Sands CISD Employment Application for Professional Personnel An Equal Opportunity Employer
First Name:
Middle Name:
Last Name:
Current Address: (Street/Box)
City:
State:
ZIP Code:
Email: (For correspondence purposes)
Confirm Email:
Other Address where you may be reached:
Home Phone: example> (806)XXX-XXXX
Cell Phone:
Other Phone:
Other name that may appear on Records:
List the position(s) for which you are applying:
What credentials are you including the with application: Please email these documents to: applications@sandscisd.net
Date you can begin working: MM/DD/YYYY
Have you been employeed by Sands CISD in the past?
If you answered yes, provide the dates of employment: MM/DD/YYYY to MM/DD/YYYY

Education and Training Application Information

Document your educational background. The first row is mandatory. Use lines 2, 3, and 4 if needed. 

Name and Location of Schools Attended:
2nd School Attended:
3rd School Attended:
4th School Attended:
Course of Study and Major/Minor:
Line 2
Line 3
Line 4
Diploma, Degree, Certificate, or License Granted:
Line 2
Line 3
Line 4
Year Graduated:
Line 2
Line 3
Line 4
Certificates or Licenses Currently Held:
If other State, what State:
If Texas One-Year what is the Expiration date: MM/DD/YYYY
Category/Level(s) of Certification:
Areas of Specializations/Supplemental Certificates/Endorsements (as listed on certifications):

Teaching Experience:

List teaching experience beginning with most recent years. Use lines 2, 3, and 4 as needed.

Name and Location of School:
2nd Name of School:
3rd Name of School:
4th Name of School:
Type of Assignment:
Line 2
Line 3
Line 4
Dates taught:
Line 2
Line 3
Line 4
Principal's Name and Phone:
Line 2
Line 3
Line 4
Reason for leaving:
Line 2
Line 3
Line 4

Other Work Experience:

Provide a list of all other jobs or administrative positions you have held in the past 10 years.

Employer name and location:
2nd Employer:
3rd Employer:
4th Employer:
Position/Title Held:
Line 2
Line 3
Line 4
Dates employed:
Line 2
Line 3
Line 4
Supervisor's Name and Phone:
Line 2
Line 3
Line 4
Reason for Leaving:
Line 2
Line 3
Line 4

References:

Please list references the district can contact regarding your work history.

Full name of reference:
Full name of reference:
Full name of reference:
Full name of reference:
School district/ firm name:
School district/ firm name:
School district/ firm name:
School district/ firm name:
Mailing address:
Mailing address:
Mailing address:
Mailing address:
Position/title:
Position/title:
Position/title:
Position/title:
Area code/ phone number:
Area code/ phone number:
Area code/ phone number:
Area code/ phone number:
Do you have a relative who serves on the Board of Education or is an employee of Sands CISD?
If yes, please provide the relative’s name and relationship:
Have you ever been convicted of, pled guilty or no contest (nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or any offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)?
If yes, please state where, when, and the nature of the offense (A felony conviction is not an automatic bar to employment. The district will consider the nature, date, and relationship between the offense and the position for which you are applying.)
I hereby affirm that all information provided in this application 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 sub sequent employment.
I authorize the references listed on the previous page to give you any and all information concerning my previous employment and any pertinent information they may have, per sonal 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 required by Texas Education Code to review criminal history of applicants.
Type your full name below to be used as an electronic signature for the use of this application:

*Applicants for all positions are considered without regard to race, color, sex (including pregnancy), national origin, religion, age, disability, genetic information, veteran or military status, or any other legally protected status. Additionally, the district does not discriminate against an applicant who acts to oppose such discrimination or participates in the investigation of a complaint related to a discriminating employment practice. 

 

The district Title IX Coordinator is      Wayne Henderson, Superintendent, PO Box 218, Ackerly, Texas 79713 (432)-353-4888     .

Criminal History Form

“Confidential”

 

The Sands Consolidated Independent School District is required by Texas Education Code Chapter 22, Subchapter C to review the criminal history of applicants, employees, independent contractors, student teachers, and certain volunteers. The information requested below is necessary to obtain criminal history record information.

Last Name:
First Name:
Middle Name:
Social Security Number: XXX-XX-XXXX
Date of Birth: MM/DD/YYYY
Driver's License State:
Driver’s License Number:
Mailing Address: (Street/Box)
City:
State:
ZIP Code:
Sex:
Ethnicity:
I understand that the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment but will be used solely for the purpose of obtaining criminal history record information.*
Signature: Type you name below to affix your electronic signature and consent to the Criminal History From.

*This form will be removed from the application and filed separately in the HR office.