Forrest County Agricultural High School

Non-Certified Application for Employment


Full Name: (Last) (First) (MI/Maiden)


Current Address: Contact Phone(s): Please list the current open position(s) for which you are applying (i.e. Substitute Teacher, Cafeteria, Maintenance, etc.)


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Educational Background Information:

Name & Address of High School Attended


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Name & Address of College or Trade School Attended


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Degrees or Certifications Received and Dates


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Employment/Experience:

List at least three (3) previous employers starting with the most recent who can attest to your personal character and work performance/experience.


  1. From: To:

    Employer:

    Address: Supervisor: Phone: Job Title: Duties: Reason for leaving:


  2. From: To:

    Employer:

    Address: Supervisor: Phone: Job Title: Duties: Reason for leaving:

  3. From: To:

Employer:

Address: Supervisor: Phone: Job Title: Duties: Reason for leaving:


Please indicate if you are fearful that your present job would be in jeopardy if inquiries are made:


When are you available for an interview?


References:

List at least two (2) references (non-family) who can attest to your moral/personal character and comment on your abilities. You are welcome to attach additional pages to this application (e.g. resume, letters of reference, etc.)


Name: Phone:


Name: Phone:


Respond to the following by writing “yes” or “no” in the blank.

Have you ever been charged or indicted for a felony and/or a misdemeanor? Have you ever been officially terminated from employment with any school district? Have you ever resigned from a position when proceedings were in process to terminate you? Do you know of any reason why the district should not consider you for employment?


Statement and Signature:

I, the undersigned applicant, pledge that the above information is true and correct to the best of my knowledge. By signing this application, I hereby agree to allow Forrest County Agricultural High School District to conduct a criminal background check and to check with my current/previous employers regarding my employment history.


Signed: Date:


Return Your Completed Application To:


Office of the Superintendent of Education Forrest County Agricultural High School 215 Old Highway 49 E

Brooklyn, MS 39425


Applications will be active for 30 days.


We consider applicants for all positions without regards to race, color, religion, creed, national origin, age, disability, martial or veteran status. Forrest County AHS is an equal opportunity/affirmative action/veteran’s preference employer.