Tracy Area Public Schools, ISD #417



Tracy Area Public Schools, ISD #2904

Job Application Form – Certified Staff

I. Please forward all job application materials to the following address:

Elementary Positions: High School Positions:

Michael Munson – Principal Kathy Vondracek – Principal

Tracy Area Elementary School Tracy Area High School

700 South 4th Street 934 Pine Street

Tracy, MN 56175 Tracy, MN 56175

II. In order for a candidate to be considered, application materials must include:

1. A completed I.S.D. #2904 job application form.

2. Three recent letters of recommendation from employers or persons knowledgeable of your working style (may be a part of college/university credential file). No recommendations may be provided if any family relationships exist.

3. Transcripts and credential verification materials requested by you from a college or university placement office.

4. A copy of your current Minnesota teaching/administrative license or verification of application for a Minnesota teaching/administrative license. (If you have not yet applied for a license, send a copy of your license application as soon as you do.)

5. If appropriate, verification of passing scores on the pre-professional skill test required in Minnesota.

Please complete the attached information and return as soon as possible!

Tracy Area Public Schools, ISD #2904 is an equal opportunity employer.

Personal Information

Name: _______________________________________________ Date: ______________

Position applying for: _______________________________ Home Phone ( ) ___________

Home Address: _______________________________________________________________

(Street) (City) (State) (Zip)

Present Position: ___________________________________ Since: _____________________

Address: _____________________________________________________________________

(Street) (City) (State) (Zip)

Name and Position of Immediate Supervisor: ________________________________________

Date Available: _________________________________ Present Salary: ____________

Do you currently hold a Minnesota teaching/administrative license? Yes No *If no, when will you be licensed?

Do you currently hold a Minnesota coaching license? Yes No

If yes, what areas are you qualified? _______________________________________________

*For further information contact the Minnesota Department of Education, St. Paul, MN (612) 296-2046

Professional Preparation

Please list in chronological order with most recent experience listed first.

|Degree |Institution |Major/Minor |

| | | |

| | | |

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| | | |

Please list your special achievements (publications, fellowships, honors, consulting, community recognition, professional organizations, etc.

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Employment History

Please list your last four positions in chronological order with most recent listed first.

|Institution and Location |Position |From/To |Reason for Leaving |

| | | | |

| | | | |

| | | | |

| | | | |

May we contact your present employer? Yes No

References

|Name |Position |Present Address |Daytime Phone |

| | | | |

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Have you ever been convicted of any crime (other than a minor violation)? Yes No

If yes, what was the disposition of the case? _________________________________________

__________________________________________________________________________________

Essay Question

Please respond to the following question: (in the space provided)

1. Describe the professional contribution(s) you hope to make as an employee of ISD #2904 and how your education and work experience have helped prepare you to make this contribution. Elaborate on any special qualification you think you have for this position.

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Please request your credentials be sent to us as soon as possible. Your credential file has been requested from

__________________________________________________.

(Name of Institution)

I request that this application and my candidacy be held in strict confidence. Yes No

I certify that all statements on this application are true, complete, and current. I authorize investigation of all statements on this application. Inaccurate, misleading or false information on this application is grounds for future discharge should Tracy Area Public Schools employ the applicant.

____________________________________________________ _______________________

(Applicant Signature) (Date)

Tracy Area Public Schools, ISD 2904 is an equal opportunity employer.

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