TEACHER APPLICATION BLANK - Manasquan Public Schools
TEACHER APPLICATION BLANK
Manasquan Board of Education
Manasquan, New Jersey 08736
Interview notations (this section for office use only).
Salary guide credit (years)____________________ Salary quoted___________________
Total graduate credits beyond degree__________ Additional compensation_____________
Comments______________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Interviewed by_______________________________ Date________________________________
Date approved by board of education___________ Starting date, employment_______________
Return this application to
Superintendent
Manasquan Public School District
169 Broad Street
Manasquan, New Jersey 08736
List subject or grade for which you are applying, in order of preference.
1.________________________________________
2.________________________________________
3.________________________________________
1. Name__________________________________________________________________________
(last) (first) (middle or maiden name)
2. Present address________________________________________ Telephone________________
________________________________________
3. Permanent address_____________________________________ Telephone________________
_____________________________________
4. Type of teacher’s certificate held____________________________________________________
5. If you do not hold a certificate, do you have a state evaluation or meet certification requirements for the position?__________ Explain your situation; list deficiencies in subject field or education course requirements.____________________________________________________________________
_________________________________________________________________________________
6. Undergraduate Major________________________________ *Total semester hours_______
Undergraduate Minor________________________________ *Total semester hours_______
*this must be accurate; do not guess or estimate.
7. Educational and professional training.
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|Name of school or institution |Major/Minor |Year graduated or last enrolled |Diploma or degree |
| | | | |
|High sch. | | | |
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|Location | | | |
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|College | | | |
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|Location | | | |
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|College | | | |
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|Location | | | |
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|Grad.school/other | | | |
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|Location | | | |
List all colleges/universities attended. Proof of all degrees and graduate work must be furnished within 10 days of hiring.
8. Teaching experience (include student teaching); ALL teaching experience must be listed.
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|Name of school |Location |Grade/ |Immediate |Dates: |Years & |Reason for |
| | |Subject |Supervisor |From......To |Months |leaving |
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9. Are you under contract at present?_____________________________________________________
10. When will you be available?__________________________________________________________
11. Present salary?_____________________ Lowest salary you would accept?___________
12. Do you possess computer/technology skills?____________________
If so, explain:______________________________________________________________________
_________________________________________________________________________________
13. Are you willing to submit a writing sample during your interview?_____________________________
14. Underline any of the following you can direct and/or coach: debates, school plays, orchestra, clubs, football, soccer, basketball, baseball, softball, track, field hockey, tennis, golf, wrestling, playground activities. Other?__________________________________________________________________________
15. Military service: branch________________________ highest rank______________________
Length of service (years & months)________________; from____________ to______________
Type of discharge__________________________________________________________________
16. Are you a citizen of the United States?_____________
17. Condition of health, past two years__________________________. In the past 12 months, how many days have you lost from work because of illness?____________________________________________
18. Please give any additional information regarding your background or experience; include college activities, honors received, offices held, service club(s) membership, etc.
___________________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________
19. References: give references (with current addresses) including superintendents and principals under whom you have taught and those who have firsthand knowledge of your character, personality, scholarship, and/or teaching ability.
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|Name |Address |Official position or title |
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20. A personal interview is required before any appointment for any position is made. Interviews are not granted until there is a position vacant for which the candidate qualifies.
Applicant’s signature_________________________________________
Social Security number_____________________
Teachers’ Pension Fund account number______________________
Date______________________________________
THE MANASQUAN PUBLIC SCHOOL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER
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