Professional Staff Application for Employment



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Please Read This Sheet Carefully Before Completing the Professional Application

The following application can be completed electronically or manually. It can be submitted through mail, fax, or electronically. Please complete each section accurately as incomplete applications will not be considered.

The following information must be received in order to have a complete application packet on file for further consideration.

• Professional Staff Application for Employment

• A copy of your valid teaching certificate and/or a recent graduate letter of recommendation for certification

• A copy of your transcripts

• A current resume/vita (should include 3 personal references)

• Non-Missouri Certified Applicants Only: Please contact Missouri DESE’s Educator Certification Department to help determine certification requirements at 573-751-0051 or visit their website at dese.

Applications submitted from the previous year become inactive in January of the current year unless submitted on or after October 1st of the previous year.

If you opt to send your application electronically, please email it to the following address:

jobs@ .

Caruthersville Public Schools 573.333.6100

1711 Ward Ave. (FAX) 573.333.6108

Caruthersville, MO 63830

CARUTHERSVILLE….dedicated to excellence!

Revised 12/15/05

Professional Staff Application for Employment For Office Use Only

|Start Date |

|Location |

|Position |

|Category |Step |

CARUTHERSVILLE PUBLIC SCHOOLS

1711 Ward Ave., Caruthersville, MO 63830

6100. (FAX) 573.333.6108



PERSONAL INFORMATION

|Social Security No. |Date Available: |Date: |

|Name: (Last) |(First) |(Middle) |

|Present Address: |Permanent Address: (If different than present address) |

|Street: |Street: |

|City: |City: |

|State: |Zip: |State: |Zip: |

|Phone: |Phone: |

|Email address: |Cell phone: |

|Contact person: |Contact relation: |

|Contact’s phone: |

POSITION(S) DESIRED

|Early Childhood PreK-3: |

|Elementary 1-5 (Grade, Level): |

|Middle School 6-8 (Subject): |

|High School 9-12 (Subject): |

|Administration (Level): |

|What is your present position? |

|Are you under contract? |If so, what school district? |

|Reason(s) for desiring a change? |

CERTIFICATION STATUS

SELECT ONE:

□ Pending □ MO Certified □ Other State □ None □ Will Apply Pending Graduation

In:

SELECT ONE:

□ Complete MO Certification □ Applied for MO Certification □ Out of State Complete Certification

□ Seeking Alternative Certification □ No Certification □ All certification exams not completed as of this date

□ Other (Please Explain):

|DESCRIBE TEACHING CERTIFICATE(S) |

|Certification Area Grade |Certificate Teaching Field(s) |Date Issued |Expiration Date |State Issued |

|Levels | | | | |

| | | | | |

| | | | | |

| | | | | |

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| | | | | |

Other professional licenses or certifications:

If hired, can you furnish proof of employment eligibility in the U.S. under present immigration laws? □ Yes □ No

EDUCATIONAL EXPERIENCE– Copies of all transcripts and teaching certificates are required for application to be considered.

|High School Name & Location | |

|(City & State) | |

|Undergraduate Education |

|College/University & Location |Dates |Major |Type of Degree |Hours in Ed. |Grad. Date |

| | | | | | |

| | | | | | |

| | | | | | |

|Graduate Education |

|College/University & Location |Dates |Hours Earned |Type of |Major |Grad. Date |

| | | |Degree | | |

| | | | | | |

| | | | | | |

| | | | | | |

|Block/Student Teaching |

|Location |Dates |Grade/Subject Taught |Supervising Teacher |

| | | | |

| | | | |

EMPLOYMENT (List Teaching Experience only – Starting with most recent)

|Name of School City & State |Dates |Full |Part |Grade Levels/ Subjects Taught |

| |From To |Time |Time | |

| |Mo. |Yr. |Mo. |Yr. | | | |

| | | | | | | | |

| | | | | | | | |

| | | | | | | | |

| | | | | | | | |

TOTAL YEARS TEACHING EXPERIENCE_________

HAVE YOU EVER BEEN DISCHARGED FROM ANY EMPLOYMENT, HAD A CONTRACT OF EMPLOYMENT NON-RENEWED, BEEN ASKED TO RESIGN FROM YOUR EMPLOYMENT OR RESIGNED FROM EMPLOYMENT IN LIEU OF DISCHARGE OR NON-RENEWAL? _______Yes ______No

If yes, provide a full description of the circumstances of the discharge, non-renewal, or resignation.

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Have you ever entered a plea of guilty or been found guilty of a crime other than a traffic violation? (Note: This includes a suspended imposition of sentence.) ________Yes ________No

If “yes”, please complete the following:

|Name of Offense |Date |Place of plea and/or conviction |

| | | |

EXTRA CURRICULAR ACTIVITIES & INTERESTS

|Activity/Sport |Location |Years Exp. |Sponsor/ Coach |Participant |Willingness to |

| | | | | |Coach/Sponsor |

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EDUCATIONAL PHILOSOPHY (Please briefly answer the following questions.)

|1. What do you see is the most important role of a teacher/administrator? (Choose the appropriate position for |

| your application) |

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|2. In your opinion, what is the most effective means of improving student performance? |

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|3. List 3 goals that you hope to accomplish during the first year of employment with the district. |

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|4. Describe 1 research-based strategy that you feel is effective in your role as a teacher/administrator. |

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ON A SCALE OF 1-10 PLEASE RATE YOUR LEVEL OF EXPERTISE IN THE FIELD OF TECHNOLOGY. (One being the least knowledgeable and ten being the highest level of expertise)

AUTHORIZATION

|I authorize Caruthersville Public Schools to investigate the statements contained herein. I certify that my |

|statements on this application are true and that falsification of this application is cause for dismissal or |

|rejection of employment. I also understand that an electronic signature is a valid commitment to the |

|authorization and to the application statements and information. |

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Signature Date

PLEASE NOTE

Requirements of Employment: If you are offered a contract, it will be under the conditions that complete official transcript(s) and a Missouri teacher’s certificate will be submitted before employment begins. Verification of prior certified PreK-12 teaching experience will be required to place teachers on the salary schedule above the base range.

Caruthersville Public Schools does not discriminate in admission or access to program activities or employment on the basis of race, gender or handicap. The Compliance Coordinator for Title IX and Section 504 is the Assistant Superintendent.

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