Milford Public Schools - Employment Application
PERSONAL INFORMATION
The fields in BLUE text are required.
First Name: Middle Name: Last Name:
Present Address:
City: State: Zip Code:
Permanent Address:
City: State: Zip Code:
Phone Number: Email Address:
Citizen of USA: Referred by:

EMPLOYMENT DESIRED
Position:
Professional Certification/License Number (or N/A):
Areas of Certification (or N/A):
Are you employed now?
If so, may we contact your present employer?
Previously applied to our school district?
EDUCATION and PROFESSIONAL TRAINING
Name & Location of School Years Attended Date Graduated Subjects Studied Diploma/Degree/Certification

Subjects of Special Study or Research Work (not to exceed 100 words):
What foreign languages do you speak fluently?
Activities other than religious (civic, athletic, fraternal, etc.):
Educational Philosophy Statement (if applicable - not to exceed 500 words):

EMPLOYMENT HISTORY

List below the last four employers, starting with the last one first
1) Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Salary: Position:
Reason for Leaving:
2) Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Salary: Position:
Reason for Leaving:
3) Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Salary: Position:
Reason for Leaving:
4) Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Salary: Position:
Reason for Leaving:

REFERENCES

List below three people not related to you, whom you have known for at least 1 year

1) Name: Years Acquainted:
Address:
City: State:
Zip Code: Phone Number:
Business:
2) Name: Years Acquainted:
Address:
City: State:
Zip Code: Phone Number:
Business:
3) Name: Years Acquainted:
Address:
City: State:
Zip Code: Phone Number:
Business:
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice.

   

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