Blackfoot Charter School
Kindergarten-8th Grade
Employment Application
APPLICANT INFORMATION
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Date*
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Full Name
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Address:*
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City*
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State*
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Zip / Postal Code*
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Phone:*
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Email:*
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Date Available
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Position Applied For:*
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Desired Salary:
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Are you a citizen of the United States?*
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If you are not a citizen of the U.S., are you authorized to work in the U.S.?
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Have you ever worked for BCCLC before?*
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If you have previously worked for BCCLC before, when?
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Have you ever been convicted of a felony?*
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If you have been convicted of a felony, explain:
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EDUCATION
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High School Attended:
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What years did you attend High School?
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Did you graduate?
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1) College Attended:
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Years Attended College:
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Did you graduate?
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Degree:
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2) College Attended:
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Years Attended College:
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Did you graduate?
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Degree:
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REFERENCES
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1) Name of Reference:
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Relationship to Reference:
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Contact Information for Reference:
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2) Name of Reference:
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Relationship to Reference:
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Contact Information for Reference
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3) Name of Reference:
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Relationship to Reference:
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Contact Information for Reference:
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PREVIOUS EMPLOYMENT
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1)Company:
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Phone
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Address
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Supervisor:
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Job Title:
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Starting Salary
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Ending Salary:
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Responsibilities:
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Dates Employed:
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Reason for Leaving:
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May we contact your previous supervisor for a reference?
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2) Company
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Phone
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Address
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Supervisor:
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Job Title:
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Starting Salary:
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Ending Salary:
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Responsibilities:
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Dates Employed:
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Reason for Leaving:
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May we contact your previous supervisor for reference?
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3) Company
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Phone
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Address
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Supervisor
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Job Title
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Starting Salary
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Ending Salary:
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Responsibilities:
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Dates Employed:
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Reason for Leaving:
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May we contact your previous supervisor for reference?
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MILITARY
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Branch
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Dates Served:
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Rank at Discharge:
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Type of Discharge:
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If other than honorable, explain:
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DISCLAIMER AND SIGNATURE
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I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. ***Please enter your name below***:*
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92 N 415 W Blackfoot, ID 83221 | Phone: 208-782-0744 | Fax: 208-785-0349
Legal Information - Privacy Policy
It is the policy of BCCLC not to discriminate on the basis of sex, race, color, national origin, religion, disabilities, or any other legally protected class(es) as defined by applicable state and federal law, in its education programs, activities, admissions, access, treatment, or employment practices.
