SCHOOL BOARD OF BREVARD COUNTY
APPLICATION FOR EMPLOYMENT
2700 JUDGE FRAN JAMIESON WAY
VIERA, FLORIDA 32940
Area of District Preferred:
SOCIAL SECURITY NUMBER
PRESENT ADDRESS STREET
PERMANENT ADDRESS STREET
Have you been employed by the SCHOOL BOARD OF BREVARD COUNTY in the past?
EMPLOYMENT DATA - ALL APPLICANTS COMPLETE
A PERSONAL DATA - ALL APPLICANTS COMPLETE
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?
Date: From (M/D/Y)
CURRENT NAME: LAST
FORMER NAME: LAST
RELATIVE'S NAME: LAST
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.
Data Processing ____________________
Equipment Repair ___________________
Materials Distribution ________________________
Mechanical Repair __________________________
Trades (Please List)
Florida Driver's License Number
Type: Regular _____ CDL _____ Class _____ Endorsements
Professional Licenses or Certifications (