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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
<HTML>
<HEAD>
<TITLE> Job Application Form </TITLE>
<META NAME="GENERATOR" CONTENT="Mozilla/3.03Gold (WinNT; I) [Netscape]">
</HEAD>
<BODY BGCOLOR="#FFFFFF">
<P><FORM METHOD=POST ACTION="http://www.sfps.k12.nm.us/scripts/wsendmail.exe"></P>
<P><INPUT TYPE=HIDDEN NAME=RCPT VALUE=jroybal><INPUT TYPE=HIDDEN NAME= SUBJECT VALUE="Job Application from Web Site"></P>
<TABLE CELLSPACING=0 CELLPADDING=0 >
<TR>
<TD></TD>
<TD><B><FONT FACE="Arial"><FONT SIZE=+1>Online Job Application Form</FONT></FONT></B></TD>
</TR>
</TABLE>
<P>
<HR></P>
<P><B><FONT FACE="Arial"><FONT SIZE=+0>Section 1 - Personal Information</FONT></FONT></B><BR>
</P>
<TABLE>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Last:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="20" name="LastName"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>First:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="FirstName"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Middle:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="1" name="MiddleI"></TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>SSN:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="11" name="SocSecNbr"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Address:</FONT></FONT></B></TD>
<TD colspan="5"><INPUT type="text" size="50" name="StreetAddress1"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD colspan="5"><INPUT type="text" size="50" name="StreetAddress2"></TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>City:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="20" name="City"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>State:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="2" name="State"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Zip:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Zip"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Home Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="HomePhone"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Work Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="WorkPhone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="WorkExtension"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Email Address:</FONT></FONT></B></TD>
<TD colspan="5"><INPUT type="text" size="40" name="EmailAddress"></TD>
</TR>
<TR>
<TD colspan="3"><B><FONT FACE="Arial"><FONT SIZE=-1>What Date Are You Available
For Employment:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="AvailableDate"></TD>
</TR>
</TABLE>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>If employed and you are under 18,can
you furnish a work permit?Yes<INPUT type="radio" name="IfUnder18" value="Yes">No
</FONT></FONT></B><INPUT type="radio" checked name="IfUnder18" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Position Applying For </FONT></FONT></B><INPUT type="text" size="40" name="PositionApplying"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Have you filed an application here
before? Yes<INPUT type="radio" name="FiledHere" value="Yes"> No </FONT></FONT></B><INPUT type="radio" checked name="FiledHere" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>If yes, give date:</FONT></FONT></B><BR>
<TEXTAREA name="FiledHereDate" rows="5" cols="60" border="1"></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Have you ever been employed here
before? Yes<INPUT type="radio" name="EmployedHere" value="Yes"> No</FONT></FONT></B><INPUT type="radio" checked name="EmployedHere" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>If yes, give date:</FONT></FONT></B><BR>
<TEXTAREA name="EmployedHereDate" rows="5" cols="60" border="1"></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Are you employed now? Yes<INPUT type="radio" name="EmployedNow" value="Yes">No
</FONT></FONT></B><INPUT type="radio" checked name="EmployedNow" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>May we contact your present employer?
Yes<INPUT type="radio" name="ContactEmployer" value="Yes"> No </FONT></FONT></B><INPUT type="radio" checked name="ContactEmployed" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Are you prevented from lawfully
becoming employed in this country because of Visa or Immigration Status?
Yes<INPUT type="radio" name="Visa" value="Yes"> No <INPUT type="radio" checked name="Visa" value="No">(Proof
of citizenship or immigration status may be required upon employement.)</FONT></FONT></B></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>On what date would you be available
for work? </FONT></FONT></B><INPUT type="text" name="AvailtoWork"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Are you available to work: <SELECT MULTIPLE NAME="full/part/temp" SIZE= 0 ALIGN=left><OPTION>Full-Time<OPTION>Part-Time
<OPTION>Temporary </FONT></FONT></B></SELECT></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Are you on a lay-off and subject
to recall? Yes<INPUT type="radio" name="Lay-Off" value="Yes"> No </FONT></FONT></B><INPUT type="radio" checked name="Lay-Off" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Have you been convicted of a felony?(Conviction
will not necessarily disqualify applicant from employment)Yes<INPUT type="radio" name="IfCriminalAct" value="Yes">
No </FONT></FONT></B><INPUT type="radio" checked name="IfCriminalAct" value="No"></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>If yes, give details including dates:</FONT></FONT></B><BR>
<TEXTAREA name="CriminalRecordText" rows="5" cols="60" border="1"></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Please indicate the languages you
speak, read and/or write in terms of fluency.</FONT></FONT></B><TEXTAREA NAME="languages" SIZE="40" ALIGN=left></TEXTAREA></P>
<TABLE>
<TR>
<TD><B>School</B></TD>
<TD><B>Name</B></TD>
<TD><B>Major/Minor</B></TD>
<TD><B>Graduated?</B></TD>
</TR>
<TR>
<TD><B>High Sch.</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=HS></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 name=HS_major></TD>
<TD><INPUT TYPE="RADIO" NAME=HS_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=HS_grad value=no>N</B></TD>
</TR>
<TR>
<TD><B>College</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=college1></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 name=college1_major></TD>
<TD><INPUT TYPE="RADIO" NAME=college1_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=college1_grad value=no>N</B></TD>
</TR>
<TR>
<TD><B>College</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=college2></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 name=college2_major></TD>
<TD><INPUT TYPE="RADIO" NAME=college2_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=college2_grad value=no>N</B></TD>
</TR>
<TR>
<TD><B>Graduate</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=grad1></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 name=grad1_major></TD>
<TD><INPUT TYPE="RADIO" NAME=grad1_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=grad1_grad value=no>N</B></TD>
</TR>
<TR>
<TD><B>Graduate</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=grad2></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 grad2_major></TD>
<TD><INPUT TYPE="RADIO" NAME=grad2_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=grad2_grad value=no>N</B></TD>
</TR>
<TR>
<TD><B>Business</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=busn></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 name=busn_major></TD>
<TD><INPUT TYPE="RADIO" NAME=busn_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=busn_grad value=no>N</B></TD>
</TR>
<TR>
<TD><B>Other</B></TD>
<TD><INPUT SIZE=25 maxlength=25 name=otheredu></TD>
<TD><INPUT SIZE=35 MAXLENGTH=35 name=otheredu_major></TD>
<TD><INPUT TYPE="RADIO" NAME=other_grad value=yes><B>Y <INPUT TYPE="RADIO" NAME=other_grad value=no>N</B></TD>
</TR>
</TABLE>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Do you type? <SELECT NAME="type" SIZE= 0 ALIGN=left><OPTION>Yes<OPTION>No
</SELECT>If yes, please indicate Words Per Minute </FONT></FONT></B><INPUT NAME="wpm" TYPE="TEXT" SIZE="40" ALIGN=right></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Do you have computer skills? <SELECT NAME="comp skills" SIZE= 0 ALIGN=left><OPTION>Yes<OPTION>No
</FONT></FONT></B></SELECT></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Please indicate type(s) of computer(s):</FONT></FONT></B><TEXTAREA NAME="types" SIZE="40" ALIGN=left></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Please indicate any other skills
you have: </FONT></FONT></B><TEXTAREA NAME="other skills" SIZE="40" ALIGN=left></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Honors Recieved: </FONT></FONT></B><TEXTAREA NAME="Honors" SIZE="40" ALIGN=left></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>State any additional information
you feel may be helpful to us in considering your application. </FONT></FONT></B><TEXTAREA NAME="add. info" SIZE="40" ALIGN=left></TEXTAREA></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Give name, address and telephone
number of three references who are not related to you and are not previous
employers.Please include full name, address and phone number.</FONT></FONT></B></P>
<TABLE>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>1.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Name:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref1Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Occupation:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref1Occupation"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Relationship:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref1Relationship"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Ref1Phone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Ref1Extension"></TD>
</TR>
<TR>
<TD colspan="5">&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>2.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Name:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref2Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Occupation:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref2Occupation"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Relationship:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref2Relationship"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Ref2Phone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Ref2Extension"></TD>
</TR>
<TR>
<TD colspan="5">&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>3.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Name:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref3Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Occupation:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref3Occupation"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Relationship:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref3Relationship"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Ref3Phone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Ref3Extension"></TD>
</TR>
<TR>
<TD colspan="5">&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>4.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Name:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref4Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Occupation:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref4Occupation"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Relationship:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Ref4Relationship"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Ref4Phone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Ref4Extension"></TD>
<TD>List professional, trade, business or civic activities and offices
held.(You may exclude thouse which indicate race, color, religion, sex
or national origin.)<TEXTAREA NAME="offices held" SIZE="80" ALIGN=left></TEXTAREA></TD>
</TR>
</TABLE>
<P>List professional, trade, business or civic activities and offices held.(You
may exclude thouse which indicate race, color, religion, sex or nationalorigin.)<TEXTAREA NAME="offices held" SIZE="80" ALIGN=left></TEXTAREA></P>
<P>
<HR><!--end section 1--></P>
<P><B><FONT FACE="Arial"><FONT SIZE=+0>Section 2 - Employment History Information</FONT></FONT></B></P>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Please provide the following informationstarting
with your most recent employer. </FONT></FONT></B></P>
<P><!-- Employee History Information --></P>
<TABLE>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>1.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>May We Contact ThisEmployer:</FONT></FONT></B></TD>
<TD><B><FONT FACE="Arial"><FONT SIZE=-1>Yes<INPUT type="radio" checked name="Emp1MayWeContact" value="Yes_You_May_Contact">No
</FONT></FONT></B><INPUT type="radio" name="Emp1MayWeContact" value="No_You_May_Not_Contact"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employer:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Your Title:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1YourTitle"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employed From: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp1StartDate"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>To: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp1EndDate"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Street Address:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1StreetAddress1"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1StreetAddress2"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>City:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="20" name="Emp1City"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>State:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="2" name="Emp1State"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Zip:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp1Zip"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Work Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Emp1WorkPhone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp1WorkExtension"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Immediate Supervisor:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1Supervisor"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Reason For Leaving:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1ReasonForLeaving"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Final Base Salary:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="15" name="Emp1FinalBaseSalary"></TD>
</TR>
<TR>
<TD colspan="5">&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>2.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>May We Contact ThisEmployer:</FONT></FONT></B></TD>
<TD><B><FONT FACE="Arial"><FONT SIZE=-1>Yes<INPUT type="radio" checked name="Emp1MayWeContact" value="Yes_You_May_Contact">No
</FONT></FONT></B><INPUT type="radio" name="Emp1MayWeContact" value="No_You_May_Not_Contact"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employer:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp2Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Your Title:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp2YourTitle"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employed From: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp2StartDate"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>To: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp2EndDate"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Street Address:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp2StreetAddress1"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp2StreetAddress2"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>City:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="20" name="Emp2City"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>State:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="2" name="Emp2State"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Zip:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp2Zip"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Work Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Emp2WorkPhone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp2WorkExtension"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Immediate Supervisor:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp2Supervisor"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Reason For Leaving:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp2ReasonForLeaving"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Final Base Salary:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="15" name="Emp2FinalBaseSalary"></TD>
</TR>
<TR>
<TD colspan="5">&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>3.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>May We Contact ThisEmployer:</FONT></FONT></B></TD>
<TD><B><FONT FACE="Arial"><FONT SIZE=-1>Yes<INPUT type="radio" checked name="Emp3MayWeContact" value="Yes_You_May_Contact">No
</FONT></FONT></B><INPUT type="radio" name="Emp3MayWeContact" value="No_You_May_Not_Contact"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employer:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp1Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Your Title:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp3YourTitle"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employed From: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp3StartDate"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>To: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp3EndDate"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Street Address:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp3StreetAddress1"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp3StreetAddress2"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>City:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="20" name="Emp3City"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>State:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="2" name="Emp3State"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Zip:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp3Zip"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Work Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Emp3WorkPhone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp3WorkExtension"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Immediate Supervisor:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp3Supervisor"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Reason For Leaving:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp3ReasonForLeaving"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Final Base Salary:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="15" name="Emp3FinalBaseSalary"></TD>
</TR>
<TR>
<TD colspan="5">&nbsp;</TD>
</TR>
<TR>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>4.</FONT></FONT></B></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>May We Contact ThisEmployer:</FONT></FONT></B></TD>
<TD><B><FONT FACE="Arial"><FONT SIZE=-1>Yes<INPUT type="radio" checked name="Emp4MayWeContact" value="Yes_You_May_Contact">No
</FONT></FONT></B><INPUT type="radio" name="Emp4MayWeContact" value="No_You_May_Not_Contact"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employer:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp4Name"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Your Title:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp4YourTitle"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Employed From: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp4StartDate"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>To: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="12" name="Emp4EndDate"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Street Address:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp4StreetAddress1"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp4StreetAddress2"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>City:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="20" name="Emp4City"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>State:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="2" name="Emp4State"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Zip:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp4Zip"></TD>
<TD>&nbsp;</TD>
<TD>&nbsp;</TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Work Phone:</FONT></FONT></B></TD>
<TD><INPUT type="text" size="15" name="Emp4WorkPhone"></TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Extension: </FONT></FONT></B></TD>
<TD><INPUT type="text" size="10" name="Emp4WorkExtension"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Immediate Supervisor:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp4Supervisor"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Reason For Leaving:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="50" name="Emp4ReasonForLeaving"></TD>
</TR>
<TR>
<TD>&nbsp;</TD>
<TD align="right"><B><FONT FACE="Arial"><FONT SIZE=-1>Final Base Salary:</FONT></FONT></B></TD>
<TD colspan="3"><INPUT type="text" size="15" name="Emp4FinalBaseSalary"></TD>
</TR>
</TABLE>
<UL>
<UL>
<P><B><FONT FACE="Arial"><FONT SIZE=-1>Summarize special skills and qualifications
acquired from employment or other experience.</FONT></FONT></B><TEXTAREA NAME="SpecialSkills" SIZE="80" ALIGN=center></TEXTAREA></P>
</UL>
</UL>
<P>
<HR></P>
<P><FONT FACE="Arial"><B><FONT SIZE=+0>Section 5 - Application Terms And Conditions</FONT></B><FONT SIZE=-1>
</FONT></FONT></P>
<UL>
<P><FONT FACE="Arial"><FONT SIZE=-1>I certify that answers given herein
are true and complete to the best of my knowledge.</FONT></FONT></P>
<P><FONT FACE="Arial"><FONT SIZE=-1>I authorize investigation of all statements
contained in this application for employment as may be necessary in arriving
at an employment decision. I understand that this application is not and
is not intended to be a contract of employment. </FONT></FONT></P>
<P><FONT FACE="Arial"><FONT SIZE=-1>In the event of employment, I understnad
that false or misleading information given in my application or interview(s)may
result in discharge. I understand also, that I am required to abide by
all rules and regulations Santa Fe Public Schools .<BR>
<BR>
I Understand And <I>ACCEPT</I> Above Terms And Conditions<INPUT type="radio" checked name="IfAcceptCond" value="I_Accept"><BR>
I Do <I>NOT</I> Accept Above Terms And Conditions</FONT></FONT><INPUT type="radio" name="IfAcceptCond" value="I_Do_Not_Accept"></P>
</UL>
<P>
<HR></P>
<P><INPUT TYPE="SUBMIT" SIZE="40" VALUE= "Submit Application" ><INPUT TYPE="RESET" SIZE="40" VALUE= "Clear Fields" ><BR>
</P>
<P></FORM>
<HR align="left"></P>
</BODY>
</HTML>