APPLICATION FOR SUBSTITUTE TEACHING
APPLICATION FOR SUBSTITUTE TEACHING
NAZARETH AREA SCHOOL DISTRICT
Human Resources Department
One Education Plaza
Nazareth, PA 18064
610-759-1170 ext. 1124
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Date
| | | | | |
|Last Name |First Name |Middle Initial | |Telephone Number |
| | | | |
|Street Address |Town |State |Zip Code |
| | | | | |
|Subject Certified to Teach | |Social Security Number | |Date of Birth |
|E-mail address (if Available): |
Regardless of certification, will you substitute in the following areas?:
| | |Yes | |No | |
|Will you substitute for a 1/2 day? (1/2 of $90$100)? | | | | | |
|Will you substitute for a 1/4 day? (1/4 of $90/$100)? | | | | | |
|I am willing to accept employment as a substitute only on the days checked. |
|Monday| | |Tuesday| |
| |960 Bushkill Center Rd., Nazareth | | |355 Tatamy Rd., Nazareth |
| | | | | |
| |F. R. Shafer Elementary School | | |Nazareth Middle School |
| |49 S. Liberty Street, Nazareth | | |94 Friedenstahl Ave., Nazareth |
| | | | | |
| |Lower Nazareth Elementary School | | |Nazareth High School |
| |4422 Newburg Rd., Nazareth | | |501 East Center Street, Nazareth |
| | | | | |
| To be approved as a substitute teacher in the Nazareth Area School District applicants must bring to the personnel office: |
| 1) your original PA teaching certificate |
| 2) your original Criminal History Record Check (current within one year) |
| 3) your original Child Abuse History Clearance(current within one year) |
| 4) FBI Background Check (current within one year) |
| 5) a physical examination form with a TB test (performed within the past year) |
| 6) 2 proofs of ID for the Employment Eligibility Verification Form (I-9 Form) |
Rev. 2009-2010
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