Mogadore Local School District

Transcription

1 STATEMENT OF NONDISCRIMINATION It is the policy of this District that no candidate for a position in this District shall be discriminated against on the basis of race, color, religion, national origin or citizenship status, creed or ancestry, age, gender, marital status, non-disqualifying disability, height or other protected categories. NEED TO ESTABLISH RIGHT TO WORK In accordance with Federal law any person employed by this District must provide evidence that s/he is eligible to work in the United States. NAME: PRESENT ADDRESS: TELEPHONE: POSITION REQUESTED: (If this is a temporary address, indicate date you will leave) PREMANENT ADDRESS: TELEPHONE: Elementary Listed grade level preference Secondary Listed subject area/grade level preference Other TYPE OF TEACHING CERTIFICATE(S) HELD: STATE No. When granted: Expires: Subject(s)/Grade Level(s) on certificate(s) ACTIVITIES: Please list activities you are willing and able to direct or coach successfully: Clubs Literary Music Drama Sports

2 Other For Office Use Only Employed: Credentials Requested: Assignment: Interviewed: Salary:

3 PERSONAL INFORMATION What is your present position? Why do you wish to change positions? Have you ever attained tenure in a school system? Have you ever been refused reappointment? Yes, No, if yes, where? Yes, No, if yes, where? Are you currently under contract for the next school year? Yes, No, if yes, where? Have you previously applied for a position with Mogadore Local Schools? Yes, No, if yes, when? Are you a U.S. Citizen? Yes, No If not a U.S. Citizen, do you have Legal Alien status? Yes, No NOTE: You must be prepared to substantiate either citizenship or legal alien status by providing proper documentation, such as U.S. birth certificate, social security card, certificate of naturalization, resident alien car, U.S. Passport or driver s license. Hobbies/Special Interests: Honors/Awards: EDUCATION AND TRAINING: High School (graduated from) City, State of Graduation High School Activities: College/University Years Degree Qtr/Sem Hrs. GPA Major/Minor STUDENT TEACHING:

4 Location Supervising Teacher(s): Area/Level: s:

5 TEACHING EXPERIENCE: District City/State Area(s) Taught: Beginning Ending Total Years Tenure OTHER WORK EXPERIENCE: Employer City/State Nature of Work: Beginning Ending Reference MILITARY SERVICE: Yes, No Branch: Rank: Years: OTHER EXPERIENCE (VOLUNTEER, CIVIC, ETC.): Organization/Agency City/State Nature of Work: Beginning Ending Reference REFERENCES PROFESSIONAL: Name Position Address Telephone

6 REFERENCES CHARACTER: Name Position/Relationship Address Telephone

7 PROFRESSIONAL: What are your major strengths as a teacher? What approaches do you find to be most effective in motivating students? What, about your teaching, is most rewarding to you? What plans do you have for further professional development? I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I realize that I may be required to undergo a physical examination and tuberculosis skin test. A reference check will be conducted which may include a criminal background check. Applicants are required to provide proof of current certification, official copies of all transcripts and complete credentials and references, including records of prior employment. In the event of employment, I understand that false or misleading information given in my application, resume or interview may result in discharge. I also understand that I am to abide by all policies, rules and regulation of the Mogadore Board of Education and administration. I further understand that, if employed, reliance will be placed upon this information for salary schedule placement. Therefore, I specifically waive the right to claim credit for any prior teaching experience (regular, substitute or tutoring) and/or training that I have not listed in this application for salary schedule placement purposes. Signature Please forward application to: Personnel Office This application valid for two years

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