TANAS
RPersonal InformationSocial Security Number:Date of Birth:Administration is being provided to what grades?Will you also be teaching certain grades or subjects?Please list the number of students enrolled in the school.Have you received any awards or recognitions since the last application?Education(Please add any additional degrees or college/university course work since the last application.)Degree Earned/Credit Courses Name of College/University(Please attach verification of a degree earned or additional credit hours earned.)TYPES OF LICENSESPlease check the license for which you are applying.Type Check Items to Include Administrator LicenseCollege/University TranscriptsPraxis ExamsAdditional course work_______________________________________________________________________________________ Signature of ApplicantDateVERFICATION OF EMPLOYMENT(This section is to be completed by the principal/headmaster or the designated person.)Immediate Supervisor or School Board ChairpersonHow long has the applicant been employed?Applicant’s title or positionIs the applicant full-time or part-time?My signature certifies that the applicant is an adult, possesses Christ-like character, is in good standing with the school and is recommended by me to renew licensure with TANAS. My signature is also verification of the Professional Development Points listed above. DATESIGNATUREPlease mail the application, along with supporting documents and the renewal fee of $25.00 to the following address:TANASPO Box 411Hohenwald, TN 38462 ................
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