Non-Certified Application: Para, Secretary, Custodial, Maintenance

Non-Certified Application

Please complete the following information as your formal application for the position.  If you have a resume/cover letter you would like to send, please email that to

Your Name:  


Best Phone Number to Contact You:  

Email Address: 

Position Desired:  




  Other (Please list) 


Starting Date Available:  

Desired Salary:  

Please describe the work experience that has best prepared you for the position you are seeking: 

Are you a citizen of the United States?     Yes    No

If no, are you authorized to work in the U.S.?  Yes    No

Have you ever worked for Oak Grove School District? Yes    No

If yes, when?  

Have you ever been convicted of a felony?  Yes    No

If yes, please explain:  


Name of High School:  


Did you graduate?  Yes    No

Name of College/University or Technical/Trade School you have attended:  


Date of Attendance:  

College Degree/Certifications Earned:  


Current Employer:  

Job Title:  

Employer Address: 


Current Supervisor's Name:  

Starting Salary:  

Current Responsibilities:

Start/End Date or Length of Employment:  

Reason for Leaving: 

May we contact this employer: Yes    No

Previous Employer: 

Previous Job Title: 



Supervisor's Name:  

Starting Salary: 

Start/End Date or Length of Employment:  

Responsibilities at Previous Position: 


Reason for Leaving Previous Employer: 

May we contact this employer:  Yes    No

Additional qualifications and comments:


Reference #1:  Name, address, phone, email and their title/position: 

Reference Name #2: Name, address, phone, email and their title/position:

Reference Name #3: Name, address, phone, email and their title/position:


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