Osceola School District Intermediate Principal Employment Application

Background Check
Full Name (as it appears on driver’s license)
Former Name (if applicable)
Date of Birth Social Security #
Driver’s License #
State Issued
Have you lived in another state other than WI/MN?
Yes No List State(s):
Position Hiring For:
CERTIFICATE OF APPLICANT (Read carefully before signing)
I hereby certify that all statements made in this application are true and I authorize the board to conduct a
background check and investigate all matters contained in this application. I understand that any misstatement
or omission of material fact on this application will cause forfeiture on my part of all rights of employment with
the School District of Osceola. I further agree to complete a medical examination and to furnish such proof of
age and citizenship as may be required.
X _________________________________
Signature of Applicant
____________________
Date
The School District of Osceola does not discriminate on the basis of race, religion, sex or sexual orientation, age, national origin, handicap,
ancestry, color or any other factor provided for by the state and federal laws and regulations. This policy shall prevail in all matters concerning
staff, students, the public, educational programs and services, and individuals with whom the Board does business.
Applicant Essay Section
Please limit response to one sheet of 8 1/2 X 11” paper. Response may be single or double-spaced and no
smaller than a 10-point type font.
Why do you desire to be the leader of the Osceola Intermediate School, and what do you
feel you can contribute to the Osceola School District?
Osceola School District Intermediate Principal Employment Application Page 4