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Keenan Kinder, Superintendent                                                                              Matt Britt, Principal

LEOPOLD R-III SCHOOL DISTRICT
100 Main Street        P.O. Box 39
Leopold, MO  63760-0039
Phone:  573-238-2211        Fax:  573-238-9868

APPLICATION FOR NON-CERTIFIED EMPLOYMENT

PERSONAL                                                                                        Date________________________

Name_______________________________________________

Address_____________________________________________     Phone No.____________________

EMPLOYMENT DESIRED

Position______________________________________________    Date you can start_____________

EDUCATION            Name of School:                           Years Attended:                   Date Graduated:

High School     _______________________________    ___________________        ______________

College            _______________________________    ___________________        _______________

University        _______________________________    ___________________        _______________

FORMER EMPLOYERS:
Month & Year:                    Name, Address, Phone Number of Employer:
From___________               _____________________________________________________________

To_____________               _____________________________________________________________
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From___________              _____________________________________________________________

To _____________             _____________________________________________________________
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From___________              _____________________________________________________________

To_____________              _____________________________________________________________
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List any additional experience you may had that may be helpful for the position desired.
___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

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Print this application, complete it, and return it with any additional information you desire to:
Superintendent's Office, Leopold R-III School, P.O.Box 39, Leopold, MO  63760-0039

Equal Opportunity Employer

NON DISCRIMINATION NOTICE
 
 

Leopold R-III School District does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups. The following person has been designated to handle inquiries regarding the non-discrimination policies:

Keenan Kinder
Superintendent
100 Main Street
Leopold MO 63760
573-238-2211

 

For further information on notice of non-discrimination, visit http://wdcrobcolp01.ed.gov/CFAPPS/OCR/contactus.cfm for the address and phone number of the office that serves your area, or call 1-800-421-3481.