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Classified Application

Dillard Academy Classified Personnel

Application for Employment

Roles*
Answer required for "Roles"

Personal Data

I certify that I am a U.S citizen, permanent resident, or a foreign national with authorization to work in the United States*
Answer required for "I certify that I am a U.S citizen, permanent resident, or a foreign national with authorization to work in the United States"
Have you been convicted of any offense involving sexual molestation, physical or sexual abuse or rape of a child?*
Answer required for "Have you been convicted of any offense involving sexual molestation, physical or sexual abuse or rape of a child?"
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?*
Answer required for "Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?"
Do you have a driver license?*
Answer required for "Do you have a driver license?"
Have you ever been in the military*
Answer required for "Have you ever been in the military"

Education

Graduated
Answer required for "Graduated "
Graduated
Answer required for "Graduated"
If you did not graduate from high school, did you pass the GED test?*
Answer required for "If you did not graduate from high school, did you pass the GED test?"

Employment Record

Most Recent Employment

Previous Employment

Professional References (Whom we may Contact)

Bus Driver Information (Complete only if applying for Bus Driver Role)

Do you have a NC CDL's Driver License
Answer required for "Do you have a NC CDL's Driver License"
Do you have a PS Bus Endorsement
Answer required for "Do you have a PS Bus Endorsement"
Have you ever been convicted of a traffic violation?
Answer required for "Have you ever been convicted of a traffic violation? "

Cover Letter & Resume

Upload your resume/cover letter here
Answer required for "Upload your resume/cover letter here"
or drag it here.

PRE-EMPLOYMENT ALCOHOL AND OTHER DRUG TESTING CONSENT

 

I understand that it’s required by the Federal Motor Carrier Safety Regulations, Title 49 code, all applicants for positions for which a commercial Driver's License is required must be tested for alcohol and other drugs as a pre-condition for employment.

I consent to the urine and breath sample collection and testing for these controlled substances required.

I understand that a positive test result for those controlled substance will render me unqualified to be hired for a position to operate a commercial motor vehicle. The results will not be disclosed without my written authorization or a court order.

Do you agree to the Pre-Employment Alcohol and Other Drug Testing Consent*
Answer required for "Do you agree to the Pre-Employment Alcohol and Other Drug Testing Consent"

APPLICANT'S RELEASE OF LIABILITY

My signature below authorizes Dillard Academy to conduct a background investigation and authorizes release of information connected with my application for employment. This investigation may include such information as criminal or civil conviction,driving records, previous employers and educational institutions, personal references, professional references, and other appropriate sources. I waive my right to access to any such information and without limitation hereby release Dillard Academy and the refel'ences source from any liability in connection with its release or use,

This release includes the sources cited above and specific examples as follows: Local Law Enforcement Agencies, Department of Motor Vehicles, Information from the North Carolina Criminal Information Center and the Division of Criminal Information eitherdata on all criminal convictions or certification that no data or criminal convictions are maintained, information from The Department of Social Services Child Protective Services Unit pertaining in any findings of child abuse or neglect investigation involving me.

Furthermore, l certify that the information given by me in this application is n·ue and complete, I understand that any misrepresentation, falsification, or omission will be sufficient cause for cancellation of the applicatio11i or dismissal from employment if! have been hired. Also, it is understood that this application and all other pre-employment data become the property of Dillard Academy.

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