Application for the Jordan-Elbridge Central School District

Position(s) desired and job number
Please enter your e-mail address
Note: (*) Denotes required field

Personal Information

First Name *
Last Name *
Middle Initial
Home Address *
City *		State *		Zip *
Home Phone *	Cell Phone: Work Phone
Work Address
Retirement Number
Present Position			Salary	$
Expected Salary

Educational Background

High School
Location		Dates Attended
Type of Diploma		Date Granted
		Distinctions and Honors
College/University
Location		Dates Attended
Type of Degree		Date Granted
Major		Distinctions and Honors
Second College/University
Location		Dates Attended
Type of Degree		Date Granted
Major		Distinctions and Honors

Master's Degree	Yes No
CAS	Yes No
National Board Certification	Yes No
ASHA Certification	Yes No
PhD	Yes No
Number of Graduate Semester Credit Hours

Employment History

Name of Firm or Employer	City and State	Title	Dates	Length of Service

Military Service

In United States Armed Forces	Yes No If yes, complete below
Length of Service	Branch Date of Discharge

Professional References

(* two required)

Name	Official Position	Institution	Present Address	Telephone

Please explain how you perceive your long-term purposes and contributions to the education of children.

Please indicate the basis for your interest in this position.

Attach your resume:
Attach your cover letter:

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*** NOTE: Uploaded files must be in Microsoft Word or PDF format ***

Art applicants only - link (URL) to portfolio of your artwork

Have you been fingerprinted?	Yes No
Have you submitted your fingerprints to New York State Ed. Dept.?	Yes No
Have you ever been convicted of a felony?	Yes No
Have you ever submitted an application to the Jordan-Elbridge School District?	Yes No
If so, for what position?	Position: Date:
Have you ever been employed by the Jordan-Elbridge School District?	Yes No
If yes, date and position.
How did you learn about this opening?
*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.

	High School (9-12) 5721 Hamilton Road Jordan, NY 13080 Phone: (315) 689-8510 Mark Schermerhorn, Principal		Jordan-Elbridge Middle School (6-8) 9 N. Chappell Street Jordan, NY 13080 Phone: (315) 689-8520 Alexis Farnsworth, Principal
	JEDIS (4-5) 9 N. Chappell Street Jordan, NY 13080 Phone: (315) 689-8500 Alexis Farnsworth, Principal		Elbridge Elementary (3YP-3) 130 East Main Street Elbridge, NY 13060 Phone: (315) 689-8540 Brooke Bastian, Principal

Jordan-Elbridge Main Number	315.689.8500
Superintendent's Office	315.689.8500 ext 5002
Athletics	315.689.8500 ext 1007
Business Office	315.689.8500 ext 5114
Food Services	315.689.8500 ext 5701
Human Resources	315.689.8500 ext 5102
Transportation	315.689.8500 ext 5601