LA JR High Teacher Application

A qualified candidate would hold a valid teaching license and have at least 3 – 5 years teaching experience. Special Education background in ADHD, and SLD would be a plus.

Jr. High Language Arts Teacher Application

Name

First Name

Initial (optional)

Last Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Desired Salary

Date Available

Are you a citizen of the United States?

Yes No

If no, are you authorized to work in the U.S.?

Yes No

Have you ever been convicted of a felony?

Yes No

If yes, please explain.

PREVIOUS EMPLOYMENT

Company

Phone

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Supervisor Name

First Name

Last Name

Job Title

Responsibilities

Starting Salary $

Ending Salary $

Start Date

End Date

Reason for Leaving

May we contact your supervisor for a reference?

Yes No

Company

Phone

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Supervisor Name

First Name

Last Name

Job Title

Responsibilities

Starting Salary $

Ending Salary $

Start Date

End Date

Reason for Leaving

May we contact your supervisor for a reference?

Yes No

Company

Phone

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Supervisor Name

First Name

Last Name

Job Title

Responsibilities

Starting Salary $

Ending Salary $

Start Date

End Date

Reason for Leaving

May we contact your supervisor for a reference?

Yes No

Do you have military service experience that you would like to include?

Yes No

MILITARY EXPERIENCE

Short Answer

Served From

From - Copy

Rank at discharge

Type of discharge

If other than honorable, please explain

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

[clear]

Use your mouse or finger to draw your signature above

REFERENCES

Name of First Reference

First Name

Last Name

Phone

Relationship

Company

Name of Second Reference

First Name

Last Name

Phone

Relationship

Company

Name of Third Reference

First Name

Last Name

Phone

Relationship

Company

UPLOAD YOUR RESUME

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