USD #440 is an Equal Opportunity Employer and does not discriminate on the basis of sex, race, color, creed, age, or handicapping condition in employment, admissions, educational program, or other activities operated in the district.

1. I certify that all information provided by me in this application is true and complete. I understand that any misstatement, falsification, or omission of information is grounds for refusal to hire, or, if I am hired and the same is discovered thereafter, termination.
2. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damages that may result from furnishing such information to you. I authorize any background checks by any third party.
3. I authorize you to request, receive, and verify all information given on this application and I release you fromall damages that may result from doing so.
4. I authorize you to conduct a criminal backgound investigation using any and all methods necessay to successfully complete such investigation and I release you from liability for any damages thay may result from your doing so.

1. Please list three Professional references, name, relationship, and phone number.
2. Briefly state the reasons you desire to work in the Halstead/Bentley school district?
3. Why should you be considered for this position?

2000 Senate Bill 432 Criminal History Records Checks and "Provisional Employment"
I understand that if I am offered provisional employment in the school district that my fingerprints
may be taken and a request made for a state and national criminal background check.  I further understand that if the results of this criminal history check reveal that I have been convicted of any offense or any attempt to commit any offense specified in K.S.A. 1999 Supp. 72-1397 and amendments thereto that my employment may be terminated.

Please see the Classified Handbook on our website for benefit information www.usd440.com.

Current Driver's License