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BENAVIDES INDEPENDENT SCHOOL DISTRICT
EMPLOYMENT APPLICATION FOR PROFESSIONAL PERSONNEL
We consider applicants for all positions without regard to race, color, national origin, age,
religion, sex, marital status, veteran or military status, disability, or any other legally
protected status.
An Equal Opportunity Employer
Personal Data
Date of Application ___________ Social Security Number ___________________
Name _____________________________________________________________
Last First MI
Current Address _____________________________________________________
Street/Box City State Zip Code
Other Address where you may be reached _________________________________
Work phone __________________ Home phone ___________________
Other name that may appear on records ___________________________________
(Used for certification, reference, and criminal history record checks)
Position Data
List the position(s) you are applying for __________________________________
Credentials included with application:
Resume
All teaching and professional certificates or licenses
All transcripts showing degrees
Date you can begin work _____________________________
Have you been employed by Benavides ISD in the past? Yes No
If you answered yes, provide dates of employment ____________ - ____________
Name and Location of
Schools Attended
Course of Study
and Major/Minor
Diploma, Degree, Certificate,
or License Held
Year Graduated
(College Only)
Education/Training