The following applications (whichever one applies to you) need to be copied onto your word processing program so that you can complete the information.  (This was created using Word.)  You may either send it by regular post or email to the superintendent:  john.kraker@minneotaschools.org     Thank you!
 

Independent School District No. 414
Application for Administrative Position

I. Equal Employment Opportunity It is the policy of Independent School District No. 414 to provide equal employment opportunity for all, without discrimination on the basis of race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, disability, sexual orientation, or age.

II.  Data Privacy Notice The information requested on this application may be used by the School District in determining suitability for employment for the position which you are currently seeking or may seek in the future.  You are not legally required to provide any of the information on this form at this time.  However, failure to provide complete, accurate information may result in the School District being unable or unwilling to offer employment to you.  With respect to any special accommodations necessary for completing your application or the interview process, the School District may be unable to provide the necessary accommodations if you do not provide the requested information.  The information on this application which is classified as private data under the Minnesota Government Data Practice Act will not be released outside the School District with your consent except as necessary for tax purposes or as otherwise required by state or federal law.

III.  Position Desired Title of position for which you are applying: Date available to begin employment:

IV.  Personal Data Name:                          Last                       First                            Middle

Address:                       Street                                     City                                   State      ZIP Phone:  Home:                                Cell:                                   Alternate:

Are you either a U.S. citizen or legally eligible to hold employment in the United States?

Have you previously worked for Independent School District No. 414?    Yes _______   No _______

If yes, position held:

If yes, under what name may your previous employment records be found?

Do you have any special needs which may necessitate accommodations in the application/interview process?       Yes _______  No _______ If yes, please describe the type of accommodation requested:

List all other names under which you have been employed or under which your educational records may be found.

V.  Work/Volunteer Experience List all work and volunteer experience, most recent to be listed first. Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Add more if necessary.

VI.  Licensure List current licenses, registrations, or certificates relevant to the position for which you are applying. License/No.                                        Issued By                                        Date                    Expiration   All applicable licenses or certifications must be received in Superintendent's office prior to employment.  Note:  If hired, it is your responsibility to keep a current license on file at all times.  Failure to do so may result in immediate discharge from employment. Have you ever had a license to teach suspended, revoked or has any other action been taken with respect to your teaching license, either in Minnesota or any other state?  Yes _______     No _______ If yes, please explain the circumstances

VII.  Education Include high school and any additional education/courses taken.  List most recent first. Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: List/describe any other training and/or experience relevant to the position for which you are applying:

VIII.  References These should be in a position to discuss your qualifications for the position you seek.  Include especially manager, directors, or heads of departments under whom you have worked.  Indicate any who are related to you.  The School District reserves the right to contact all prior employers, educational institutions or institutions where you have volunteered in addition to references listed below. Name of Reference: Address: Phone Number:                                  Title: Name of Reference: Address: Phone Number:                                  Title: Name of Reference: Address: Phone Number:                                  Title:

IX.  Criminal Background Information Have you ever been charged with a misdemeanor or a felony? If yes, please explain the nature of the charge and the circumstances. Were you convicted and/or did you please guilty? Give the date, city, state and county where convicted: The School District will conduct a criminal background check on individuals upon making a contingent job offer.  No offer of employment shall become final until receipt of the results of the criminal background check from the BCA, the content of which is acceptable to the School District, and approval by the School Board.

X.  Veteran Status Are you an honorably discharged veteran of the armed forces of the United States or are you otherwise eligible to claim Veteran's Preference Points?  Yes ______   No ______ Do you wish to claim Veteran's Preference Points (if applicable)?  Yes ______  No ______ If you are a disabled veteran and wish to claim additional points, please check here.  ______

XI.  Prior Employment Have you ever been discharged or forced to resign from employment or resigned as part of a settlement agreement with an employer? _______ If so, describe the circumstances:

XII.  Personal Statement Please indicated why you are interested in the position and what you hope to accomplish if selected.

XIII.  Certification, Acknowledgement and Release I certify that the answers I have given on this application are true and correct to the best of my knowledge.  I understand that any false or misleading information provided, or any omission or concealment of facts, will disqualify me from consideration for employment, and constitutes grounds for my immediate dismissal should I be employed by the District. I understand, acknowledge and agree that no offer of employment is valid or binding until formal approval by the School Board and that until such approval that the School District shall not be liable for any reliance on any oral or written offers of employment made to me. In connection with this application I hereby authorize any and all former employers, organizations where I have volunteered ("volunteer organizations") and references names in this application, or any agent of such a former employer or volunteer organizations, to release to Independent School District No. 414 and its agents any and all information regarding my job performance and fitness/qualifications to perform the position I am presently seeking and any other employment or related information, both public and private, in their possession.  I understand that Independent School District No. 414 will use this information to determine my fitness/qualifications for the position I am seeking.  This authorization expires one year from the date of my signature, below. I hereby release Independent School District No. 414 an all former employers, volunteer organizations and references listed herein and any and all agents acting on behalf of said District, former employers, volunteer organizations or references, for any and all liability of whatever nature by reason of requesting or  providing such information.   Date:                                     Signature (do not print):

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Independent School District No. 414
Application for Teaching Position

I. Equal Employment Opportunity It is the policy of Independent School District No. 414 to provide equal employment opportunity for all, without discrimination on the basis of race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, disability, sexual orientation, or age.

II.  Data Privacy Notice The information requested on this application may be used by the School District in determining suitability for employment for the position which you are currently seeking or may seek in the future.  You are not legally required to provide any of the information on this form at this time.  However, failure to provide complete, accurate information may result in the School District being unable or unwilling to offer employment to you.  With respect to any special accommodations necessary for completing your application or the interview process, the School District may be unable to provide the necessary accommodations if you do not provide the requested information.  The information on this application which is classified as private data under the Minnesota Government Data Practice Act will not be released outside the School District with your consent except as necessary for tax purposes or as otherwise required by state or federal law.

III.  Position Desired Title of position for which you are applying: Date available to begin employment:

IV.  Personal Data Name:                          Last                       First                            Middle

Address:                       Street                                     City                                   State      ZIP Phone:  Home:                                Cell:                                   Alternate:

Are you either a U.S. citizen or legally eligible to hold employment in the United States?

Have you achieved continuing contract status or tenure in any Minnesota School District or completed three (3) full years of teaching in one Minnesota School District?     Yes________    No_______

Have you previously worked for Independent School District No. 414?    Yes _______   No _______

If yes, position held:

If yes, under what name may your previous employment records be found?

Do you have any special needs which may necessitate accommodations in the application/interview process?       Yes _______  No _______ If yes, please describe the type of accommodation requested:

List all other names under which you have been employed or under which your educational records may be found.

V.  Work/Volunteer Experience List all work and volunteer experience, most recent to be listed first. Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Add more if necessary.

VI.  Licensure List current licenses, registrations, or certificates relevant to the position for which you are applying. License/No.                                        Issued By                                        Date                    Expiration   All applicable licenses or certifications must be received in Superintendent's office prior to employment.  Note:  If hired, it is your responsibility to keep a current license on file at all times.  Failure to do so may result in immediate discharge from employment. Have you ever had a license to teach suspended, revoked or has any other action been taken with respect to your teaching license, either in Minnesota or any other state?  Yes _______     No _______ If yes, please explain the circumstances

VII.  Education Include high school and any additional education/courses taken.  List most recent first. Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: List college activities, and any honors received before and after graduation:   Special subjects qualified in: Are you qualified to coach/direct any of the following?  Orchestra, Choir, Debate, Declamation, Dramatics, Football, Basketball, Baseball, Track, Tennis, Golf, Wrestling, Softball, Gymnastics, Volleyball, Playground Activities. Do you have experience in the following?  Team Teaching, Departmentalized Elementary School, Upgraded Elementary School, Modular Scheduling If so, please describe briefly: For K - 6 Applicants Only:      Do you sing?      List instrument played:      Can you teach any of the following:  Music, Penmanship, Art. Please make a brief statement of your philosophy of education: List/describe any other training and/or experience relevant to the position for which you are applying:

VIII.  References These should be in a position to discuss your qualifications for the position you seek.  Include especially manager, directors, or heads of departments under whom you have worked.  Indicate any who are related to you.  The School District reserves the right to contact all prior employers, educational institutions or institutions where you have volunteered in addition to references listed below. Name of Reference: Address: Phone Number:                                  Title: Name of Reference: Address: Phone Number:                                  Title: Name of Reference: Address: Phone Number:                                  Title:

IX.  Criminal Background Information Have you ever been charged with a misdemeanor or a felony? If yes, please explain the nature of the charge and the circumstances. Were you convicted and/or did you please guilty? Give the date, city, state and county where convicted: The School District will conduct a criminal background check on individuals upon making a contingent job offer.  No offer of employment shall become final until receipt of the results of the criminal background check from the BCA, the content of which is acceptable to the School District, and approval by the School Board.

XI.  Prior Employment Have you ever been discharged or forced to resign from employment or resigned as part of a settlement agreement with an employer? _______ If so, describe the circumstances:

XII.  Personal Statement Please indicated why you are interested in the position and what you hope to accomplish if selected.

XIII.  Certification, Acknowledgement and Release I certify that the answers I have given on this application are true and correct to the best of my knowledge.  I understand that any false or misleading information provided, or any omission or concealment of facts, will disqualify me from consideration for employment, and constitutes grounds for my immediate dismissal should I be employed by the District. I understand, acknowledge and agree that no offer of employment is valid or binding until formal approval by the School Board and that until such approval that the School District shall not be liable for any reliance on any oral or written offers of employment made to me. In connection with this application I hereby authorize any and all former employers, organizations where I have volunteered ("volunteer organizations") and references names in this application, or any agent of such a former employer or volunteer organizations, to release to Independent School District No. 414 and its agents any and all information regarding my job performance and fitness/qualifications to perform the position I am presently seeking and any other employment or related information, both public and private, in their possession.  I understand that Independent School District No. 414 will use this information to determine my fitness/qualifications for the position I am seeking.  This authorization expires one year from the date of my signature, below. I hereby release Independent School District No. 414 an all former employers, volunteer organizations and references listed herein and any and all agents acting on behalf of said District, former employers, volunteer organizations or references, for any and all liability of whatever nature by reason of requesting or  providing such information.   Date:                                     Signature (do not print):

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Independent School District No. 414
Application for Classified Personnel Position

I. Equal Employment Opportunity It is the policy of Independent School District No. 414 to provide equal employment opportunity for all, with out discrimination on the basis of race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, disability, sexual orientation, or age.

II.  Data Privacy Notice The information requested on this application may be used by the School District in determining suitability for employment for the position which you are currently seeking or may seek in the future.  You are not legally required to provide any of the information on this form at this time.  However, failure to provide complete, accurate information may result in the School District being unable or unwilling to offer employment to you.  With respect to any special accommodations necessary for completing your application or the interview process, the School District may be unable to provide the necessary accommodations if you do not provide the requested information.  The information on this application which is classified as private data under the Minnesota Government Data Practice Act will not be released outside the School District with your consent except as necessary for tax purposes or as otherwise required by state or federal law.

III.  Position Desired Title of position for which you are applying: Date available to begin employment:

IV.  Personal Data Name:                          Last                       First                            Middle

Address:                       Street                                     City                                   State      ZIP Phone:  Home:                                Cell:                                   Alternate:

Are you either a U.S. citizen or legally eligible to hold employment in the United States?

Have you previously worked for Independent School District No. 414?    Yes _______   No _______

If yes, position held:

If yes, under what name may your previous employment records be found?

Do you have any special needs which may necessitate accommodations in the application/interview process?       Yes _______  No _______ If yes, please describe the type of accommodation requested:

List all other names under which you have been employed or under which your educational records may be found.

V.  Work/Volunteer Experience List all work and volunteer experience, most recent to be listed first. Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Employer Name: Employer Address: Job Title: Job Duties: Dates of employment/experience: Reason for leaving:   Add more if necessary.

VI.  Licensure List current licenses, registrations, or certificates relevant to the position for which you are applying. License/No.                                        Issued By                                        Date                    Expiration   All applicable licenses or certifications must be received in Superintendent's office prior to employment.  Note:  If hired, it is your responsibility to keep a current license on file at all times.  Failure to do so may result in immediate discharge from employment. Have you ever had a license to teach suspended, revoked or has any other action been taken with respect to your teaching license, either in Minnesota or any other state?  Yes _______     No _______ If yes, please explain the circumstances

VII.  Education Include high school and any additional education/courses taken.  List most recent first. Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: Name of School: Address of School: Degree/Diploma Received: Major/Minor: Dates of Attendance: List/describe any other training and/or experience relevant to the position for which you are applying:

VIII.  References These should be in a position to discuss your qualifications for the position you seek.  Include especially manager, directors, or heads of departments under whom you have worked.  Indicate any who are related to you.  The School District reserves the right to contact all prior employers, educational institutions or institutions where you have volunteered in addition to references listed below. Name of Reference: Address: Phone Number:                                  Title: Name of Reference: Address: Phone Number:                                  Title: Name of Reference: Address: Phone Number:                                  Title:

IX.  Criminal Background Information Have you ever been charged with a misdemeanor or a felony? If yes, please explain the nature of the charge and the circumstances. Were you convicted and/or did you please guilty? Give the date, city, state and county where convicted: The School District will conduct a criminal background check on individuals upon making a contingent job offer.  No offer of employment shall become final until receipt of the results of the criminal background check from the BCA, the content of which is acceptable to the School District, and approval by the School Board.

X.  Veteran Status Are you an honorably discharged veteran of the armed forces of the United States or are you otherwise eligible to claim Veteran's Preference Points?  Yes ______   No ______ Do you wish to claim Veteran's Preference Points (if applicable)?  Yes ______  No ______ If you are a disabled veteran and wish to claim additional points, please check here.  ______

XI.  Prior Employment Have you ever been discharged or forced to resign from employment or resigned as part of a settlement agreement with an employer? _______ If so, describe the circumstances:

XII.  Personal Statement Please indicated why you are interested in the position and what you hope to accomplish if selected.

XIII.  Certification, Acknowledgement and Release I certify that the answers I have given on this application are true and correct to the best of my knowledge.  I understand that any false or misleading information provided, or any omission or concealment of facts, will disqualify me from consideration for employment, and constitutes grounds for my immediate dismissal should I be employed by the District. I understand, acknowledge and agree that no offer of employment is valid or binding until formal approval by the School Board and that until such approval that the School District shall not be liable for any reliance on any oral or written offers of employment made to me. In connection with this application I hereby authorize any and all former employers, organizations where I have volunteered ("volunteer organizations") and references names in this application, or any agent of such a former employer or volunteer organizations, to release to Independent School District No. 414 and its agents any and all information regarding my job performance and fitness/qualifications to perform the position I am presently seeking and any other employment or related information, both public and private, in their possession.  I understand that Independent School District No. 414 will use this information to determine my fitness/qualifications for the position I am seeking.  This authorization expires one year from the date of my signature, below. I hereby release Independent School District No. 414 an all former employers, volunteer organizations and references listed herein and any and all agents acting on behalf of said District, former employers, volunteer organizations or references, for any and all liability of whatever nature by reason of requesting or  providing such information.   Date:                                     Signature (do not print):

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