Adrian Independent School District
| Phone | (806) 538-6203 | Mail | P.O. Box 189 |
| Fax | (806) 538-6291 | Physical | 301 Matador Drive |
Employment Application
Adrian ISD provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, or disability.
Personal
Name Middle Last
Address City State Zip
Email Phone #
Please list any additional names
Professional
Position applying Dave Available
Have you ever applied to Adrian ISD? Yes No
Have you ever worked for Adrian ISD? Yes No
Education
Certification
Please check whichever applies:
Valid Texas Certificate
Valid Out of State Certificate State:
Teacher Certification Program University/Completion Date:
Alternative Certification Program:
Other
Please list all certificates held:
Questionnaire
Do you have a relative on the Adrian ISD Board of Trustees? Yes No
Have you ever plead no contest, nolo contendere, or guilty to a felony crime, or been convicted of a felony crime, included but not limited to crimes involving driving?* Yes No
*Answering yes does not constitute and automatic bar to employment. We will consider the nature of the crime, its seriousness, the substantial relation to the position's functions and qualifications, the number of occurences, the time elapsed since the crime, the applicant's entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by federal, state, or local law.
Verification
I hereby affirm that all information is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment.
I authorize the references I provide to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to you.
I understand that the district is authorized by Texas Education Code 22.083 to obtain criminal history record information on applicants the district intends to employ.
By submitting this application to Adrian ISD, you agree with the above statements.
Security Measure