the BOCES or one of the member school districts. Attach a separate piece of paper if needed.
CERTIFICATES/LICENSES HELD
If you are not certified in Colorado, have you started the process? ________________________ Have you taken/passed the CAT? __________________________________________________
ENDORSEMENTS
( ) K-6 ( ) K-12 ( )7-12 ( ) Other ( ) Sci ( ) Read ( ) Hist ( ) Math ( ) Eng ( ) Art ( ) Soc. Stud. ( ) Voc. Music ( ) G/T ( ) Inst. Music ( ) Lib ( ) PE ( ) Sp/Drama ( ) AH Ed. ( ) Business ( ) Voc. Ed. ( ) Admin ( ) Indust. ( ) Coun ( ) H. Economics ( ) F Language ________________ ( ) Other _________________________
Endorsements cont.:
( )Special Education ( ) EMH ( ) EH ( ) Speech/Language ( ) School Psych ( ) School Soc. Worker ( ) Vision ( ) Hearing Impaired ( ) Audiology ( ) OT ( ) PT ( ) Other ___________
OTHER Have you been convicted of a felony in the past ten years? ______________________________ If yes, please explain:____________________________________________________________ _____________________________________________________________________________
Have you received prior discipline or discharge for making threats, fighting or any incidents involving violence, harrassment or sexual misconduct in the workplace? (Such discipline or discharge is not an absolute bar to employment.) ______________________________________ If yes, please explain:____________________________________________________________ _____________________________________________________________________________
Have you received any citations for motor vehicle moving violations? _____________________ If yes, please explain:_____________________________________________________________________ _____________________________________________________________________________
ACKNOWLEDGMENTS, CONSENTS, AND REPRESENTATIONS TO OBTAIN INFORMATION TO PROVIDE
1. The applicant acknowledges that if employed, he or she will be an at-will employee. That is, the employee or the employer may end the employment relationship with or without cause and with or without notice. 2. The applicant consents for the employer to conduct reference checks and release of liability allowing the employer to contact former employers and references. 3. The applicant affirms that all information provided is correct and complete and acknowledges that providing false or incomplete information may result in immediate termination, criminal prosecution, and/or loss of a teaching or other license.
_______________________________________________ ______________________________ Applicant's signature Date |
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