WAUSA PUBLIC SCHOOLS 1.org
WAUSA PUBLIC SCHOOLSP.O. Box 159, 300 South BismarkWausa, Nebraska 68786APPLICATION FOR TEACHING POSITIONDate of Filing Application:Personal InformationLast NameFirst NameMiddle Present Address:Permanent Address:Daytime Phone: Evening Phone:Mobile Phone: Email: Position Desired (Be Specific): Education InformationName & location of HighSchool and Colleges AttendedDatesInclusiveDegrees orDiplomaMajor FieldMinor Field Education Information (continued)Number of Hours in Major FieldUndergraduate:Graduate:List any college activities or honors: Additional Information:Practice TeachingSchoolLocationDatesSupervisingTeacherSubjects/Grade LevelTeaching ExperienceSchoolLocationDatesName of Supt.Or PrincipalSubjects/Grade LevelAdditional InformationCertificates in Force:CityCountyStateDate IssuedExpiresAre you presently under contract for the coming school year? If yes, list state, school and location:References (Five Required—no relatives)NameTitleRelationshipAddressDeclarationI declare that the information I have entered is true and correct. I understand that any false information will result in dismissal of this application.You will be required to sign this application upon interview.Signed:Date: ................
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