Signature of Applicant
At the time of the personal interview the applicant will be asked to sign any
needed and necessary releases as a part of the interview process and/or
hereby declare the information provided by me in this application for employment is true, correct, and
complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on
this application shall be considered cause for dismissal.
I authorize you to obtain a reference report from my current and former employers, and others who are
acquainted with my abilities, and I hold them harmless from liability with the regard to the information they
provide in such written/verbal reports. These reports, if obtained, may include information as to my
character, general reputation, personal characteristics and mode of living. I understand I have the right to
make a written request within ninety (90) days of my application to receive additional detailed information
about the nature and scope of any such investigation.
Additionally, I give my permission for administration, board members, and members of the selection team to
examine any and all information, if required by the district.
This application for employment may be extended for a period of twelve (12) months after which it shall be
deleted from school files. The application may be extended for a period of one year upon written request.
After that, a new application must be submitted.
I understand that neither this document nor any offer of employment from the employer constitute an
employment contract unless a specific document to that effect is executed by the employer and employee in
Please email your application form and materials to
email@example.com or mail them to:
Teresa Mcginnis-District Bookkeeper
Crawford Public Schools
908 5th St.
Crawford, NE 69339