Hatch Valley Public Schools
Volunteer Application
DEMOGRAPHIC DATA
SOCIAL SECURITY NUMBER APPLICATION DATE LAST NAME FIRST NAME M.I. Jr.Sr.etc. CURRENT ADDRESS P.O. BOX STREET NUMBER STREET NAME APT. NUMBER CITY STATE ZIP CODE ADDRESS P.O. BOX STREET NUMBER STREET NAME APT. NUMBER CITY STATE ZIP CODE HOME PHONE NUMBER WORK PHONE NUMBER CELL PHONE NUMBER
An Equal Opportunity Employer
BIRTHDATE NAME OF PERSON WHO IS IN PERMANENT CONTACT WITH YOU HOME PHONE NUMBER WORK PHONE NUMBER CELL PHONE NUMBER
P.O. Box 790 Hatch NM 87937 - 219 E Hill St. Hatch NM 87937
EDUCATION TRAINING
Graduation or GED From MoYr To MoYr High School Location Colleges Degree or Semester Hours Check last year completed High School 3 2 1 410 11 12 GED College List any other training education or certifications Written Read Other Language Spoken Do you speak read or write any language other than English
EMAIL ADDRESS
This application and the statements made herein become the property of the Hatch Valley Public Schools at the time the application is submitted. I swear under the penalty of perjury that the foregoing statements and all things related thereto are true and correct. I further acknowledge that by the making of a false statement. The furnishing of false information or the withholding of pertinent information in connection with this application will constitute grounds for dismissal. I understand that the Hatch Valley Public Schools will obtain an FBI Fingerprint background history upon employment and I here by authorize the release of information and further release from liability any and all parties who may supply personal information concerning my employment.
BUSINESS TECHNICAL SKILLS
EMPLOYMENT REFERENCES
List previous supervisors. If inexperienced list names of department heads or teachers. Also include addresses and phone numbers.
Full Name of Reference Position Title of Reference Complete Mailing Address Phone Number & Email Name Listed on Your Record
Have you ever been released or asked to resign from a position If yes explain Have you ever been convicted of a felony Can you furnish your own vehicle for the job
VERIFICATION
Signature of Applicant Date
Hatch Valley Public School has a no smoking no tobacco policy.
WORK EXPERIENCE
From MoYr To MoYr FT PT Employer Mailing Address Phone Number Position Title Reason For Leaving
Please rate yourself on the following skill sets with 1 being no knowledge and 5 being highly qualified.
Typing WPM 10 Key Calculator Data Entry Microsoft Windows Microsoft Excel Microsoft Word JMAC Visions Other Applicable Skills