TSDN - Custodial Worker 2 | Tennessee Schools for the Deaf

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

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Are there any other TSD positions you would like to apply for?

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Applicant Information

First Name*

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Middle Name

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Last Name*

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E-mail 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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Zip/Postal*

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How did you hear about this job posting?*

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TSD Website

Gallaudet

Internet search

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Other:

Date Available to Start Work*

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Are you a citizen of the United States?*

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Yes

If not, are you authorized to work in the United States?

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Yes

Have you previously worked for the State of Tennessee?*

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Yes

If so, list department and dates employed.

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How would you rate your ASL skills?*

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No ASL skills

Beginner

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Fluent

Education

What is the highest level of primary or secondary education you have completed?*

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High School / GED

Name of Institution

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City

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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

Name of Institution

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City

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To:

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Did you graduate?

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Yes

Degree

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Other Education

Name of Institution

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City

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From:

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To:

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Did you graduate?

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Yes

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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E-mail*

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Phone Number*

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Relationship*

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Company*

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Reference 2

First Name*

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Last Name*

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E-mail*

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Phone Number*

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Relationship*

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Company*

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Reference 3

First Name*

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Last Name*

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E-mail*

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Phone Number*

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Relationship*

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Company*

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Employment History

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

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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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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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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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 subject area and type of certification. Please make sure licensure information is current with each new application you submit.

License / Certificate 1

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

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Choose a file or drag it here.

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.

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TSDN - Custodial Worker 2