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   Required Information
Login Information
 
 User Name     Must be at least 5 characters long
 Password     Must be at least 6 characters long
 Confirm Password     Must be at least 6 characters long
 
Personal Information
 
 First Name    
 Middle Name   
 Last Name    
 Address 1    
 Address 2   
 City    
 Province/State 
 Zip Code    
 Country 
  
 Email    
 Phone - Business   
 Phone - Mobile   
 Phone - Home    
 Phone - Fax   
 
Secondary Address
 
 Address 1   
 Address 2   
 City   
 Province/State   
 Zip Code   
 Country   
 
Optional Information
 
 Birth Date  Format mm/dd/yyyy
 Employee Number 
 Ethnicity 
 Gender 
 Social Security No.  Format numeric only
 
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Demographic Questions
 
Are you a current employee of Millard School District?
 
 
If yes, add employee # Employee # can be found at the top of your earning statement.
 
Are you a high school graduate?
 
 
If Yes, High School Name
 
Graduation Year
 
 
Millard School District Questions
Millard School District is an Equal Opportunity Employer and does not discriminate onthe basis of race, color, religion, sex, national origin, age or disability.

It is important that you give complete and truthful answers to the following questions.  If you answer "YES" to any of them, please provide your explanation.  Include convictions resulting from a plea of nolo contendere (no contest) and information about any expungement.  OMIT Traffic fines of $100.00 or less.

We will consider the date, facts and circumstances of each event you list.  In most cases you can still be considered for District employment.  However, if you fail to tell the truth or fail to list all relevant events or circumstances, this may be grounds for not hiring you, or grounds for dismissal after you begin work.
 
During the last 10 years, have you been fired from any job for any reason, did you quit after being told that you would be fired, or did you leave by mutual agreement because of specific problems?
 
 
If yes, explain
 
Have you ever been arrested for, convicted of, or forfeited collateral for any felony or misdemeanor violation?
 
 
If yes, explain
 
Have you ever been arrested for, convicted of, or forfeited collateral for any firearms or explosives violation?
 
 
If yes, explain
 
Are you now under investigation for misconduct or any violation of law?
 
 
If yes, explain
 
Have you ever been convicted by a military court-martial?
 
 
If yes, explain
 
Have you been found pursuant to a criminal, civil or administrative action to have committed a sexual offense against a minor child or had any substantiated child abuse charges filed against you?
 
 
If yes, explain
 
Have you voluntarily resigned or surrendered a professional license or certificate in the face of a charge relating to the incidents above?
 
 
If yes, explain
 
Are you now under investigation, on notice of warning, or under probation for any concern related to your employment, maintaining a license, or professional certificate?
 
 
If yes, explain
 
Are you fluent in speaking, reading, comprehending, and writing English?
 
 
Have you ever worked for a school district in the State of Utah?
 
 
If yes, where?
 
Does the District employ any relative(s) of yours, either by blood or marriage?
 
 
If yes, please list each one by name, school, and relationship
 
  
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