Bi-County Special Education Cooperative

Applicant Information

Date Available

I am a citizen of the United States.

I am not a citizen of the United States, but I am authorized to work in the United States.

I have worked for this company in the past. If so, when?

I have been convicted of a felony. If so, explain.

Education

I graduated. If so, please list your degree.

Previous Employment

Company 1

You may contact my previous supervisor for a reference.

Company 2

You may contact my previous supervisor for a reference.

Company 3

You may contact my previous supervisor for a reference.

Qualifications

Please describe what you feel to be your qualifications for the job you are seeking.

List any reasons known to you why you might be unable to perform consistently and promptly any of the job duties required in this position.

I currently hold a Paraprofessional License.

I am available for a personal interview.

References

Please list three professional references.

Reference 1

Reference 2

Reference 3

Disclaimer & Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application, interview, or failure to pass the Illinois State Police criminal history background investigation shall be considered sufficient cause for dismissal.

Please type your full name in the box below. By typing your name, you understand that this constitutes a legal signature.

Employment Application

Applicant Information

Education

Previous Employment

Qualifications

References

Disclaimer & Signature