Please Fill Out The Support Staff Application Form Below
Reaquired field: Date
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Reaquired field: Name
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Reaquired field: Address
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Reaquired field: City
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Reaquired field: State
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Reaquired field: Zip
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Home Phone Number
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Work Phone Number
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Cell Phone Number
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Email Address
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Name and relation of all relatives who work for Justice Public School.
Other:
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Reaquired field: Name of Present (or Most Recent) Employer:
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Reaquired field: Address: City, State, Zip
Reaquired field: Employer's Phone:
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Reaquired field: Name and Title of Supervisor:
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Reaquired field: Your Current Title:
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Reaquired field: Employed From Date: (mm/dd/yyyy)
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Reaquired field: Employed To Date: (mm/dd/yyyy)
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Reaquired field: Describe Your Duties:
Reaquired field: Reason for Leaving:
Name of Last Employer:
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Address: City, State, Zip
Employers Phone:
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Name and Title of Supervisor:
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Employed From Date: (mm/dd/yyyy)
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Employed To Date: (mm/dd/yyyy)
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Describe your Duties:
Reason for Leaving:
Name of Last Employer:
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Address: City, State, Zip
Employer's Phone:
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Name and Title of Supervisor:
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Employed From Date: (mm/dd/yyyy)
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Employed To Date: (mm/dd/yyyy)
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Describe your Duties:
Reason for Leaving:
Name of Last Employer:
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Address: City, State, Zip
Employer's Phone:
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Name and Title of Supervisor:
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Employed From Date: (mm/dd/yyyy)
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Employed To Date: (mm/dd/yyyy)
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Describe your Duties:
Reason for Leaving:
High School Attended:
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Year Graduated:
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College or University Attended:
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Dates of Attendance:
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Major Field of Study:
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Minor Field of Study:
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Type of Degree:
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Year Earned:
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Where?
If yes, please explain.
Why do you wish to leave your present position?
On what date will you be available if offered employment at Justice School?
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If yes, what branch of service?
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Date Entered:
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Rank at Discharge:
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Type of discharge or separation:
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Date of discharge/separation:
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Major Duties:
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Service Schools Attended:
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I understand that my application will remain active for one year and that I should notify Justice School, in writing, if I wish to be considered beyond that period. All persons, firms, and entities listed in this application are hereby authorized to release any information or records concerning me to the personnel department of Justice School and I hereby release said persons, firms, and entities from any liability as a result of the furnishing of such records and information.
I certify to the best of my knowledge the facts set forth in my application are accurate and complete. I understand that falsifying information on this application will result in non-employment or discharge after employment.
Reaquired field: Signature (By typing your name, you agree that this is valid as your signature.)
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Reaquired field: Date
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