APPLICATION FOR EMPLOYMENT- SUPPORT

MM slash DD slash YYYY
Name
Sex:
Address
MM slash DD slash YYYY
Have you filed an application here before?
Have you been employed here before?
MM slash DD slash YYYY
MM slash DD slash YYYY
Are you legally eligible for employment in the country?
(Proof of U.S. Citizenship or immigration status will be required upon employment)
MM slash DD slash YYYY
Would you undergo pre-employment physical?
Type of employment desired
check 1 or more
Have you completed high school?

Employment History

List past places of employment, most recent first
Name of Business/Company
Address
Telephone
Dates Of Employment
 
Please indicate the school(s) in which you will be available:

It is understood and agreed that any misrepresentation by me in this application will be just cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause or prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary. I give the employer the right to investigate all references and secure additional information about me, if job related. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information. The employer is an equal opportunity employer. The employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any consideration for employment on a basis prohibited by local, state, or federal law. I understand that in filling a temporary position I have no expectancy of continued employment but shall be considered for initial employment to fill other vacancies.
MM slash DD slash YYYY

TITLE IX COORDINATOR

Title: Ryan Miller Mailing address: 155 Guinn Street, Savannah, TN 38372 Phone number: (731) 925-3943 ext. 2240 Email: ryan.miller@hctnschools.com

Hardin County Schools does not discriminate on the basis of sex in any education program or activity. Such non-discrimination is required by Title IX and federal regulations. The requirement not to discriminate extends to admission and employment. Jnquiries about the application of Title IX and its implementing regulations to the district may be refened to the Titl 1 Coordinator, to the Assistant Secretary of Education, or both. Hardin County Schools grievance procedures and grievance process, including: how to report or file a complaint of sex discrjmination; how to report or file a fom1al complaint of sexual harassment, and how the district will respond can be found in Hardin County Board policy 6.3041.