Applicant Information: .

First Name:  Required Field
Middle Initial:
Last Name:  Required Field
E-mail Address:
Social Security Number: (NO dashes)
You are being asked to provide your social security number as part of the employment process with Benton Public Schools. In accordance with the Privacy Act of 1974, 5 U.S.C. 552a, disclosure of your social security number is optional except for purposes of receiving wages; however, failure to provide it may result in processing delays if we have multiple applicants with the same or similar names. In accordance with the United States federal tax code and regulations, 26 U.S.C. 6011, 26 C.F.R. 31.6011(b)-(2), once employees receive offers of employment, all employees shall show proof of employment eligibility and proof of identity to Benton Public Schools, the employer, for purpose of receiving wages and withholding income taxes. See also Tax Reform Act of 1976, 42 U.S.C. 405 (c)(2)(C)(i). Should you elect to disclose your social security number for reasons other than receiving wages and withholding taxes, Benton Public Schools would utilize your social security number for the following reasons: (1) Submission to the Federal Bureau of Investigation and the Department of Public Safety for purposes of performing mandatory criminal background checks; and (2) submission to the Department of Education for purposes of determining your professional or other licensure status. Should Benton Public Schools require your social security number for any other purpose not listed above, we will obtain your consent before utilizing your social security number.
User ID:  Required Field
  (Create your own UserID here -- we recommend your email address if you have one)
Password:  Required Field
  (Create your own password here -- numbers and letters only)
Verify Password:  Required Field
Password Hint:

indicates required field

If you do not have an e-mail address, be sure to write down this information.