Employment Application For Certified Personnel - Acadia Parish School Board

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ACADIA PARISH SCHOOL BOARD
P. O DRAWER 309
CROWLEY, LA 70527-0309
(318) 783-3664
EMPLOYMENT APPLICATION - CERTIFIED PERSONNEL
THE ACADIA PARISH SCHOOL BOARD IS AN EQUAL OPPORTUNITY EMPLOYER.
TO BE CONSIDERED FOR AN INTERVIEW, YOUR APPLICATION FILE MUST CONTAIN:
1.
A photo-copy of your Louisiana Teacher's Certificate.
2.
An official college transcript.
3.
A photo-copy of your National Teachers' Examination scores.
4.
A copy of Assessment Instruments if you have completed the Support Semester only of New Teacher Assessment.
NAME:__________________________________________________________________________________________________________________________________________
LAST
FIRST
MIDDLE
MAIDEN
ADDRESS________________________________________________________________________________________________________________________________________
STREET
CITY
STATE
ZIP CODE
TELEPHONE
Home: __(____)_________________
SOCIAL SECURITY NO.___________________________________________________________
Work: __(____)_________________
DATE OF BIRTH ____________________________
RACE (OPTIONAL)___________
HEIGHT (OPTIONAL)_______________
WEIGHT (OPTIONAL)__________________
Month
Day
Year
Do you have a valid Louisiana Teacher's Certificate?__________________
Type___________
No.______________________________________________________
List all areas of certification___________________________________________________________________________________________________________________________
If not, when do you expect to have it granted?_____________________________________________________________________________________________________________
Are you presently under contract?___________ If so, where?_______________________________________________________________________________________________
When could you begin work here?______________________________________________________________________________________________________________________
What grade/subject would you like to teach?______________________________________________________________________________________________________________
EXTRA-CURRICULAR ACTIVITIES
Please indicate activities you can direct or sponsor: ________Music ________Clubs ________Dramatics ________Publications _______Coach ______Other
If you mark "Coach," please list sports:__________________________________________________________________________________________________________________
If you mark "Other," please list:________________________________________________________________________________________________________________________
Please list community activities (youth or adult) in which you have taken part: ____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Personal interests and hobbies:________________________________________________________________________________________________________________________

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