Please Fill Out The Certified Staff Application Below
Social Security Number
Tooltip
Name
Tooltip
Home Phone Number
Tooltip
Work Phone Number
Tooltip
Email Address:
Tooltip
Permanent Address
Tooltip
City
Tooltip
State
Tooltip
Zip
Tooltip
Present Address (If Different)
Tooltip
City
Tooltip
State
Tooltip
Zip
Tooltip
Certification #
Tooltip
Subject(s)
Subject(s)
Other
Tooltip
Choice of Positions:
First Choice
Tooltip
Second Choice
Tooltip
Third Choice
Tooltip
Tell us about yourself.
Briefly discuss why you have chosen education as a profession.
Briefly discuss your strengths as a teacher.
Feel free to briefly add any comments you believe are pertinent to this application.
AREAS OF CERTIFICATION (CHECK APPROPRIATE LINES)
List All Certifications & Certification Numbers
References: List the name of four references capable of giving information about your teaching and preparation for teaching. List at least one administrator for each of your teaching positions.
Full Name of Reference
Tooltip
Official Position & Organization
Tooltip
Email Address:
Tooltip
Phone
Tooltip
Full Name of Reference
Tooltip
Official Position & Organization
Tooltip
Email Address
Tooltip
Phone
Tooltip
Full Name of Reference
Tooltip
Official Position & Organization
Tooltip
Email Address
Tooltip
Phone
Tooltip
Full Name of Reference
Tooltip
Official Position & Organization
Tooltip
Email Address
Tooltip
Phone
Tooltip
High School Attended
Tooltip
Mailing Address
Tooltip
College or University Attended
Tooltip
Year Graduated
Tooltip
Major Field of Study
Tooltip
Minor Field of Study
Tooltip
Type of Degree
Tooltip
Cumulative GPA:
Tooltip
Special Honors attained, offices held, or publications:
Tooltip
College or University Attended
Tooltip
Year Graduated
Tooltip
Major Field of Study
Tooltip
Minor Field of Study
Tooltip
Type of Degree
Tooltip
Cumulative GPA:
Tooltip
Special Honors attained, offices held, or publications:
Tooltip
College or University Attended
Tooltip
Year Graduated
Tooltip
Major Field of Study
Tooltip
Minor Field of Study
Tooltip
Type of Degree
Tooltip
Cumulative GPA:
Tooltip
Special Honors attained, offices held, or publications:
Tooltip
Student Teaching
Name of School
Tooltip
Supervising Teacher
Tooltip
Grade Level & Subject
Tooltip
Teaching Experience: Most recent position MUST be listed first. (REQUIRED - unless you do not have any teaching experiences)
Name of School
Tooltip
City and State
Tooltip
Grade or Subject Taught
Tooltip
Principal or Supervisor
Tooltip
From
Tooltip
To
Tooltip
Number of Years
Tooltip
Name of School
Tooltip
City and State
Tooltip
Grade or Subject Taught
Tooltip
Principal or Supervisor
Tooltip
From
Tooltip
To
Tooltip
Number of Years
Tooltip
Name of School
Tooltip
City and State
Tooltip
Grade or Subject Taught
Tooltip
Principal or Supervisor
Tooltip
From
Tooltip
To
Tooltip
Number of Years
Tooltip
Name of School
Tooltip
City and State
Tooltip
Grade or Subject Taught
Tooltip
Principal or Supervisor
Tooltip
From
Tooltip
To
Tooltip
Number of Years
Tooltip
Name of School
Tooltip
City and State
Tooltip
Grade or Subject Taught
Tooltip
Principal or Supervisor
Tooltip
From
Tooltip
To
Tooltip
Number of Years
Tooltip
Non-Teaching Experience: List in Chronological Order.
From
Tooltip
To
Tooltip
Name of Employer
Tooltip
Address
Tooltip
Kind of Work
Tooltip
From
Tooltip
To
Tooltip
Name of Employer
Tooltip
Address
Tooltip
Kind of Work
Tooltip
From
Tooltip
To
Tooltip
Name of Employer
Tooltip
Address
Tooltip
Kind of Work
Tooltip
If yes, please explain where and why.
Tooltip
If yes, please explain where and why.
Tooltip
If yes, provide details:
Tooltip
Why do you wish to leave your present position?
Tooltip
If yes, provide month, day, and year of entry and discharge.
Tooltip
On what date will you be available if offered employment at McAlester Public Schools?
Tooltip
Criminal Activities The district has a duty to teach students proper citizenship and respect for the law, and teachers have an obligation to serve as role models for students. Because the district teaches students about the dangers of chemical abuse and because the district is entrusted with the supervision of minors, the district cannot have employees performing duties while under the influence of dangerous substances or substances which adversely affect reaction time and good judgment. Information concerning past illegal acts will be considered along with the time of the offense, the seriousness and nature of the violation, any rehabilitations and your subsequent employment history.
If so, provide details below.
Tooltip
If so, provide details below.
Tooltip
If so, provide details below.
Tooltip
If so, provide details below.
Tooltip
If so, provide details below.
Tooltip
If so, provide details below.
Tooltip
Driving Record
If so, what was the reason for the suspension, and when was it reinstated?
Tooltip
If so, provide details below.
Tooltip
Documentation
Acknowledgement It is the policy of the McAlester Board of Education to provide equal opportunity in all its operations and in all areas of employment practice and to assure that there shall be no discrimination against any employee or applicant on the grounds of age, race, religion, sex, color, national origin, ancestry, or handicapping conditions. This application will serve as your request to add your name to our list of applicants. The acceptance of an application is not a promise of employment. I understand that my application will remain active for one year after receipt and that I must notify the Superintendent’s office, in writing, if I desire to be considered beyond that period of time. By signing your initials below, you agree that the District may contact your previous employers and ask them more detailed questions about your prior work experience, if you specifically consent to the release of information by these prior employers to the District, and agree to release such prior employers, their employees, and their governing boards, from any and all causes of action or other potential claims which you could have against them for answering questions about your work experience. This consent is a covenant not to sue any prior employer, their employees, or their board members from defamation, regardless of what said prior employers may relate to the District regarding your previous employment experience. By signing your initials below, you confirm you have read this consent and release of all claims, and in consideration of being considered an applicant for employment agree to its terms. By signing your initials below, you agree to take a physical examination at district expense if requested. By signing your initials below, you do hereby certify that to the best of your knowledge and belief all of the facts and statements contained in this application are correct and true. You understand that if you are employed, falsified statements on this application shall be considered sufficient grounds for dismissal.
Please sign your initals below:
Tooltip
Optional Information Providing the following information is optional; the data requested will assist the school district with record keeping and reporting requirements; the information will not be used for discriminatory purposes, and will not be a part of the official employment application.
Send
Required Fields