SuccessLink Missouri Department of Elementary & Secondary Education Wednesday, March 10, 2010

MO Teaching Jobs

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APPLICATION FOR PROFESSIONAL POSITION
	PART IV: RELEASE OF INFORMATION

	Please save your work at least once every 15 minutes. Thank you.

	PLEASE NOTE: THE MAXIMUM SIZE OF DATA ENTRY FIELDS IS LIMITED TO 400 CHARACTERS. IF YOU EXCEED THIS AMOUNT YOUR INFORMATION WILL BE TRUNCATED.

User Name:

AREAS OF INTEREST (i.e. Middle School Science, High School Principal)

1. Please list in order of preference grade level and/or subject area you want to teach. (400 characters max, approx. 50 words)

(400 characters entered, 400 left)

2. Sport or Student Activities you feel qualified to coach or sponsor: (400 characters max, approx. 50 words)

(400 characters entered, 400 left)

3. List special strengths, talents and/or unique qualities you possess which you believe might be useful in your employment: (400 characters max, approx. 50 words)

(400 characters entered, 400 left)

4. Other Experience(s) (400 characters max, approx. 50 words)

(400 characters entered, 400 left)

PERSONAL DATA

Date Available for Employment (MM/DD/YYYY)

Are you legally authorized to work in the United States of America? YES NO

Have you ever been denied a teaching certificate/license or had your
teaching certificate/license suspended or revoked? YES NO

If yes, Check the action taken: denied suspended revoked
Which State(s)?

Please specify any language (other than English) in which you are proficient. (400 characters max, approx. 50 words)

(400 characters entered, 400 left)

Professional References
Please include a minimum of three persons who have knowledge of your professional/teaching experiences): Make sure to include the Name, Position, and Address/Telephone Number of each reference. (400 characters max, approx. 50 words) Daniel C. Glore, Ret. Administrator, Fox C-6 School District, (400 characters entered, 400 left)

AUTHORIZATION AND RELEASE

I HEREBY CERTIFY THAT THE STATEMENTS MADE BY ME IN THIS APPLICATION AND
ALL RELATED INFORMATION WHICH I HAVE PROVIDED ARE TRUE, ACCURATE, AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
YES NO

Signature of Applicant At the time of the personal interview the Applicant will be asked to sign any needed and necessary releases as a part of the interview process and/or employment. The interviewing educational agency my forward to the applicant authorization and release forms as a part of the interviewing process.

If you print off the form to mail it, or deliver it in person to the School District, please sign and date below.

Date______________________

NAME_______________________________

SIGNATURE_________________________ (Mailed/Delivered)

Please be advised that any participating School District may view your application.

If you encounter any problems in submitting information or encounter errors when using this website, please click here to report the problem.

Thank you!

Sponsored by SuccessLink and
the Missouri Department of Elementary and Secondary Education

Web Support by BrightTree