SCHOOL BOARD OF BREVARD COUNTY
APPLICATION FOR EMPLOYMENT
2700 JUDGE FRAN JAMIESON WAY
VIERA, FLORIDA 32940
(321) 631-1911
CENTRAL
SOUTH
Area of District Preferred:
NORTH
SOCIAL SECURITY NUMBER
PRESENT ADDRESS STREET
CITY
PERMANENT ADDRESS STREET
CITY
EXT
Have you been employed by the SCHOOL BOARD OF BREVARD COUNTY in the past?
FIRST
SCHOOL/DEPARTMENT
EMPLOYMENT DATA - ALL APPLICANTS COMPLETE
A PERSONAL DATA - ALL APPLICANTS COMPLETE
B
Black, Non-
Hispanic
RACE: White,
Non-Hispanic
SEX: Male
Female
The following information is Voluntary.
Are you under 18 years of age? If YES, what was your age on your last birthday?
Do you wish to claim Military Veteran's Preference? If YES, please complete the Veterans' Preference claim form.
Are you retired from a Florida State Administered Retirement System?
Do you have any relatives, including elected officials, by blood or marriage working for the SCHOOL BOARD OF
BREVARD COUNTY? If YES, the information requested below is required.
Are you a citizen of the United States?
If YES:
School/Department
Date: From (M/D/Y)
To (M/D/Y)
PHONE
)
(
CURRENT NAME: LAST
FORMER NAME: LAST
RELATIVE'S NAME: LAST
RELATIONSHIP
NON-INSTRUCTIONAL POSITIONS If you have experience in a specific area or are applying for a specific job, please indicate in the space below general category.
Accounting/Finance _________________
_________________________________
Clerical ___________________________
_________________________________
Data Processing ____________________
_________________________________
Equipment Repair ___________________
_________________________________
Maintenance/Construction/Trades ______________
_________________________________________
Materials Distribution ________________________
_________________________________________
Mechanical Repair __________________________
_________________________________________
Trades (Please List)
SKILLS/SPECIAL ABILITIES
Florida Driver's License Number
Type: Regular _____ CDL _____ Class _____ Endorsements
Professional Licenses or Certifications (