Please Fill Out The Certified Staff Application Below
Reaquired field: Social Security Number
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Reaquired field: Date of Birth:
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Reaquired field: Name
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Reaquired field: Home Phone Number
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Work Phone Number
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Reaquired field: Email Address:
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Reaquired field: Permanent Address
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Reaquired field: City
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Reaquired field: State
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Reaquired field: Zip
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Present Address (If Different)
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City
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State
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Zip
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Reaquired field: Certification/License #
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Reaquired field: Expiration Date:
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Subject(s)
Subject(s)
Other
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Choice of Positions:
Reaquired field: First Choice
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Reaquired field: Second Choice
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Reaquired field: Third Choice
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Tell us about yourself.
Reaquired field: Briefly discuss why you have chosen education as a profession.
Reaquired field: Briefly discuss your strengths as a teacher.
Feel free to briefly add any comments you believe are pertinent to this application.
AREAS OF CERTIFICATION (CHECK APPROPRIATE LINES)
Reaquired field: List All Certifications & Certification Numbers
References: List the name of four references capable of giving information about your teaching and preparation for teaching. List at least one administrator for each of your teaching positions.
Reaquired field: Full Name of Reference
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Reaquired field: Official Position & Organization
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Reaquired field: Email Address:
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Reaquired field: Phone
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Reaquired field: Full Name of Reference
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Reaquired field: Official Position & Organization
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Reaquired field: Email Address
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Reaquired field: Phone
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Reaquired field: Full Name of Reference
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Reaquired field: Official Position & Organization
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Reaquired field: Email Address
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Reaquired field: Phone
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Reaquired field: Full Name of Reference
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Reaquired field: Official Position & Organization
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Reaquired field: Email Address
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Reaquired field: Phone
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Reaquired field: High School Attended
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Reaquired field: Mailing Address
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Reaquired field: Year Graduated:
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Reaquired field: College or University Attended
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Reaquired field: Year Graduated
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Reaquired field: Major Field of Study
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Minor Field of Study
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Reaquired field: Type of Degree
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Reaquired field: Cumulative GPA:
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Reaquired field: Special Honors attained, offices held, or publications:
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College or University Attended
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Year Graduated
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Reaquired field: Dates of Attendance:
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Major Field of Study
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Minor Field of Study
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Type of Degree
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Cumulative GPA:
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Special Honors attained, offices held, or publications:
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College or University Attended
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Year Graduated
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Reaquired field: Dates of Attendance:
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Major Field of Study
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Minor Field of Study
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Type of Degree
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Cumulative GPA:
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Special Honors attained, offices held, or publications:
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Student Teaching
Reaquired field: Dates:
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Reaquired field: Name of School
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Reaquired field: Supervising Teacher
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Reaquired field: Grade Level & Subject
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Teaching Experience: Most recent position MUST be listed first. (REQUIRED - unless you do not have any teaching experiences)
Name of School
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City and State
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Grade or Subject Taught
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Principal or Supervisor
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From
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To
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Number of Years
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Name of School
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City and State
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Grade or Subject Taught
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Principal or Supervisor
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From
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To
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Number of Years
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Name of School
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City and State
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Grade or Subject Taught
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Principal or Supervisor
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From
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To
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Number of Years
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Name of School
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City and State
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Grade or Subject Taught
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Principal or Supervisor
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From
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To
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Number of Years
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Name of School
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City and State
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Grade or Subject Taught
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Principal or Supervisor
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From
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To
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Number of Years
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Non-Teaching Experience: List in Chronological Order.
From
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To
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Name of Employer
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Address
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Kind of Work
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From
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To
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Name of Employer
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Address
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Kind of Work
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From
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To
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Name of Employer
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Address
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Kind of Work
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If yes, please explain where and why.
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If yes, please explain where and why.
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If yes, provide details:
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Why do you wish to leave your present position?
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If yes, provide month, day, and year of entry and discharge.
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On what date will you be available if offered employment at McAlester Public Schools?
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Criminal Activities The district has a duty to teach students proper citizenship and respect for the law, and teachers have an obligation to serve as role models for students. Because the district teaches students about the dangers of chemical abuse and because the district is entrusted with the supervision of minors, the district cannot have employees performing duties while under the influence of dangerous substances or substances which adversely affect reaction time and good judgment. Information concerning past illegal acts will be considered along with the time of the offense, the seriousness and nature of the violation, any rehabilitations and your subsequent employment history.
Documentation
Acknowledgement It is the policy of the McAlester Board of Education to provide equal opportunity in all its operations and in all areas of employment practice and to assure that there shall be no discrimination against any employee or applicant on the grounds of age, race, religion, sex, color, national origin, ancestry, or disabilities. This application will serve as your request to add your name to our list of applicants. The acceptance of an application is not a promise of employment. I understand that my application will remain active for one year after receipt and that I must notify the Superintendent’s office, in writing, if I desire to be considered beyond that period of time. By signing your initials below, you agree that the District may contact your previous employers and ask them more detailed questions about your prior work experience, if you specifically consent to the release of information by these prior employers to the District, and agree to release such prior employers, their employees, and their governing boards, from any and all causes of action or other potential claims which you could have against them for answering questions about your work experience. This consent is a covenant not to sue any prior employer, their employees, or their board members from defamation, regardless of what said prior employers may relate to the District regarding your previous employment experience. By signing your initials below, you confirm you have read this consent and release of all claims, and in consideration of being considered an applicant for employment agree to its terms. By signing your initials below, you agree to take a physical examination at district expense if requested. By signing your initials below, you do hereby certify that to the best of your knowledge and belief all of the facts and statements contained in this application are correct and true. You understand that if you are employed, falsified statements on this application shall be considered sufficient grounds for dismissal.
Reaquired field: Please sign your initals below:
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Optional Information Providing the following information is optional; the data requested will assist the school district with record keeping and reporting requirements; the information will not be used for discriminatory purposes, and will not be a part of the official employment application.
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Required Fields