Hilltop CDC Full Time Teacher Application

Application for Full-time Employment

Position Applying For:

Applicant's Information

First and Last Name

Address

Email Address

Phone Number

Work or Volunteer Experience

1-Place of Employment

1-Name of Supervisor

1-Dates of Experience

1-Responsibiliites

2-Place of Employment

2-Name of Supervisor

2-Dates of Experience

2-Responsibilities

3-Place of Employment

3-Name of Supervisor

3-Dates of Experience

3-Responsibilities

References (3)
List the name of three references. At least one should be a former employer. Please do not leave any information blank. By listing these people, you are authorizing Hilltop to contact them for employment verification and/or reference purposes.

*Note- Email is the preferred method of contacting your references

1-Name of Reference

1-Email

1-Phone Number

1-Relationship (Personal/ Professional)

2-Name of Reference

2-Email

2-Phone Number

2-Relationshop (Personal/Professional)

3- Name of Reference

3-Email

3-Phone Number

3-Relationship (Personal/Professional)

Why do you feel you are qualified for this position? (degree, course work, experience, etc.)

Upon hire, staff are also required to submit their Social Security Number to Hilltop for a name and fingerprint based Background Check.

Information will be sent to the State Health Department and the Kansas Bureau of Investigation for a background check concerning child abuse or felonies against persons. This is required by Kansas law.

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, sexual orientation, the presence of a non-job-related medical condition or handicap, or any other legally protected status.

Applicant's Signature-I verify that to the best of my knowledge all the information is true and correct.In the event of employment, I understand that false or misleading information will result in immediate termination.

Sign Here

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