Professional Employment Application

Professional Employment Application

1. Complete Professional Application Form

2. Current Resume

___ __ 3. 3 to 5 letters of recommendation

4. Letter of interest which includes your specific abilities relating to the responsibilities of this position.

5. Copies of all university/college transcripts

______6. Applicable license or certificate

______7. If hired, you will need to complete a fingerprint based background check as well as

submit proof of a negative TB test done within one year of hire date.

Comments:

Print Your Name

Signature Date

Complete applications will be kept on file for two to three years in the Human Resources Office. Unsolicited contact with district employees other than the Department of Human Resource Services may disqualify you from consideration for employment.

Complete Application:

Initial:

Department of Human Resource Services

Billings Public Schools

Billings Public Schools Web Site: www.billings.k12.mt.us

October 1, 2004

E-Mail:

BILLINGS PUBLIC SCHOOLS

LINCOLN EDUCATION CENTER

415 North 30th Street • Billings MT 59101-1298

(406) 247-3870 • Fax (406) 255-3560

PERSONAL INFORMATION Please Print or Type

Name

Last First Middle

Date of Application SSN

U.S. Citizen? If not, explain (use separate page if necessary)

Present Address Telephone ( )

City State Zip Code

List Professional memberships including offices held, honors/awards received, publications, civic and

community activities, etc.

Are you currently under contract? Yes No With Whom?

State the reason for leaving your present or last position

What is your present or last salary? Position:

E-mail______Cell phone______

AN EQUAL OPPORTUNITY EMPLOYER

EDUCATIONAL AND PROFESSIONAL BACKGROUND

Name of HS & College
Or University Attended / Address
Location City State / Diploma/Degree
and/or Semester Hours / Major Field of Concentration / Completion date

Graduation Hours completed: Beyond B.A. Degree Beyond M.A. Degree

PROFESSIONAL EXPERIENCE

Name of Employer / Address
Location City State / Position Held / Dates
From To / Job Duties

RECENT ADMINISTRATIVE EXPERIENCE

Employer / Address
Location City State / Position Held / Dates
From To

REFERENCES

Give names and complete addresses of references that are familiar with your personality, character, and work habits.

Name / Address
Location City State / Official Position / Phone

APPLICANTS PLEASE NOTE:

I understand by submitting my application for a professional position with the Billings Public Schools, that a search committee will have access to my personnel file. The search committee will review material that may, under certain circumstances, be considered confidential. By submitting my application, I hereby waive the confidentiality of any records deemed pertinent to the application process by the committee. It is the responsibility of the candidate to arrange for the transmittal of copies of transcripts, letters of reference, and verification of experience to the Department of Human Resource Services.

I certify that all the information given on this application is true and complete. I authorize you to make such investigations and inquire of my personal, employment, financial, or medical history, and other related matters as may be necessary in arriving at an employment decision. I further authorize all employers, schools, or persons to respond fully to any inquiries by you and to release any information requested by you in connection with my application. I understand and agree to comply with any certification requirements of the State of Montana, and requirements of the Billings School District of Yellowstone County, Montana, including any health examinations the Billings School District may deem necessary. I understand that obtaining employment through false or incomplete statements may be grounds for dismissal.

Type or Print Name of Applicant Signature Date

FAX Number available for your use

October 1, 2004

EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER

This section will be removed before file evaluation.

APPLICANT DATA RECORD (EEO): Title VII of the U.S. Civil Rights Act requires employers to “make and keep records relevant to the determinations of whether unlawful employment practices have been or are being committed.” This is also a requirement of the Montana Human Rights Act. The following survey helps fulfill these requirements.

This voluntary statement will be filed separately from all of your employment records. As required by State Law,

it will be available only to the School District Personnel Department and federal and state employment enforcement officers.

Complete the following information and return it with our completed application to Billings Public Schools, District No. 2, Human Resource Services.

Name:

Position Applied For:

_____Asian or Pacific Islander

Male______American Indian/Alaskan Native

Female______Black

_____Hispanic

_____White

Age Range: _____(21-30), _____(31-40), _____(41-50), _____(51-60), _____(61-70), _____(71-Over)

Disabled Person* _____Yes _____No

If yes, what accommodations would be necessary?

*Definition of disabled person: Any person who has a physical or mental impairment which substantially limits

one or more major life activities, has a record of such an impairment, or is regarded as having such an impairment. “Major life activities” means functions such as caring for one’s self, performing manual tasks, walking, seeing, hearing, speaking, breathing, learning and working.

Federal and state laws prohibit discrimination on the basis of race, color, sex, national origin, religion, age, physical or mental handicap, political affiliation, or martial status.

·  How did you learn of this opening?

1) Newspaper advertisement 2) Posted Notice

3) College Placement Service 4) Web

5) Personal contact with school or department 6) Friend

7) Other (please specify)

Applicant Signature Date