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Madelia Public Schools

Girls Basketball Varsity Assistant Coach

Madelia Public Schools, Madelia, Minnesota, United States, 56062

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Girls Basketball Varsity Assistant Coach – salary: $3,342 Street Address Address Line 2 City State ZIP Code General Employment Information

Have you ever applied for employment with us? * Yes No Are you able to work full time? * (Do not include religious holidays) Yes No Are you able to work over time if asked? * Yes No Are you eligible for work in the U.S.? * Yes No Are You 18 years Of Age Or Older? * Yes No Do you possess a valid drivers license? * Yes No When will you be able to start? * MM slash DD slash YYYY Employer History - Most Recent

Begin With Your Most Recent Employment (1) And Continue With Past Employment Employer Address Street Address City State ZIP Code Employed From (mm/yyyy) Employed To (mm/yyyy) Your Title(s) Your Duties Reason for Leaving Name & Title of Supervisor Phone Number Type of Business May We Contact Employer? Yes No Employer History - Past Employment 1 of 2

Employer Address Street Address City State ZIP Code Employed From (mm/yyyy) Employed To (mm/yyyy) Your Title(s) Your Duties Reason for Leaving Name & Title of Supervisor Phone Number Type of Business May We Contact Employer? Yes No Employer History - Past Employment 2 of 2

Employer Address Street Address City State ZIP Code Employed From (mm/yyyy) Employed To (mm/yyyy) Your Title(s) Your Duties Reason for Leaving Name & Title of Supervisor Phone Number Type of Business May We Contact Employer? Yes No Explain Any Period Between Jobs Education

Education History - List High School and any post High School education. Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools Click the + button on the far right to add additional high schools, colleges, universities, technical colleges, or trade schools Full Name of School Major Subject Degree Earned Additional information about your education history: Military or Other Special Training/Skills

Military Training or Experience, Other Skills Tell us about yourself PERSONAL OR BUSINESS REFERENCES

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Applicant Statement I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED. Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed. It is the policy of the company to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, any other characteristic protected by Federal, State or Local law. I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation. I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me. Signature (Type your initials) DO NOT SUBMIT UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT

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