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Courtesy Clerk Resume Brookings, SD
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Title Courtesy Clerk
Target Location US-SD-Brookings
Email Available with paid plan
Phone Available with paid plan
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                             Sioux Valley School District 5-5
                             Street Address Street Address
                             Street Address  Hansina Ave
                             Volga SD Street Address


                             APPLICATION FOR EMPLOYMENT


Prospective employees will receive consideration without discrimination
because of race, creed, color, sex, age, national origin or disability.


                                   PERSONAL

Last name                    First                 Middle
       Date


Street Address
Home Phone


City, State, Zip
Business Phone


Have you ever applied for employment with us?

    Yes    No    If yes: month and year

Position Desired


How did you learn of our opening?



Males born after December 31, 1959, are required to register for Selective
Service.  Are you registered?  __Yes  __No  If yes: Selective Service
number:                             (If you do not know your Selective
Service number, you can obtain it by calling PHONE NUMBER AVAILABLE)

                                  EDUCATION

                                             Course           # of Years
Did you
 School          Name & Location of School               of Study
Completed   Graduate   Degree

 College


 College


 College


 College


 College


 High School


 Grade School


 Other



Teaching or Administrative Certificate (i.e.: elementary, middle school,
junior high, secondary):











                       EMPLOYMENT
Please give accurate, complete full-time and part-time employment record.
Start with present or most recent employer.

1. Name
Telephone
                                                              (        )
     -
Address
Employed (Month/Year)
                                                              From
   To
Name and Title of Supervisor


State Job Title & Describe Your Work



Reason for leaving



2. Name
Telephone
                                                              (        )
     -
Address
Employed (Month/Year)
                                                              From
   To
Name and Title of Supervisor


State Job Title & Describe Your Work



Reason for Leaving


3. Name
Telephone
                                                              (        )
     -
Address
Employed (Month/Year)
                                                              From
   To
Name and Title of Supervisor


State Job Title & Describe Your Work




Reason for Leaving


4. Name
Telephone
                                                              (        )
     -
Address
Employed (Month/Year)
                                                              From
   To
Name and Title of Supervisor


State Job Title & Describe Your Work




Reason for Leaving



We may contact the employers listed above unless you indicate those you do
not want us to contact.  Do not contact employer number(s)          Reason




Check the extra-curricular activities you are qualified to supervise:
      Sports Timer           Athletic Director                Football
      Basketball
      Wrestling        Track                 Cross Country
Volleyball
      Golf             Pep Band/Pit Orchestra            Oral Interp
Annual
      Photography            Junior Class                Concessions
FCCLA
      Vocal Music            Pep Club/Cheerleader        FFA
Drama

Give a brief statement as to why you would like to work at Sioux Valley
School.
















The information provided in the Application for Employment is true,
correct, and complete.  I understand that, if I am employed, any
misstatement or omission of fact on this application may result in my
dismissal.


Date                                    Signature




All new employees shall be subject to a criminal background check.

The Sioux Valley School District 5-5 does not discriminate in its
employment policies and practices, or in its educational programs on the
basis of race, color, creed, religion, age, sex, disability, national
origin, or ancestry.  Inquiries concerning the application of Title VI
,Title IX or 504 are to contact Supt. Laura Schuster at Sioux Valley
School, 200 Hansina Ave., Volga, SD 57071, phone PHONE NUMBER AVAILABLE or to the
U.S. Department of Education,  Office for Civil Rights , 8930 Ward Parkway,
Suite 2037 , Kansas City, Missouri 64114.  Phone : PHONE NUMBER AVAILABLE, FAX: 816-
823-1404, TDD: PHONE NUMBER AVAILABLE E-Mail: EMAIL AVAILABLE
<mailto:EMAIL AVAILABLE>   Website: <http://www.ed.gov/ocr/>


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