Plemons-Stinnett-Phillips CISD

Please Fill Out The Seasonal Summer Employment Below

Date

Name

Address

City

State

Zip

Home Phone Number

Work Phone Number

Email Address

Are you 16 years of age or older

Reaquired field: Yes

Reaquired field: No

Are you legally eligible for employment in the United States? (Proof of eligibility will be required prior to employment.)

Yes

Name and relation of all relatives who work for Plemons-Stinnett-Phillips CISD, if any.

Position Applied For

Custodial

Grounds and Maintenance

High School Attended / Current Grade Classification?

On what date will you be available if offered employment at Plemons-Stinnett-Phillips CISD?

Have you ever entered a plea of guilty or nolo contendre to a state (any state) or federal charge? (This question includes criminal cases involving a "deferred sentence." "deferred judgement" and any "expunge of the records.")

Reaquired field: Yes

Reaquired field: No

Have you ever been convicted of a state (any state) or federal felony offense?

Reaquired field: Yes

Reaquired field: No

Have you ever been charged with a state (any state) or federal felony offense, which was reduced to a misdemeanor offense to which you entered a plea of guilty or nolo contendere? (This question includes criminal cases involving a "deferred sentence," "deferred judgement" and any "expunge of the records.")

Reaquired field: Yes

Reaquired field: No

Have you ever entered a plea of guilty or nolo contendere to, or been convicted of a state (any state) or federal misdemeanor charge involving illegal chemical substance or illegal sexual activity? (This question includes criminal cases involving a "deferred sentence," "deferred judgement" and any "expunge of the records.")

Reaquired field: Yes

Reaquired field: No

Have you ever entered into a deferred prosecution agreement with a state (any state) or federal prosecutor?

Reaquired field: Yes

Reaquired field: No

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