Job Application - Custodial Worker | Tennessee School for the Blind

Applicant Information - Custodial Worker

Welcome! Thank you for your interest in the Tennessee School for the Blind.

Please complete the form below. The application cannot be saved and completed later. All required fields are marked with an asterisk (*)

Applicant Information

First Name*

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Middle Name

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Last Name*

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Email Address*

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Home Phone*

10 digit number with no spaces or special characters. ##########

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Mobile Phone

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Street Address*

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City*

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State*

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ZIP/Postal*

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How did you hear about this posting?*

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TSB Website

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Employee Recomendation

Other:

Date Available to Start Work*

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Education

High School / GED

Name of Institution

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From:

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To:

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Did you graduate?

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Yes

In Progress

College / Technical Training

Name of Institution

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From:

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To:

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Did you graduate?

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Yes

In Progress

Degree Earned

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References

Please list three professional references.

Reference 1

First Name*

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Last Name*

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Relationship*

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Company*

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E-mail*

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Phone Number*

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Reference 2

First Name*

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Last Name*

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Company*

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Relationship*

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E-mail*

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Phone Number*

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Reference 3

First Name*

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Last Name*

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Company*

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Relationship*

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E-mail*

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Phone Number*

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Employment History

Previous employers may be contacted during reference and background check procedures conducted by TSB.

Current Employer

Company Name

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Job Title

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Street Address

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City

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State

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Zip/Postal

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Phone Number

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Supervisor

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Starting Salary

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Ending Salary

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Job Responsibilities

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Start Date

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End Date

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Reason for Leaving

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May we contact your supervisor for a reference?

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Yes

If not, what is your reasoning?

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Previous Employer 1

Company Name

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Job Title

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Street Address

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City

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State

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Zip/Postal

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Phone Number

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Supervisor

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Starting Salary

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Ending Salary

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Job Responsibilities

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Start Date

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End Date

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Reason for Leaving

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Previous Employer 2

Company Name

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Job Title

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Street Address

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City

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State

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Zip/Postal

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Phone Number

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Supervisor

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Starting Salary

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Ending Salary

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Job Responsibilities

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Start Date

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End Date

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Reason for Leaving

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Licenses / Certifications

Please list each license, certificate, or other authorization to practice a trade or profession. Teachers must specify the subject area and type of certification. Please make sure licensure is current with each new application you submit.

License / Certificate

Type of Certification

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Area of Endorsement

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License / Certificate Number

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Original License Issue Date

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Current License Expiration Date

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State or Agency Issuing License

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Employment Document Upload

Upload or applicable files here (resume, certifications, etc.)

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Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to contracted employment, I understand that false or misleading information in my interview may result in my release.

Electronic Signature*

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Job Application - Custodial Worker