Lunch Application

Lunch Application

BARRY WALLER, SUPERINTENDENT
117 EAST WESLEY AVENUE, LYONS, GA 30436
Telephone:912-526-3141 Fax:912-526-3291
Application for Employment-School Nutrition

Toombs Logo

DATE:

Last Name

First Name

Middle Name

Maiden Name
Present Address:(Street OR P.O. Box)

City

State

Zip Code

Birthday

Telephone #
Name as it Appears on Social Security Card:  
POSITION(S) DESIRED:
Lunchroom Worker
Substitute Lunchroom Worker
LOCATION9(S) DESIRED:

Toombs County High School (9-12)
Toombs Central Elementary (PK-5)
Lyons Upper Elementary (3-5)
Toombs County Middle School (6-8)
Lyons Primary School (PK-2)

EDUCATION: SECONDARY:
High School Attended:
Address (City & State):
CHECK ONE:
High School Diploma Please attach a copy of diplome to this application.
GED Certificate Please attach a copy of certificate to this application.
COLLEGE OR VOCATIONAL TRAINING:
School AttendedAddressDiploma/Hours
EMPLOYMENT RECORD:(beginning with most recent)
EmployerPosition HeldYears Employed
(i.e. 2001-2003)
Reasons for Leaving
May we contact your present and/or former employer? No
Please incidicate by your signature your permission to check on your confidentail files regarding your past employement record:
References: (Persons not related to you but who have a definite knowledge of your qualifications for the position which you are applying)
Name: Phone#:
Position: Address:
 
Name: Phone#:
Position: Address:
 
Name: Phone#:
Position: Address:
Have you ever been convicted of a felony or any crime involving moral turpitude?
If Yes, Please explain
I understand that any false answer or statement or implication made by me on this application shall be considered sufficient cause for denial of employment.
Signature
Date

The Toombs County Board of Education is an equal opportunity employer. The board does not discriminate on the basis of race, color, sex, age, national origin or handicap in its educational programs, activities, or employment policies.



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