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Support Application

Instructions:  Please fill out the following support employment application.  If you would like a copy of this form sent to your email address, fill out the “Send A Copy To” section at the bottom of the form.  Applicants are urged to consider carefully and understand fully each question and to type the response in the proper blanks.  All information submitted is subject to verification.

Please Fill Out The Support Application Below

SUPPORT APPLICATION

BEAUREGARD PARISH SCHOOL BOARD, 202 West Third Street / PO DRAWER 938 DeRidder, LA 70634 (337) 463-5551

THE BEAUREGARD PARISH SCHOOL BOARD IS AN EQUAL OPPORTUNITY EMPLOYER. WE ARE DEDICATED TO A POLICY OF NON-DISCRIMINATION IN EMPLOYMENT ON ANY BASIS INCLUDING RACE, CREED, COLOR, AGE, SEX, RELIGION, NATIONAL ORIGIN OR PHYSICAL DEFECTS.

NOTICE TO ALL APPLICANTS: YOUR APPLICATION WILL BE KEPT ON ACTIVE FILE FOR ONE (1) YEAR FROM THE DATE RECEIVED.




PERSONAL DATA


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PRESENT MAILING ADDRESS:


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POSITION DESIRED:



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EDUCATIONAL INFORMATION: HIGH SCHOOL


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EDUCATIONAL INFORMATION: College


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EDUCATIONAL INFORMATION: Trade, Business, or Correspondence School


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FORMER EMPLOYERS: List below your last four employers, starting with most recent one first. Give complete addresses.


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ADDRESS OF FORMER EMPLOYER:


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ADDRESS OF FORMER EMPLOYER:


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ADDRESS OF FORMER EMPLOYER:


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ADDRESS OF FORMER EMPLOYER:


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REFERENCES: List below the names of three persons (not related to you) whom you have known at least one year, or can attest to your educational experience and background.


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ADDRESS OF REFERENCE:


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ADDRESS OF REFERENCE:


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ADDRESS OF REFERENCE:


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BY SIGNING BELOW, I GIVE MY PERMISSION FOR THE BEAUREGARD PARISH SCHOOL BOARD TO REQUEST EVALUATION RESULTS OF ALL PREVIOUS EMPLOYMENT PERFORMANCE.

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BY SIGNING BELOW, I UNDERSTAND THAT IF EMPLOYED: ANY MISREPRESENTATION OR OMISSION OF FACTS REQUESTED IN THIS APPLICATION MAY BE CAUSE FOR DISMISSAL.

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If you would like a copy of this form sent to you, fill out the "Email a copy to" section below.

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