Comstock ISD

Please Fill Out The Employment Application Below

COMSTOCK INDEPENDENT SCHOOL DISTRICT

AN EQUAL OPPORTUNITY EMPLOYER

TEACHER APPLICATION

DATE OF APPLICATION:

DATE AVAILBLE:

SOCIAL SECURITY NUMBER:

PERSONAL DATA

LAST NAME:

FIRST

MIDDLE

PRESENT ADDRESS:

PERMANENT ADDRESS:

POSITION DESIRED: INDICATE SCHOOL LEVELS AND SUBJECT AREAS IN WHICH YOU ARE PREPARED TO TEACH. GIVE PREFERENCE BY RANKING IN THE APPROPRIATE LEVEL OR SUBJECT AREA.

HIGH SCHOOL: INCLUDE SEMESTER HOURS

MIDDLE SCHOOL: INCLUDE SEMESTER HOURS

ELEMENTARY SCHOOL: GRADE LEVEL

LIST HOURS IN SPECIAL FIELDS:

ART

HEALTH

MATHEMATICS

SCIENCES

READING

SOCIAL STUDIES

MUSIC

LANGUAGE ARTS

SPECIAL EDUCATION

OTHERS

NAME FIELDS OF SPECIAL EDUCATION IN WHICH YOU ARE QUALIFIED:

TOTAL HOURS IN ELEMENTARY EDUCATION:

EDUCATIONAL AND PROFESSIONAL PREPARATION

WHAT IS YOUR OVERALL COLLEGE GRADE-POINT AVERAGE? EXAMPLES:(2.8/4.0; 2/8/3.0)

STUDENT TEACHING:

YES

GRADE EARNED

GRADE OR SUBJECT IN WHICH YOU DID STUDENT TEACHING

SCHOOL

CITY, STATE

YEAR

PLEASE GIVE ALL INFORMATION CONCERNING TEXAS TEACHER CERTIFICATION HELD:

TYPE

NO. OF CERTIFICATE

DATE ISSUED

FIRST AREA CODE

SECOND AREA CODE

THIRD AREA CODE

ENDORSEMENT

WILL NEED AN EMERGENCY OR SPECIAL PERMIT TO TEACH IN TEXAS?

YES

WILL YOU NEED A RENEWAL FOR EMERGENCY OR SPECIAL PERMIT?

YES

HAVE YOU TAKEN THE NECESSARY HOURS FOR A RENEWAL OF YOUR EMERGENCY PERMIT?

YES

IF CERTIFIED IN ANOTHER STATE, INDICATE WHICH ONE AND TYPE OF CERTIFICATE

(IT WILL BE THE RESPONSIBILITY OF THE APPLICANT TO SECURE A STATE TEACHING CERTIFICATE FROM THE STATE EDUCATION AGENCY)

LAST ELEMENTARY ATTENDED

CITY, STATE

DATES ATTENDED

LAST HIGH SCHOOL ATTENDED

CITY, STATE

DATES ATTENDED

DIPLOMA OR DEGREE

COLLEGE OR UNIVERSITY

CITY, STATE

DATES ATTENDED

DIPLOMA OR DEGREE

COLLEGE OR UNIVERSITY

CITY, STATE

DATES ATTENDED

DIPLOMA OR DEGREE

TEACHING EXPERIENCE

YEAR

NAME OF SCHOOL, CITY, STATE

GRADES & SUBJECTS TAUGHT

NO. OF MONTHS EMPLOYED

REASON FOR LEAVING

YEAR

NAME OF SCHOOL, CITY, STATE

GRADES & SUBJECT TAUGHT

NO. OF MONTHS EMPLOYED

REASON FOR LEAVING

YEAR

NAME OF SCHOOL, CITY, STATE

GRADES & SUBJECTS TAUGHT

NO. OF MONTHS EMPLOYED

REASON FOR LEAVING

ARE YOU EMPLOYED IN A SCHOOL DISTRICT NOW?

YES

IF YES, WHY DO YOU WISH TO CHANGE?

WHY DO YOU WANT TO WORK IN THIS DISTRICT?

ADDITIONAL DATA

ARE YOU PHYSICALLY ABLE TO DO THE JOB FOR WHICH YOU ARE APPLYING?

YES

HAVE YOU EVER BEEN TREATED FOR ANY MENTAL DISORDER?

YES

HOW MUCH TIME HAVE YOU LOST FROM WORK DUE TO PERSONAL ILLNESS DURING THE LAST TWO YEARS?

IS THERE ANY REASON THAT WILL PREVENT YOU FROM ACCEPTING ANY SCHOOL ASSIGNMENT OR ATTENDING MEETINGS OR OTHER SCHOOL ACTIVIITES HELD AFTER REGULAR SCHOOL HOURS?

YES

IF YES, EXPLAIN.

ALL PERSONNEL OF THE SCHOOL DISTRICT, REGARDLESS OF CLASSIFICATION, ARE EMPLOYED, SUBJECT TO ASSIGNMENT, AND/OR REASSIGNMENT BY THE SUPERINTENDENT OR BY HIS OFFICIAL DESIGNATED REPRESENTATIVE BASED UPON THE NEEDS OF THE DISTRICT. DO YOU UNDERSTAND IF EMPLOYED YOU ARE SUBJECT TO REASSIGNMENT AS NEED ARISES?

YES

THIS APPLICATION, IF PROPERLY COMPLETED, WILL BE KEPT ON FILE FOR TWO YEARS. IF THE APPLICANT IS NOT APPOINTED, AND HE/SHE WISHES FOR THE APPLICATION TO REMAIN CURRENT, THEN RENEWAL MUST BE MADE IN WRITING. IF REQUEST FOR RENEWAL IS NOT RECEIVED, THE APPLICATION WILL BE DESTROYED.

DO YOU HAVE A RELATIVE WHO IS A MEMBER OF THE CISD BOARD OF EDUCATION?

YES

DO YOU HAVE A RELATIVE WHO IS EMPLOYED IN ANY CAPACITY BUNA ISD?

YES

NAME OF RELATIVE

RELATIONSHIP

POSITION HELD

Upload

REFERENCES (GIVE NAME OF SUPERINTENDENTS, PRINCIPALS, MAJOR PROFESSORS, SUPERVISORS OF STUDENT TEACHING, COOPERATING TEACHER, AND ANY OTHERS WHO HAVE OBSERVED AND KNOWN YOUR WORK AS A STUDENT OR TEACHER.) OUR OFFICE WILL WRITE FOR RECOMMENDATIONS.

NAME

TELEPHONE NUMBER

POSITION

ADDRESS, CITY, STATE, ZIP

NAME

TELEPHONE NUMBER

POSITION

ADDRESS, CITY, STATE, ZIP

NAME

TELEPHONE NUMBER

POSITION

ADDRESS, CITY, STATE, ZIP

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR OFFENSE INVOLVING MORAL TURPITUDE AND/OR RECEIVED PROBATION OR DEFERRED ADJUDICATION?

YES

IF YES, PLEASE STATE WHERE, WHEN, AND THE NATURE OF THE OFFENSE:

CONVICTION OF A FELONY IS NOT AN AUTOMATIC BAR TO EMPLOYMENT. THE DISTRICT WILL CONSIDER THE NATURE, DATE, AND RELATIONSHIP BETWEEN THE OFFENSE AND THE POSITION FOR WHICH YOU ARE APPLYING.

PLEASE STATE YOUR PERSONAL PHILOSOPHY OF EDUCATION AS IT RELATES TO YOUR FIELD OF PREPARATION.

DO YOU HAVE ANY ADDITIONAL INFORMATION YOU FEEL WILL HELP US MAKE A BETTER DECISION IN OUR CONSIDERATION OF YOU FOR A POSITION.

SIGNATURE OF APPLICANT

REMINDERS TO APPLICANTS: ATTACH COMPLETE COPY OF TRANSCRIPT, ATTACH COPY OF TEACHER CERTIFICATE

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