Vincennes Community School Corporation
1712 S. Quail Run Road
Vincennes, IN 47591
(812) 882-4844
Send email to: biblem@vcsc.k12.in.us

APPLICATION FOR EDUCATIONAL SUPPORT PERSONNEL-PAGE 2
MILITARY:
Present Selective Service Status Military Duty Branch From To
Previous Service Branch From To Rank Experience
REFERENCES: (Names & Addresses)
GENERAL INFORMATION: Add here any other employment, training, or autobiographical
information that will assist us in arriving at an estimate of your qualifications.
When you have completed this page of the application, print it out using your browser, read the agreement below, sign and date it, then proceed to the Request for Background Information. If you need additional room for any of the questions, please attach a separate sheet of paper, clearly marking which question you are answering.

AGREEMENT

I certify that the information given on this application is true and complete to the best of my knowledge.

I authorize you to make such investigations and inquiries as may be necessary in arriving at an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application.

In the event of employment, I understand that false or misleading information, or omission of fact given in my application or interview(s) may be grounds for disqualification from further consideration or for termination from employment regardless of when the misrepresentation or omission is discovered. I understand, also, that I am required to abide by all rules and regulations of the Vincennes Community School Corporation.

I understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the School Corporation or myself.

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----Signature of Applicant ---------------------------Date-------

Thank you for your interest in the Vincennes Community School Corporation.