Ddess Substitute Teacher Or Training Instructor Application Form printable pdf download

DDESS SUBSTITUTE TEACHER OR TRAINING INSTRUCTOR APPLICATION FORM

Please complete all sections. Your application package must include a copy of your official transcript(s). Please include front and

back copies of transcript(s). Transcript(s) must be in English.

PERSONAL INFORMATION

Name:

___________

Last

First

Middle

Home Address:

___________

Street

City

State

Zip

Current Phone Number:

E-mail Address:

___________

Are you a U.S. Citizen? Yes _____

No _____

EDUCATION

Name of High School: __________________________________

Year Graduated or GED Earned: ______________

Highest Degree Received: ____________

Date of Award:

__________

(Associate’s, Bachelor’s, Master’s, etc.)

If no degree was awarded, total number of semester hours earned: ________________________________________

Name of College/University:

____

______

Location (City, State):

__________

LAST EMPLOYMENT INFORMATION

Dates of Employment:

Position Title:

_________

Employer:

Hours Worked Per Week:

________

Employer’s Address: _____________________________________________________________________________

Supervisor’s Name:

Supervisor’s Phone: __________________________

COMPLEX PREFERENCE

Mark the complex where you are willing and able to immediately work. The location you select is where you will be assigned to

upon your appointment into the position.

GEORGIA/ALABAMA DISTRICT:

_____ Fort Benning

_____ Fort Rucker

______ Maxwell AFB

KENTUCKY DISTRICT:

_____ Fort Campbell

_____ Fort Knox

NORTH CAROLINA DISTRICT:

_____ Fort Bragg

_____ Camp Lejeune

SOUTH CAROLINA/FORT STEWART/DODDS-CUBA DISTRICT:

_____ Fort Stewart

_____ Fort Jackson

_____ Laurel Bay

_____ Guantanamo Bay, Cuba

VIRGINIA/NEW YORK/PUERTO RICO DISTRICT:

_____ West Point

_____ Quantico

_____ Dahlgren _____ Antilles, Puerto Rico

_____ Ramey, Puerto Rico

I hereby certify that all statements in this application are true, complete and correct. I understand that any willful omission or

falsification of material facts in this application will constitute sufficient reason for my immediate termination from Federal service.

Applicant’s Signature: ___________________________________________

Date: ______________________________

In order for your application to be reviewed and processed, you must follow the instructions in the Substitute Teacher/Training

Instructor vacancy announcement for the district in which you are wishing to work on where to send your application package.

Rev. 6/2014

Ddess Substitute Teacher Or Training Instructor Application Form

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