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Certified Application

Please Fill Out The Certified Application Below



A. Identification

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Present Address:


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Min: 1 Max: 5
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B. Employment Preferences



Elementary Level Applicant (Pre-k - 5th)



Middle Level Applicant (6 - 8)

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Secondary Level Applicant (9 - 12)


Counselor - Media Specialist - Administrative Application

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C. Education Preparation

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If you have completed Student Teaching in the last three years or now taking it, please complete the following:

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D. Previous Experience


If the above is "Yes," please complete the following:

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E. Personal Information




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Remember: the District may conduct a pre-employment examination which will determine whether you can perform the essential functions of the job without substantial risk to you or the public. In naming references, give preference to supervisors, principles, and other educations who are familiar with your professional work. DO NOT name as a reference any person who has already provided this information to your Placement Bureau. Address for each reference must be complete.

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Authorization: "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

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Required Fields