Community Ed

  • 1050 S Union Street
  • Shawano, WI 54166
  • Phone: 715-526-2192 x3102
  • Fax: 715-524-1070
  • Director
    SANDI KANE
Online STEP Application

 

ELIGIBILITY REQUIREMENTS FOR STEP WORKERS:

1.  Age 62 or over

2.  Receive Social Security

3.  Own a home within the Shawano School District
     Must be main residence.

 

 

 

1.
*

Today's Date

2.
*

Name - ( First / Middle Initial / Last )

3.
*

Address, City, Zip  -  Township

4.
*

Home Phone  &  Cell Phone (if applicable)

5.

If you have a cell phone may we text you?

Yes
  No
6.
*

Email Address

7.
*

Social Security #   

8.
*

Driver's License #

9.
*

What is your past work/career experience?

10.
*

Please explain why you would like to participate in the Shawano School District's Senior Tax Exchange Program.

11.
*

What do you feel you could contribute to teachers and/or students?

12.
*

Please list 3 references:

Name, Occupation
Address, City/State/Zip 
Home/Cell Phone

 

 

DISCLOSURE STATEMENT                                    

The tremendous responsibility the Shawano School District has to its students and community ncessitates gathering the following information from all S.T.E.P. workers.  Participants in the program must report any changes in information that occur subsequent to the time they initially completed this form.

 

 

GENERAL INFORMATION                                           

 

13.
*

Have you ever been dismissed or asked to resign from any position?

Yes
  No
14.

If yes, please explain fully and include the state in which this happened:

15.
*

Have you ever been found guilty of any crime, or pleaded guilty or no contest to any crime, including any ordinance violation?  Or, do you presently have any pending violations of law?  (Exclude traffic violations resulting in fines of less than $500 if no minors were involved.)

Yes
  No
16.

If yes, please explain fully and include the state in which this happened.

 

Please print out and sign - Background Check form

Send 3 via U.S. mail to:

Shawano Community Education Office
% S.T.E.P. Program
1050 S Union Street
Shawano, WI  54166

Questions?  Call 715.526.2192 ext. 3102

 

 

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  • Shawano School District
  • 218 County Road B, Shawano, WI 54166
  • Phone: 715 526-3194 | Fax: 715 526-6072
  • Email