Application

Employment Application
(Exclude minor traffic violations for which the fine was under $50, offenses which were settled in juvenile court)
Please include major, years attended, and degree.
Please list
Please include Course title, subject, and No. of Units.
Example: Foreign Language, Typing, Swimming Instruction, Gymnastics, Computers, Musical Instruments, Art.
Please list
Please Include Employer, City, State, Job Description, Start and End date, Salary and Reason for Leaving.
Please Include Employer, City, State, Job Description, Start and End date, Salary and Reason for Leaving.
Please Include Employer, City, State, Job Description, Start and End date, Salary and Reason for Leaving.
Please Include Employer, City, State, Job Description, Start and End date, Salary and Reason for Leaving.
Professional (list at least two): Please include Name and Address, Title, Phone Number.
Professional: Please include Name and Address, Title, Phone Number.
Professional: Please include Name and Address, Title, Phone Number.
Please include Name and Address, Title, Phone Number.
The list of items above are mandatory and must be provided before employment.
Max file size is 32 MB. If you would like to upload a resume do so here.
By clicking submit you certify that the above statements are true to the best of your knowledge, and you realize that any falsifying of information may result in termination. (Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, R.R.S., and, upon conviction thereof, shall be punished accordingly.)