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On-Line Employment Application

Please complete the form below. Required fields marked with an asterisk *

Assistance in completing this application is available through the administration Office at the Dishchii'Bikoh Community School.  If your response a question is "NOT APPLICABLE" write "N/A."  When entring dates please use the format DD/MM/YYYY or MM/YYYY.  Do not leave any space blank.  Incomplete applications or failure to supply any additinoal information that is being requested may affect your chances for employment.

Section A: Position Applying For

Section B: Applicant Information

State
Answer Required
Have you ever filed an application with us before?*
Answer Required
Have you ever been employed with us before?*
Answer Required
Are you currently employed?*
Answer Required
Type of employment desired*
Answer Required
Check the shifts you are able and willing to work.*
Answer Required
Are you willing to travel if your job requires it?*
Answer Required
Will you work overtime if your job requires it?*
Answer Required
If required, will you undergo a pre-employment physical?*
Answer Required
Have you been convicted of a felony in the past seven (7) years?*
Answer Required
Do you have a Driver's License?
Answer Required
If lifting is involved, please indicate the amount of weight you are willing and able to lift.*
Answer Required
Are you a Citizen of the United States?*
Answer Required
For the language you listed above, indicate below your level of proficiency.
Answer Required
Fluent
Good
Fair
Speak
Read
Write

Section C: Education and Traning (list most recent first)

College or Trade School (1)

Address
State
Answer Required

College or Trade School (2)

Address
State
Answer Required

High School

Address
State
Answer Required

Section D: Employment History (List most recent first)

Most Recent Employment (1)

Address
State (1)
Answer Required

Employment (2)

Address
State (2)
Answer Required

Employment (3)

Address
State (3)
Answer Required

Employment (4)

Address
State (4)
Answer Required

Section E: References (Please list three references who are not related to you)

Reference (1)

Reference (2)

Reference (3)

Section F: Additional Information

If you have a resume, a letter of introduction, or other documents you would like us to review, please upload those documents below.
Answer Required
or drag it here.

Section G: Statement of Certificate -- Applicant Signature

By signing this application electronically (type full name in the space below), I certify under penaly of law that the information provided anywhere in this application is true, correct, and complete to the best of my knowledge and belief.  I also acknowledge that should an investigation at any time disclose any misrepresentation or falsification, my application may be rejected, my name may be removed from further consideration, and I may be disqualified from future examinations and/or terminated from employment.  I so authorize the Cibecue Community Education Board, Inc., or its agents, to make all necessary or appropriate investigations to verify the information provided.

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