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Contact Us
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Title VI /Titulo VI
Title VI Discrimination Complaint Procedures
Complaint Form Instructions
Complaint Form
TÍTULO VI PROCEDIMIENTO DE QUEJAS
FORMULARIO DE QUEJAS DE DISCRIMINACIÓN DEL TÍTULO VI
Queja Formulario
Our Communities
Tobias
Western
Swanton
DeWitt
Wilber
Friend
Dorchester
Crete
Special Events
Soup Luncheon
Upcoming Events
Pie & Ice Cream
Passenger Handbook
Home
About Us
Mission Statement
SCAT History
Board of Trustees
All Staff
Contact Us
Schedules & Rates
Crete Route
Title VI /Titulo VI
Title VI Discrimination Complaint Procedures
Complaint Form Instructions
Complaint Form
TÍTULO VI PROCEDIMIENTO DE QUEJAS
FORMULARIO DE QUEJAS DE DISCRIMINACIÓN DEL TÍTULO VI
Queja Formulario
Our Communities
Tobias
Western
Swanton
DeWitt
Wilber
Friend
Dorchester
Crete
Special Events
Soup Luncheon
Upcoming Events
Pie & Ice Cream
Passenger Handbook
Job Application
Job Application
Full Name:
Email:
Date:
Full Address
Phone:
Date Available:
Social Security
Desired Salary
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work the U.S. ?
Have you ever worked for this company?
Yes
No
Have you ever been convicted of a felony?
Yes
No
If yes, explain
Education
High School
Address
From:
To:
Did you graduate?
Yes
No
Degree:
College:
Address:
From:
To:
Did you graduate?
Yes
No
Degree:
Other:
Address:
From:
To:
Did you graduate?
Yes
No
Degree:
References Please list three professional references
Full Name:
Relationship:
Company:
Phone:
Address:
Full Name
Relationship:
Company
Phone:
Address
Full Name:
Relationship:
Company:
Phone:
Address
Previous Employment
Company
Phone:
Address:
Supervisor:
Job Title:
Starting Salary: $
Ending Salary: $
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary: $
Ending Salary: $
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for reference?
Yes
No
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary: $
Ending Salary: $
Responsibilities:
From:
To:
Reason for Leaving:
May we contact your previous supervisor for a reference?
Yes
No
Military Service
Branch:
From:
To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer and 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 or interview may result in my release.
Signature:
Date:
Message:
E-mail application to: salinecat@hotmail.com
Thank you for contacting us.
We will get back to you as soon as possible.
Oops, there was an error sending your message.
Please try again later.
Downloadable Version of the Application
Serving
Tobias
,
Western
,
Swanton
,
DeWitt
,
Wilber
,
Friend
,
Dorchester
,
Crete
and
Saline County
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