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Employment Application
LAGUNA BLANCA EMPLOYMENT APPLICATION
Please enter all required information.
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Position Desired
*Job Title
*Date Available
mm/dd/yyyy
Have you ever applied to or worked for Laguna Blanca School before?
Yes
No
If yes, when?
Do you have any friends or relatives currently working for Laguna Blanca School?
Yes
No
If yes, please state name(s) and relationship
*Have you ever attended Laguna Blanca School?
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No
Personal Data
*First name
*Last name
Present Physical Address
*Street
*State
*Zip Code
*Preferred Phone
*Email address
Education
*High School Name
City/State
Diploma/Degree
College/University Name
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Diploma/Degree
College/University Name
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Diploma/Degree
College/University Name
City/State
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Credential/Professional Certificates
Credentials Subject
Issuing Authority
Expiration
Credentials Subject
Issuing Authority
Expiration
Credentials Subject
Issuing Authority
Expiration
Employment History
Please list current or most recent work experience first.
*May we contact your current employer at this time?
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*Organization Name
*Job Title
*Dates of Employment
*Immediate Supervisor
Address
*Street
*City
*State
*Zip Code
*Phone
*Duties and Responsibilities
Organization Name
Job Title
Dates of Employment
Immediate Supervisor
Address
Street
City
State
Zip Code
Phone
Duties and Responsibilities
Organization Name
Job Title
Dates of Employment
Immediate Supervisor
Address
Street
City
State
Zip Code
Phone
Duties and Responsibilities
Organization Name
Job Title
Dates of Employment
Immediate Supervisor
Address
Street
City
State
Zip Code
Phone
Duties and Responsibilities
Please explain any gaps in your employment history.
*Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
Yes
No
If no, describe the functions that cannot be performed.
I hereby certify that the answers given by me on this employment application are true and correct to the best of my knowledge. Furthermore, I understand that any misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
*Initials
I hereby authorize Laguna Blanca School to thoroughly investigate my references, work record, education and other matters related to my suitability for employment. In addition, I hereby release Laguna Blanca School, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands, liabilities arising out of or in any way related to such investigation or disclosure.
*Initials
*Applicant Signature
Laguna Blanca School does not discriminate on the basis of gender, race, color, national origin, religion, creed, age, disability, marital or familial status, sexual orientation, veteran status, or any characteristic that is legally protected under applicable local, state, or federal law. This nondiscrimination policy includes but is not limited to admission, financial aid, educational programs, athletics, and employment.
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Laguna Blanca is Santa Barbara’s premier private, co-educational, college preparatory day school for students in Early Kindergarten through Grade 12.
LAGUNA BLANCA SCHOOL |
4125 PALOMA DRIVE
SANTA BARBARA, CALIFORNIA 93110
|
805.687.2461
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