COACH OR EXTRA-CURRICULAR APPLICATION

Goldendale School District No. 404 604 East Brooks Goldendale, WA 98620 (509) 773-5177 www.goldendaleschools.org

POSITION DESIRED: Coach: _____________________________________ Extra-Curricular: _____________________________

PERSONAL INFORMATION Name Last Other names known by:

First

Middle Social Security #

Address Mailing

Street

Home Telephone

City

State/Zip

Business or Message Phone

Have you ever been convicted of a crime in the past ten years, excluding misdemeanor and summary offenses, which has not been annulled, expunged or sealed by a court? Yes No (If yes, attach explanation.)

EDUCATION & TRAINING Name of School

Location

Certificate/Degree Earned

Date Earned

PERSONAL REFERENCES List below three persons, other than relatives and former employers, who have known you during the past three years. Name

Address

Telephone No.

I hereby declare the information provided by me in this Application of Employment is true, correct and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal.

Signature

Date

In accordance with Federal law, the Goldendale School District is prohibited from discriminating on the basis of sex, race, creed, religion, color, national origin, age, honorably discharged veteran or military status, sexual orientation including gender expression or identity, the presence of any sensory, mental or physical disability, or the use of trained dog guide or service animal by a person with a disability and provides access to the Boy Scouts of America and other designated youth groups. To file a complaint of discrimination, write to Clay Henry, Affirmative Action and Non-Discrimination Compliance Officer, Goldendale School District No. 404, 525 Simcoe Drive, Goldendale WA 98620 or call (509) 773-5846. Goldendale School District is an equal opportunity employer, complies with all Federal Rules and Regulations, and does not discriminate for all district employment opportunities.

THE GOLDENDALE SCHOOL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER

GENERAL INFORMATION 1. Have you ever worked for Goldendale School District? Job Title(s)

Yes

No

2. Do you have friends or relatives presently employed by Goldendale School District? Name(s) 3. Do you hold a current first aid card? How recently?

Yes

No

If not, have you ever had first aid training?

4. What is your Washington State Driver's License Number? 5. Are you fluent in a language other than English?

Specify

COACHING APPLICANTS ONLY Please list the number of years training and experience in the following: Athletic Activity Years of Training Years of Experience

Location

EXTRA-CURRICULAR APPLICANTS ONLY Please list the number of years training and experience in the following: Activity Years of Training Years of Experience

Location

EMPLOYMENT HISTORY Employer

Address

Supervisor's Name

Telephone

Dates of Employment: From

To

Specific Duties Reason for Leaving Employer

Address

Supervisor's Name

Telephone

Dates of Employment: From

To

Specific Duties Reason for Leaving EMPLOYMENT PROCEDURES NOTE: Due to large number of applications, we are unable to inform you of openings. It will be your responsibility to check with our office on openings. 1. The applicant must provide a completed application form. 2. All interviews will be initiated and scheduled through the District Office or through the building principals or their designee. 3. A W-4 form must be completed within 24 hours after notification of employment. 4. Application forms will be kept active for a period of one year following date of application. 5. The applicant understands that the Goldendale School District may contact former employers and references. 6. Verification of identity and United States work authorization and Washington State Patrol and Federal Bureau of Investigation Fingerprint process must be completed before employment commences.

THE GOLDENDALE SCHOOL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER

Application, Extra Curricular.pdf

I understand that if employed, any misstatement or omission of fact on this application shall be. considered cause for dismissal. Signature Date. In accordance with Federal law, the Goldendale School District is prohibited from discriminating on the basis of sex, race, creed, religion, color, national. origin, age, honorably ...

72KB Sizes 1 Downloads 39 Views

Recommend Documents

Section 5.1 Extra Practice
Simplify each expression. a) 7 11 3 11 8 11. -. + b) 4 3. 4 2. 3. 2. -. +. - x x c) 9 6 12. 6 4. + -. + d) 6 5. 7. 4 5 3 7. -. +. - y y. 5. Simplify each expression. a) 3 20. 5 45.

Section 5.3 Extra Practice
State the restrictions on the values for each variable. 1. Solve for x in each equation. a). 3 7. + = x b) 5. 4. = x c) 3 5 3. 0. -. = x d). 2. 24. -. = x. 2. Solve and verify. a) 7. 1 15. + = x b). 2. 1. 1. + - = y y c) 8. 1. 5. -. + = v d) 5 2. 2 1

extra gift.pdf
good year! The difference between. ordinary &. extraordinary is that little extra. Hope you have an extra. good year! Page 1 of 1. extra gift.pdf. extra gift.pdf. Open.

extra apostila 7cver.pdf
Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. extra apostila 7cver.pdf. extra apostila 7cver.pdf. Open. Extract.

604+Buy; 'Extra DVD to MPEG Ripper' by Extra Software Inc. Reviews
On this web-site you can get everything and whatever to do with Extra DVD ... Download our free trial software and try it out! ... We grow our company's building up, but we don't really go and make any great software ... this best uninstall [email protected] .

Extra Credit Assignment - Instructions.pdf
Converting Conic Equation into Standard Form. Page 2 of 2. Extra Credit Assignment - Instructions.pdf. Extra Credit Assignment - Instructions.pdf. Open. Extract.

Extra play flyer FINAL.pdf
When and where - Sunday at host facility, starting at 9 am and. ending by 1 pm. 2. FREE - There is no charge to participate in this extra. play opportunity. 3.

Unit Rates Extra Practice.pdf
Unit Rates Extra Practice.pdf. Unit Rates Extra Practice.pdf. Open. Extract. Open with. Sign In. Main menu. Displaying Unit Rates Extra Practice.pdf. Page 1 of 2.

extra centrosomes Mechanisms to suppress ... - Cytomorpholab
Jul 28, 2008 - service. Email alerting click here top right corner of the article or. Receive free email alerts when new articles cite this article - sign up in the box at the. Notes ... Citations to Advance online articles must include the digital.

Epilogo extra de la elegida.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item. Epilogo extra de la elegida.pdf. Epilogo extra de la elegida.pdf. Open. Extract. Open with. Sign In. Main me

2017 Oft Extra Lots.pdf
Acc Acc Acc Acc Acc. $EN. 98. OFt 5086. +12 +11 -9.18 .22 .34 .24 .14 .12 .05 .05 .05 .05. 18737386. #Hoover Dam[AMF-CAF-XF]. Bar I V Hoover Dam 12[DDF]. Erica 117 of Bar I V. #Hoover Dam[AMF-CAF-XF]. Oft Miss Hoover Dam 2087[CAF]. Oft Miss InFocus 0

extra centrosomes Mechanisms to suppress ... - Cytomorpholab
Jul 28, 2008 - service. Email alerting ... Receive free email alerts when new articles cite this article - sign up in the box at the ..... Moreover, the bulk of the cen-.

GDPR-extra-territoriality-cloud.pdf
There was a problem previewing this document. Retrying... Download. Connect more apps... Try one of the apps below to open or edit this item.

The Extra Button (PDF)
Edit Article wiki How to Open EPUB Files Six Methods Using Google Play Books for Android Using iBooks for iOS and Mac Using .... story about a gingerbread.