EEOC Disclaimer Monona Grove School District is an equal opportunity employer and encourages resumes from diverse, bi-lingual or multi-lingual candidates. MGSD does not discriminate in any aspect of employment on the basis of race, color, ancestry or national origin, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, veteran status, genetic information, or age. Years Of Experience Years in position applying for Monona Grove years of experience Conditions of Employment Can you perform all the essential job functions of the position for which you are applying with or without reasonable accommodation? For example, standing for extended periods of time, walking, lifting up to 50 pounds, bending, twisting. General Questions Are you a relative of any board member of the Monona Grove School District and/or administrator or supervisor who is currently employed with the district? If yes, please explain. Are you eligible to work in the United States? Have you ever been convicted of a criminal offense other than a minor traffic violation, including OWI? If yes, please explain including dates. Have you ever had any indicated finding of child abuse filed in your name? If yes, please explain including dates. Does your name appear on any Sex Offender Database in any state of country? Are you a current / former student or employee of the Monona Grove School District? By checking the yes box below, candidate authorizes the school district to conduct an investigation of candidate pursuant to The School Code to determine whether candidate has been convicted of any criminal or drug offenses as set forth in such statue, and, upon request agrees to execute an investigation authorization form as a condition for candidate's employment. The School Code also stipulates the the School District perform a check on the Statewide Sex Offender Database. Candidate may not be employed unless such investigations have been initiated. I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in the application to verify my statement, and I authorize past employers, all references and any other person to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. I agree to all of the terms listed above. Typed signature Applicants Acknowledgment and Agreement By submitting this application, the candidate authorizes the school district to conduct an investigation of candidate pursuant to The School Code to determine whether candidate has been convicted of any criminal or drug offenses as set forth in such statute, and, upon request, agrees to execute an investigation authorization form as a condition for candidate's employment. The School Code also stipulates that the School District perform a check on the Statewide Sex Offender Database. Candidate may not be employed unless such investigations have been initiated. I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in the application to verify my statement, and I authorize past employers, all references and any other person to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. Attachments Certification (1) License (1)

Letter of Introduction Resume References Coaches:

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