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Personal Information
Required Field *
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Name
First
Middle
Last
*
Address
Street Address
Address Line 2
=($_POST['State']=="AL")?" selected":"not";?>
Alabama=($_POST['State']=="AL")?" selected":"";?>
Alaska=($_POST['State']=="AK")?" selected":"";?>
Arizona=($_POST['State']=="AZ")?" selected":"";?>
Arkansas=($_POST['State']=="AR")?" selected":"";?>
California=($_POST['State']=="CA")?" selected":"";?>
Colorado=($_POST['State']==CO)?" selected":"";?>
Connecticut=($_POST['State']==CT)?" selected":"";?>
Delaware=($_POST['State']==DE)?" selected":"";?>
District of Columbia=($_POST['State']==DC)?" selected":"";?>
Florida=($_POST['State']==FL)?" selected":"";?>
Georgia=($_POST['State']==GA)?" selected":"";?>
Hawaii=($_POST['State']==HI)?" selected":"";?>
Idaho=($_POST['State']==ID)?" selected":"";?>
Illinois=($_POST['State']==IL)?" selected":"";?>
Indiana=($_POST['State']==IN)?" selected":"";?>
Iowa=($_POST['State']==IA)?" selected":"";?>
Kansas=($_POST['State']==KS)?" selected":"";?>
Kentucky=($_POST['State']==KY)?" selected":"";?>
Louisiana=($_POST['State']==LA)?" selected":"";?>
Maine=($_POST['State']==ME)?" selected":"";?>
Maryland=($_POST['State']==MD)?" selected":"";?>
Massachusetts=($_POST['State']==MA)?" selected":"";?>
Michigan=($_POST['State']==MI)?" selected":"";?>
Minnesota=($_POST['State']==MN)?" selected":"";?>
Mississippi=($_POST['State']==MS)?" selected":"";?>
Missouri=($_POST['State']==MO)?" selected":"";?>
Montana=($_POST['State']==MT)?" selected":"";?>
Nebraska=($_POST['State']==NE)?" selected":"";?>
Nevada=($_POST['State']==NV)?" selected":"";?>
New Hampshire=($_POST['State']==NH)?" selected":"";?>
New Jersey=($_POST['State']==NJ)?" selected":"";?>
New Mexico=($_POST['State']==1)?" selected":"";?>
New York=($_POST['State']==NM)?" selected":"";?>
North Carolina=($_POST['State']==NC)?" selected":"";?>
North Dakota=($_POST['State']==ND)?" selected":"";?>
Ohio=($_POST['State']==OH)?" selected":"";?>
Oklahoma=($_POST['State']==OK)?" selected":"";?>
Oregon=($_POST['State']==OR)?" selected":"";?>
Pennsylvania=($_POST['State']==PA)?" selected":"";?>
Rhode Island=($_POST['State']==RI)?" selected":"";?>
South Carolina=($_POST['State']==SC)?" selected":"";?>
South Dakota=($_POST['State']==SD)?" selected":"";?>
Tennessee=($_POST['State']==TN)?" selected":"";?>
Texas=($_POST['State']==TX)?" selected":"";?>
Utah=($_POST['State']==UT)?" selected":"";?>
Vermont=($_POST['State']==VT)?" selected":"";?>
Virginia=($_POST['State']==VA)?" selected":"";?>
Washington=($_POST['State']==WA)?" selected":"";?>
West Virginia=($_POST['State']==WV)?" selected":"";?>
Wisconsin=($_POST['State']==WI)?" selected":"";?>
Wyoming=($_POST['State']==WY)?" selected":"";?>
State
City
Postal / Zip Code
At least one
*
Home Phone
-
(###)
-
###
####
Work Phone
-
(###)
-
###
####
Cell Phone
-
(###)
-
###
####
*
Preferred Phone
Home
Work
Cell
*
May we contact your current employer?
Yes
No
*
Email
*
Are you currently under contract to another district?
Yes
No
If yes, when does the contract expire?
/
MM
/
DD
YYYY
*
Date available for employment?
/
MM
/
DD
YYYY
Preferred hire date
/
MM
/
DD
YYYY
*
Current base salary (Not including fringe benefits)
$
Dollars
*
Base salary expectations? (Not including fringe benefits)
$
Dollars
*
Do you hold a valid Ohio Treasurer or Superintendent Certificate or License?
Yes
No
Certificate or License Number?
*
Have you ever been convicted of a felony?
Yes
No
If yes, please explain.
Note: Candidates Are subject to a criminal background check.