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Silver Consolidated Schools

2810 N. Swan Street

Silver City, New Mexico 88061

(575) 956-2000

TEACHER APPLICATION

(Please type, print in dark ink, scan and complete, or provide all responses in corresponding order using a word processor)

PERSONAL DATA

Name _________________________________________________________Date __________________________

Home Phone ____________________Work Phone ____________________Social Security # __________________

Home Address _________________________________________________________________________________

Mailing Address (if different) __________________________________________________________________

Are you a citizen of the United? Yes ____ No ____

Are you employed at present? Yes ____ No ____ By whom? _________________________________________

In what capacity? _____________________________ When will you be available for work? ___________________

How long do you thin you will be in the area if conditions prove satisfactory? ________________________________

PROFESSIONAL DATA

Do you have a valid New Mexico teaching license? Yes ____ No ____ If yes, give type ___________ Number _____

Expiration Date ____________ Subjects certified to teach: ______________________________________________

If no, have you made application to the Department of Education? Yes ____ No ____ If yes, date mailed to

Santa Fe? _________________

For what type of credential did you apply? ___________________________________________________________

List the portions of the school district for which you are qualified and licensed to teach (list grades/subjects in order for your teaching preference)

Elementary _______________________ List grades or areas _________________________________________

Middle School _____________________ List grades or areas _________________________________________

Secondary ________________________ List grades or areas _________________________________________

IMPORTANT PERSONAL AUTOBIOGRAPHY

On the sheets provided, please provide the district with a short personal autobiography containing any information you think will assist us in arriving at a true estimate of your qualifications for the position which you seek. The autobiography must contain a short statement of your philosophy of education. Be sure to include your reason for seeking a position in this school system and why you left your last position (or are considering leaving your current position). Whether you type, scan and complete this application using a word processor, the personal autobiography must be attached in your own handwriting.

WORK EXPERIENCE (If less than five years in education, include other work experience below)

School/District Address Dates/Length of Service Responsibilities-SubjectTaught/Assignments

_____________________________________________________________________________________________

REFERENCES - List superintendents, principals, supervising teachers, professors, employers, etc.

Name Official Position Address Home/Work Telephone Numbers

_____________________________________________________________________________________________

For your application to receive consideration, we must have transcripts of your credits:

____ Photocopies of my transcripts are enclosed (Official copies from your college/university must be submitted upon employment)

____ Official copies from my college/university are being sent to your office.

EDUCATION PREPARATION Schools you have attended High Schools and Colleges

School Address Dates/Length of Attendances Degrees/Date/Semester Hours

_____________________________________________________________________________________________

Practice Teaching/Student Teaching/Internship

School Address Grade/Subject Cooperation

Teacher

_____________________________________________________________________________________________

Elementary Applicants

Please check those areas that you are prepared to teach:

Music ____ Art ____ Penmanship____

Can you supervise playground activities? Yes ____ No ____

Do you play a musical instrument? Yes____ No ____ If yes, what?________________________

Please check those areas for which you have method courses:

Reading ____ Mathematics ____ Social Studies ____ Science ____

Elementary Health and Physical Education ____ Language Arts and Childrens Literature _____

Secondary Applicants

List student activities in which you have had special training: _____________________________________

List student activities you are willing to sponsor: _______________________________________________

List coaching certifications: ________________________________________________________________

Do you have duties that would interfere with your accepting any assignment for the good of the system, attending meetings, or participating in other activities outside of school hours, which are related to the general school program?

READ AND SIGN THE FOLLOWING STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I understand any false statements or misrepresentations of facts are grounds for dismissal.

I understand and agree that any offer of employment that I may receive from the Silver Consolidated School District is conditioned upon the Districts receipt of information pursuant to a criminal history background check of myself.

I hereby authorize the Silver Consolidated School District to investigate my work history and education history, and to conduct personal reference inquires. Any person or entity providing information is released from any and all claims or liability for compliance.

I further authorize the Silver Consolidated School district to release any potential employer and any all relevant information concerning my job history.

_________________________________________ ________________________

Signature of Applicant Date

*Silver Consolidated Schools is an equal opportunity employer. Applications are considered without regard to race, gender, creed, age, national origin or disability.

NOTE Applications remain active for the calendar year. To receive consideration for the following year, you must renew your application after December 31 by completing a new application. Documents will not be returned.

Revised 04/01/2010

PERSONAL AUTOBIOGRAPHY

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PERSONAL AUTOBIOGRAPHY
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PERSONAL AUTOBIOGRAPHY