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Employment Application


 

Contact Information:
First Name  M.I.  Last Name
Street  City  State   Zip
Phone:     E-Mail:        

Date Available:        
         
Position Desired: 
Teacher    Administrator    Librarian    Counselor   Other

Grade Level:
Elementary School (K-5)        Middle School (6-8)        Senior High School (9-12)  
         
Licensure Status:
Teaching License #:     License Type:  

Licensure ID #:     Level:     Expiration Date:

Endorsement(s) (number, type):
 
School Activities:
(Check the following activities you are able to coach, direct or sponsor. Where requested, please select Boys and/or Girls for an activity.)

Do you hold a valid state coaching license? Yes   No

License#:      Expiration Date:

 

Basketball

Track

Cross Country

Soccer

Baseball  

Football  

Volleyball

 Cheer   

Drill Team   

Softball   

 Swimming   

Wrestling   

Golf   

Tennis  

Yearbook   

Science Fair   

Student Council 

Newspaper   

Academic Clubs   


 

Other

 

Education (High School - College):   

Schools Attended City and State Date From/To Degree Date
/
/
/
/
 

Professional Experience: (Only as licensed teacher, not substituting or student teaching.)    

School District Address Subject/Grade Date From/To
/
/
/
/
/


Reason for leaving present or most recent teaching position:

Job Related Skills: Do not fill out any part of this section you believe to be not job related.
 

Please list any other skills, licenses or certificates that may be job related:
 


 

Employment History:
(Include all employers, account for any gaps in employment history. Since we will make every effort to contact previous employers the correct telephone numbers of past employers is critical.)  

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First Employer:   

Are you presently employed by this company/school district?    Yes    No   
If yes, may we contact?     Yes    No
     
Employer City  State    Phone  

Dates Employed: From   to
Name of supervisor:    
Position Held:  

Reason for leaving (please be specific):

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Second Employer:  

Are you presently employed by this company/school district?    Yes    No   
If yes, may we contact?     Yes    No
     
Employer City  State    Phone  

Dates Employed: From   to
Name of supervisor:    
Position Held:  
 

Reason for leaving (please be specific):

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Third Employer:  

Are you presently employed by this company/school district?    Yes    No   
If yes, may we contact?     Yes    No
     
Employer City  State    Phone  

Dates Employed: From   to
Name of supervisor:    
Position Held:  

Reason for leaving (please be specific):

Additional Information:
Briefly explain your interest in the district and provide any additional information which you believe will assist in reviewing your qualifications. Also include any additional comments/notes regarding your application.
 
 

*  I have read and agree to the AGREEMENT, AUTHORIZATION, WAIVER AND RELEASE.

**********Before submitting, please review your application carefully**********
 



 

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SOCS Academy School District is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, handicap, or national origin. 


 



 
  
 


 

 

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