Application for Paraprofessional Personnel

Employment Application for Paraprofessional and Auxiliary Positions

We consider applicants for all positions without regard to race, color, national origin, age, religion, sex, marital or veteran status, the presence of a medical condition or handicap that is not job related, or any other legally protected status.

Henderson ISD is an equal opportunity employer.


PERSONAL DATA

Date of application:
First name:
Middle name:
Last name:
Current address:
Current city:
State:
Zip code:
Home phone:
Work phone:
Mobile number:
Email address:
Names used on records if different from present name (for reference checks):

 

 


POSITION DATA

Position for which you are applying
Date you are available:
Are you a former HISD employee? 
If yes, give dates of employment.
Are you a retiree under the Teacher Retirement System?
If so, what was the date of your retirement?

 

 


CERTIFICATION
Check the highest level attained.

Did not graduate from high school
If you did not graduate, what was the last grade you completed? 
High school graduateGEDLess than two years of college
   
Two or more years of collegeBachelor's DegreeMaster's Degree
   
Other training or educationCurrently enrolled in Alternative Certification Program 


 


Licenses and/or certifications


GENERAL INFORMATION

Do you have a relative who is a member of the Henderson ISD Board of Trustees?
 

If yes, please provide the name of relative and relationship:

Have you been convicted of or pled guilty or no contest (no lo contendere) to a felony or an offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and/or indecency with a minor)?

If yes, please state where, when, and the nature of the offense.  Indicate whether the charges were dismissed as a condition of probation, suspension, or deferred adjudication:

Note:  Conviction of a felony 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.

List specific skills and/or any machines or equipment you can operate.

1. 2. 
3. 4. 
5. 6. 

 


EDUCATION/TRAINING
Schools attended (list all applicable information):

Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


WORK EXPERIENCE
Please provide a complete listing of all other jobs or administrative positions you have held over the past 10 years:

Employer and location:
Position/title:
Dates employed:
Reason for leaving:

 

 


Employer and location:
Position/title:
Dates employed:
Reason for leaving:

 

 


Employer and location:
Position/title:
Dates employed:
Reason for leaving:

 

 


Employed and location:
Position/title:
Dates employed:
Reason for leaving:






 


REFERENCES
Please list below references who may be contacted regarding your work/personal history.  Please include all managers/supervisors at the lst two employing organizations who evaluated or supervised your performance.

Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


ADDENDUM FOR SCHOOL BUS DRIVER APPLICATION ONLY
Effective April 1, 1990, a school district must require each person who applies to be a bus driver to provide the following information at the time of application.
NOTE:  Bus drivers are required to have a physical examination.
 

Driver's license type:

 

Hours available to work:

 

School Bus Certification?Yes No
Have you ever had a license suspended, revoked, or cancelled?Yes No
Are any criminal charges or proceedings pending against you?Yes No
Have you ever been convicted or any serious traffic violation?Yes No

 



 


Please review and check where indicated:

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 subsequent employment. My signature below authorizes the school district to conduct a background investigation and authorizes release of information in connection with my application for employment. The investigation will include a criminal history record check as required by Texas Educational Code §22.083. It may also include information from previous employers and educational institutions, personal references and other appropriate sources. I waive my right of access to any such information and without limitation hereby release the school district and the reference sources from any liability in connection with its release or use. This application becomes the property of the district. The district reserves the right to accept or reject it. This application shall be considered active until December of the current year.

I have read and understand these conditions of employment.

If you would like to send a copy of your resumé to our HR personnel, click here to open a new window.

 



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