Employment Application

Thank you for your interest in Phased Reirement. Please fill out the application below to begin the job application process:

Personal Information

* First Name:
Middle Name:
* Last Name:
Nickname:
* Total Years of ASRS Service Credit at Retirement Date (Include years of purchased service, if any):

Contact Information

Please provide an e-mail address that you have access to year round as we will be sending your contract to that address.
* Email:
* Home Phone:
Cell Phone:
Work Phone:

Home Address

* Home Address:
* City:
* State:
* Zip Code:

Mailing Address (if different)

Mailing Address:
City:
State:
Zip Code:

Current Position

Current Position:
Current Position Title:
Current Work Site:
Current District:
* Retirement Date:
* Date Available for employment:

All ssplus employees will be required to adhere to all district rules, guidelines, policies, procedures, and regulations concerning the operating of District and delivery of educational services to students in which they are placed.

By clicking 'Submit Application' I accept this as my intent to participate in the phased retirement program.