COMMERCE PUBLIC SCHOOLS

Office of the Superintendent

217 COMMERCE STREET

COMMERCE, OKLAHOMA 74339-2200

APPLICATION FOR KITCHEN SUBSTITUTE

Last Name	First Name	Middle Name	Social Security Number

Address	Phone Number

MAILING ADDRESS (If different)

Days available

Monday	Tuesday	Wednesday	Thursday	Friday

This application will serve as your request to add your name to our list of substitute kitchen assistants.

I understand that my application will remain active from August 1 through June 1 of the school year in which the application is made and that I should notify the office of the Superintendent, in writing, if I wish to be considered beyond that period.

Signature of Applicant	Date

Commerce Public Schools Employment Application

Release of Information

I	, date of birth	,

(Name of Application)	(Month, Day, Year)

Social Security Number	, give my permission for Commerce Pubic Schools to examine my employment records and personnel files. Your signature further authorizes us to request pertinent confidential statements and information from previous employers and interview other individuals who are able to comment on your suitability for employment.

(Signature of Applicant)

(Date)

COMMERCE PUBLIC SCHOOLS

Jim Haynes

2009-11-30

Commerce Public Schools