Application for Employment

Mr. Marty Feltner, Superintendent
395 West Main Street
Carlisle, Kentucky  40311
(859) 289-3770 Phone
(859) 289-3777 Fax
doug.bechanan@nicholas.kyschools.us
Click here to go back to Nicholas County Schools home page.

Please select the position desired from the drop down box.

  

 

Use the text box below to describe the certified area or "other" 


Personal Information Name:  
Address  
City  
State  
Zip  
Home Phone
Cell Phone
Email Address
 

Please Check the appropriate answer to the following questions:

If you are presently employed, what type of contract do you have with your present employer?   
Are you a citizen of the United States?  
Have you ever been dismissed, fired or discharged from a position of employement based on the claim of misconduct of unstaisfactory performance  
Have you ever been asked to resign from a position of employment based upon the claim of misconduct or unpon the claim of misconduct or unsatisfactory performance  
Have you ever been convicted of a felony?  




Educational Preparation
School Name/Location Full Years Attended Year of Graduation Major Area of Study
High School/Ged
Associat/Bachelor
Masters
Rank I/E. D.S/Ed.D.

Work Experience
Employer Period of Employment Job Title Address Supervisor Phone Number


Do you presently hold a valid Kentucky Teaching Certification?  
Do you presently hold a Commercial Drivers License  

Please list all industry/professional certifications you hold:
Type
(i.e. standard, provisional, eligibility for internship, etc.
Area Expiration Date

References
Name and Title Address,City,State Phone
Professional
Professional
Professional
Personal
Personal

In the space below, write a brief autobiography:

I authorize the Nicholas County Board of Education to make a full and complete investigation given in this application, and also consent to representatives of the Nicholas County School District contacting references, previous employers and schools attended. I understand that a condition to employment will be a criminal records background check as required by KRS 156.483. Any false state or omission of any information requested shall be reason for non-employment or dismissal from employment. If employed, I agree to abide by the policies set forth by the Nicholas County Board of Education.

I understand that this application will be kept on file for a period of one (1) calendar year from the date it is filed. I also understand that it is my responsibility to update the information contained in this application and to provide the District with those documents required for employment in a timely fashion.

I certify that the information given herein is true and complete to the best of my knowledge.

By clicking SUBMIT, this verifies your electronic signature, valid as your personal signature with intent to apply to Nicholas County Schools under the terms and conditions listed above.

Please click submit when finished with this form. Additional information can be sent to doug.bechanan@nicholas.kyschools.us

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