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Applicant Information



XXX.XXX.XXXX​​

Teaching Certification


Education and Experience

List all experience with most recent first


Teaching Experience

School/District, Address, Grade(s)/Subject(s), Dates, Total Years

Student Teaching Experience

School/District, Address, Grade(s)/Subject(s), Dates, Total Years

Extracurricular Experience (coaching, sponsorship, etc.)

School/District, Address, Grade(s)/Subject(s), Dates, Total Years

Education

Honors and Activities

Related work experience

Employer, Address, Work Assignment, Dates, Total Years

Professional References

Name, Position, Address, Phone

Please upload a PDF copy of your resume​​​
Max file size: 10 MB

I certify that the answers given by me in this application are true and correct without omissions of any kind. I agree that the school shall not be held liable in any respect if my employment is terminated because of false statements, answers or omissions made by me in this application. I authorize the school to make any investigation of my personal or employment history and authorize any former employer, person, firm, corporation or governmental agency to disclose to the school any information they may have regarding me. In consideration of the review of this application, I hereby release the school as well as all providers of information from any liability and for any damage which may result from the furnishing and receiving this information. A copy of this authorization and release is as valid as the original and should be recognized as such.