Classified Staff Application

Thank you for your interest in a position with Hayden Canyon Charter. To help the application process go as quickly as possible, please have your resume, with 3 references, handy. Please:
- Set aside 30-60 minutes to complete the employment survey process.
- Be sure to complete all fields.
- Feel free to copy/paste text from a word doc.
- Form can be saved and retrieved later if needed.
Position(s) of Interest
I am applying for:
- Behavior Specialist/Interventionist
- Part Time Receptionist
- Part Time Paraprofessional
- Substitute Teacher
- Substitute Bus Driver
Do you have previous teaching or substitute experience?
- Yes
- No
What grades have you taught in the past (if any)?
Please select all that apply.
- Kindergarten, 1st, or 2nd
- 3rd, 4th, or 5th
- Middle School

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Applicant Information
First Name*
MI
Last Name*
E-mail*
Phone*
Address
Address Line 1 Address Line 2 City State / Province / Region ZIP Country

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Employment Information
Are you currently employed*
- Yes
- No
Were you previously employed by us?*
- Yes
- No
When and in what capacity?
What date would you be available to begin work?*
What experiences, skills or qualifications do you have which would especially fit you for the position(s) applied for?

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Employment Experiences
List present and past employment, beginning with your most recent. Additional employment information can be uploaded at the end of this page if necessary.
Employer 1: Name, Address and Telephone
Employer 1: Dates of Employment and Reason for Leaving
Employer 1: Position(s) Held and Duties Performed
Do you have a second employer to include?*
- Yes
- No
Employer 2: Name, Address and Telephone
Employer 2: Dates of Employment and Reason for Leaving
Employer 2: Position(s) Held and Duties Performed
Do you have a third employer to include?*
- Yes
- No
Employer 3: Name, Address and Telephone
Employer 3: Dates of Employment and Reason for Leaving
Employer 3: Position(s) Held and Duties Performed
Do you have a fourth employer to include?*
- Yes
- No
Employer 4: Name, Address and Telephone
Employer 4: Dates of Employment and Reason for Leaving
Employer 4: Position(s) Held and Duties Performed
Do you have another employer to include?*
- Yes
- No
Employer 5: Name, Address and Telephone
Employer 5: Dates of Employment and Reason for Leaving
Employer 5: Position(s) Held and Duties Performed

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Education
Include high school, college, university, and trade/specialty schools. Additional education information can be uploaded at end of this page if necessary.
Name of Institution*
Institution Type*
Graduated
- Yes
- No
Degree and Date Earned
(Do not date high school graduation)
Name of Institution
Institution Type
Graduated
- Yes
- No
Degree and Date Earned
(Do not date high school graduation)
Name of Institution
Institution Type
Graduated
- Yes
- No
Degree and Date Earned
(Do not date high school graduation)
Name of Institution
Institution Type
Graduated
- Yes
- No
Degree and Date Earned
(Do not date high school graduation)
If necessary, upload additional education information here.
Max. file size: 128 MB.

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Current References
Supervisors:
Name*
First Last
Position*
Work Phone*
Other Phone
Name*
First Last
Position*
Work Phone*
Other Phone
Other Professional Reference
Name*
First Last
Position*
Work Phone*
Other Phone
Personal Reference
Name*
First Last
Relationship*
Primary Phone*
Other Phone

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Personal Conduct
All questions MUST be answered.
If you answer "yes" to any questions: 1) include a detailed written explanation of each criminal issue indicating what happened, date of arrest/conviction; 2) disclose all initial charges and final judgement(s) and 3) provide a copy of court records to verify the final disposition. Required documentation can be uploaded at the end of this page.
Have you ever been convicted of a felony or misdemeanor or found to have committed a probation violation? You don’t have to report parking tickets or traffic infractions (such as speeding tickets that do not qualify as a misdemeanor)*
- Yes
- No
In responding to this question, include any pending investigations(s) or charge(s). Include all cases from federal, state, tribal, and military tribunals. You must also include all convictions that have been sealed, expunged, closed by a withheld judgment or through retained jurisdiction, etc. Include even if you pleaded “no contest” or Alford plea
Have you ever been charged or named as a Defendant in any injury to child, child abuse, lewd conduct with a minor, rape, and/or any similar charges relating to sexual contact with a minor (including any situation where judgment was withheld or postponed and also including any situation where charges were dropped)?*
- Yes
- No
Have you ever been dismissed, suspended, placed on probation or resigned in lieu of an investigation or other disciplinary action from any position?*
- Yes
- No
Have you ever had a diploma, credential or license denied, revoked, or suspended?*
- Yes
- No
If yes, explain in detail and provide copies of the disciplinary decision and any related orders/findings.
If necessary, upload explanatory documentation here.
Drop files here or
Max. file size: 128 MB.

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I understand and affirm that: 1) the statements included in this application are complete, true, and correct; 2) I authorize Hayden County Charter to receive any and all information concerning myself contained within the files of the Federal Bureau of Criminal Identification (FBI) through the fingerprints background process; and 3) I understand that any false statement made knowingly in this application shall constitute sufficient grounds for non hire or dismissal after hire. By entering my name and submitting this form, I acknowledge that a Hayden Canyon Charter representative will be contacting my references supplied in this application.
Resume*
Drop files here or
Max. file size: 128 MB.
If you would like to upload your resume or any additional reference information here, and have not already done so, you may upload here.
Signature of Applicant*
Date*
MM slash DD slash YYYY
Hayden County Charter complies with all applicable laws and does not discriminate on the basis of race, color, religion, sex, national origin, age (40 or older), genetic information, veteran status or disability in any educational programs or activities receiving federal financial assistance or in employment practices.
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Step 1 of 8

Position(s) of Interest

Applicant Information

Employment Information

Employment Experiences

Education

Current References

Supervisors:

Other Professional Reference

Personal Reference

Personal Conduct

Our Mission

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