Position  * required	Birthdate & Year  * required	Date you can start  * required	Salary Desired
Are you available to work:	Full Time	Part Time	Seasonal
Name  * required	Street Address  * required	City, State, Zip  * required	Height & Weight  * required
Home Phone  * required	Cell Phone  * required	Have any children? Yes No	If yes, ages.  * required
Are you employed now? Yes No	If yes, by whom?  * required	If yes, Part or Full Time?  * required	If yes, day or night or weekends?  * required
Are you a US citizen? Yes No Proof of citizenship or immigration status will be required.	Have you ever been arrested or convicted of a crime? Yes No A Security Background Check will be required at BSP expense.	Have you ever been put on probation for any unlawful act? Yes No A Security Background Check is required to work on public school premises.	Are you dependable (ON TIME)? Always Most of the time Sometimes
Do you have transportation? Yes No	What kind of vehicle?  * required	Do you have auto insurance? Yes No	You may be ask to make deliveries. Do you have any problem with this request? Yes No
Do you have any medical condition? If so, explain:  * required	Would this condition limit your ability to perform the job applied for? Explain:  * required	Do you wear glasses or contacts? Yes No	Do you smoke? Yes No
EDUCATION What high school did you graduate & year?  * required	What college did you graduate and year?	What trade, business, correspondence school did you graduate and year?	What was your Major? What was your Minor?
What foreign languages do you speak fluently?  * required	Are you attending school now? Yes No	Does your school hours conflict with a 7am to 3pm work day? Yes No	Is there any days or hours you can not work? If so, explain:  * required
EMPLOYMENT EXPERIENCE List 3 employers, start with last one first. Month/Year Started  &  Month/Year Ended  * required	Name & Phone number of Employer:  * required	Position & Salary:  * required	Reason for leaving:  * required
Month/Year Started  & Month/Year Ended  * required	Name & Phone number of Employer:  * required	Position & Salary:  * required	Reason for leaving:  * required
Month/Year Started  &  Month/Year Ended  * required	Name & Phone number of Employer:  * required	Position & Salary:  * required	Reason for leaving:  * required
REFERENCES Give 3 people, not related to you, whom you have known at least 1 year.     Name:  * required	Phone Number:  * required	Years Acquainted:  * required	Relationship/Business:  * required
Name:  * required	Phone Number:  * required	Years Acquainted:  * required	Relationship/Business:  * required
Name:  * required	Phone Number:  * required	Years Acquainted:  * required	Relationship/Business:  * required
Do you have any photographic background experience? If so, explain?	In Case of Emergency Notify: Name, Relationship and Phone Number(s)	Your Email Address:  * required	How may we contact you? By E-Mail By Phone
Explain how you would be good at this job and why you want this job?	APPLICANT'S STATEMENT I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application of employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.	The applicant understands that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific document to that affect is executed by the employer and employee in writing. In the event of employment, I understand that false or misleading information given on my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.	PLEASE NOTE: According to policy of the Broward County School Board; all BSP employee's must be finger printed and photo identified which will include a Security Background Check, by the school board, to be able to work in the School System. Please understand that this is part of this employment agreement and any unlawful objection, will result in immediate discharge. INITIAL AND CHECK THE BOX BELOW AS YOUR SIGNATURE ON THIS APPLICATION. Signature Confirmation Check

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