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Woodlawn School
District
6760 Hwy. 63
Rison, AR 71665
Phone (870)357-8108
Fax (870)357-8718
Classified Employment Application
Name:_____________________________________________
Date:_____________________________
Position
Desired:_______________________________________________________________________
(secretary, cafeteria, paraprofessional, custodian, bus
driver, etc.)
Date Available:________________________________
Social Security Number:_________________________
Applicants for employment are accepted without regard to sex,
race, color, national origin, physical/mental handicap, age, religion, or
political affiliation. Conviction
of a crime does not automatically bar any applicant from employment with our
school.
Woodlawn School District Classified
Application
Name:___________________________________________________________________________
Present
Address:_________________________________________Birthdate:__________________
Home Phone:_____________________________
Cell Phone:_______________________________
In Case of Emergency
Notify:_____________________________________ Relation:_____________
Phone:__________________
Are you a U.S. Citizen?___________
If not, are you a Legal Alien?____________________
Have you ever been convicted of a crime/felony?_______________
If yes, please
explain:____________________________________________________________________
Are you currently listed on the child maltreatment
registry?______________________
You are required to have a criminal background check by the
Arkansas Department of Education.
Forms are available in the superintendent’s office.
References: Please list four references-
Work Experience:
List all experience in chronological order:
Answer the following
questions only if applying for a transportation position, otherwise proceed to
the Agreement section on next page:
Have you ever driven a school bus?_______________
If so, where:__________________________________
How many years:______
What other driving experience have you had? (give years of
experience)
Car:_________________
Truck:_______________
Other:_______________
Do you have a driver’s license?_______ Expiration
Date:_______________________
Driver’s license
number:_________________________________________________
Have you taken the CDL test for driving a
bus?_________________
Pass?_________
AGREEMENT
I authorize investigation of all statements contained in this
application. I understand
misrepresentation or omission of facts is cause for dismissal without notice at
any time during my employment.
I agree, if employed, to follow all rules and regulations of
the district.
I understand, by state law, the board of education must
require all employees to submit a health certificate from a physician along with
a tuberculin test, at my expense.
You are required to have a criminal background check by the
Arkansas Department of Education.
Forms are available in the superintendent’s office.
I agree to promptly notify the district of any change of
address during my employment.
Signature:____________________________________
Date:_____________________