Jordan-Elbridge Central School District
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Application for the Jordan-Elbridge Central School District

Note: (*) Denotes required field
Personal Information
Educational Background
Master's Degree           
National Board Certification           
ASHA Certification           
Employment History
Name of Firm or Employer City and State Title Dates Length of Service
Military Service
In United States Armed Forces            If yes, complete below
Professional References
(* two required)
Name Official Position Institution Present Address Telephone

*** NOTE - Please DO NOT type messages in this area. This area is for upload of documents ONLY. Typing messages here will result in a failed submission! You MUST use the "Browse" button to upload your document. ***
*** NOTE: Uploaded files must be in Microsoft Word or PDF format ***

Have you been fingerprinted?           
Have you submitted your fingerprints to New York State Ed. Dept.?           
Have you ever been convicted of a felony?           
Have you ever submitted an application to the Jordan-Elbridge School District?           
If so, for what position?          
Have you ever been employed by the Jordan-Elbridge School District?           
Once submitted, you will not be able to view or edit your application. Please review carefully before submitting.
The Jordan-Elbridge School District does not discriminate on the basis of age, ethnic background, religion, creed, disability, marital status, gender, sexual orientation, veteran status, country of origin, or race in the educational programs and activities which it operates.

Jordan-Elbridge District Office | 9 N. Chappell St. PO Box 902 Jordan, NY 13080 | (315) 689-8500