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Tahoka ISD

"We Serve, Students Win!"

Support Personnel Application Online

Tahoka Independent School District

PO Box 1230

Tahoka, TX 79373

Employment Application For Service and Support Personnel

We consider applicants for all positions without regard to race, color, national origin, age, religion, sex, marital status, veteran or military status, the presence of a medical condition, disability, or any other legally protected status.

An Equal Opportunity Employer

Support Personnel Application
Personal Data
 * Date of Application:
 
 
 * Social Security Number:
 
 * Last Name:
 
 * First Name:
 
Middle Initial:
 
 * Address:
 
(Street/Box)
(City, State, Zip)
Alternate Address:
 
(Street/Box)
(City, State, Zip)
 * Home Phone:
 
* - * - 
(XXX)-XXX-XXXX
Work Phone
 
 -  - 
(XXX)-XXX-XXXX
 * Email Address:
 
Other name that may appear on records:
 
Position Data
 * Position you are applying for:
 
*
 * Type of Employment:
 
Full-time
Part-time
Summer Only
 * Date you can begin work:
 
 
 * Have you been employed by Tahoka ISD in the past?
 
Yes
No
If yes, provide dates of employment:
 
Education / Training
 * Highest level of education attained:
 
Not a high school graduate
High school graduate
GED
Less than two years of college
Two or more years of college
Bachelor's degree
Master's degree
Other
Other training or education:
 
 * Do you current have a CDL on your license:
 
Yes
No
Schools attended:
 
 
 
School 1
 * Name and location of school:
 
 * Course of study and major/minor:
 
 * Diploma, degree, certificate, or license held:
 
 * Year graduated (college only):
 
 
 
 
 
School 2
Name and location of school:
 
Course of study and major/minor:
 
Diploma, degree, certificate, or license held:
 
Year graduated (college only):
 
 
 
 
 
School 3
Name and location of school:
 
Course of study and major/minor:
 
Diploma, degree, certificate, or license held:
 
Year graduated (college only):
 
 
 
 
 
School 4
Name and location of school:
 
Course of study and major/minor:
 
Diploma, degree, certificate, or license held:
 
Year graduated (college only):
 
 
Previous Work Experience
 
 
 
Current or most recent employer:
 * Employer and location:
 
 * Position/Title:
 
*
 * Dates employed:
 
 * Reason for leaving:
 
 
 
 
Previous employer:
Employer and location:
 
Position/Title:
 
Dates employed:
 
Reason for leaving:
 
 
 
 
Previous employer:
Employer and location:
 
Position/Title:
 
Dates employed:
 
Reason for leaving:
 
 
 
 
Previous employer:
Employer and location:
 
Position/Title:
 
Dates employed:
 
Reason for leaving:
 
Special Skills
List specific skills and any machines or equipment you can operate. Include typing speed and number of years of experience:
 
List them.
1.
2.
etc
General Information
 * Do you have a relative who serves on the Tahoka ISD Board of Education?
 
Yes
No
If yes, please provide the relative's name and relationship:
 
 
 * Have you ever been convicted of, plead guilty or no contest (nolo cotender( to, or received probation, suspension, or deferred adjudication for a felony or offense involving moral turpitude?
 
Yes
No
 
(including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)
If yes, please sate where, when and the nature of the offense:
 
References
 
 
 
Reference 1
 * Full Name of Reference:
 
 * Company Name:
 
 * Position/Title:
 
 * Phone Number:
 
 -  - 
(XXX)-XXX-XXXX
 
 
 
Reference 2
 * Full Name of Reference:
 
 * Company Name:
 
 * Position/Title:
 
 * Phone Number:
 
 -  - 
(XXX)-XXX-XXXX
 
 
 
Reference 3
 * Full Name of Reference:
 
 * Company Name:
 
 * Position/Title:
 
 * Phone Number
 
 -  - 
(XXX)-XXX-XXXX
Criminal History Record Information Request - Confidential
 
 
The TAHOKA Independent School District is required by Texas Education Code Chapter 22, Subchapter C to review the criminal history of apllicants, employees, independent contractors, student teachers, and certain volunteers. The information requested below is necessary to obtain criminal history record information.
 * Last Name
 
 * First Name
 
Middle Initial
 
 * Date of Birth
 
 
 * Social Security Number
 
 * Driver's License Number
 
 * Mailing Address
 
(Street/Box)
(City, State, Zip)
 * Sex
 
Male
Female
 * Ethnicity
 
Black
White/Other
 
 
I understand that the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment but will be used solely for the purpose of obtaining criminal history record information.
 * By selecting "Accept" you are providing an electronic signature that is providing the same permissions as a signed original
 
Accept
Decline
 * Date Accepted
 
 
 * By submitting this form you are providing an electronic signature that is providing the same permissions as a signed original.
 
Acknowledge
Do Not Acknowledge
If you have a resume, please email it as a Word Doc or PDF to: GMcFarland@tahokaisd.us
 
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