Fayetteville ISD

Fayetteville Teacher Application

PERSONAL INFORMATION

Date Of Application

Date Available

Last Name:

First Name:

Middle Name:

Social Security Number:

Present Address:

Permanent Address:

Telephone Number

Email Address:

VACANCY DESIRED

OTHER POSITION INTEREST

What Other Position Are You Interested In?

EDUCATIONAL AND PROESSIONAL PREPARATION

What Is Your Overall College Grade-Point Average? Example:(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

CERTIFICATION

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)

EDUCATION

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 And Subjects Taught

No. Of Months Employed

Reason For Leaving

Year

Name Of School, City, State

Grades And Subject Taught

No. Of Months Employed

Reason For Leaving

Year

Name Of School, City, State

Grades And Subjects Taught

No. Of Months Employed

Reason For Leaving

CURRENT SCHOOL DISTRICT

Are You Employed In A School District Now?

YES

If Yes, Which School District?

If Yes, Why Do You Wish To Change?

Why Do You Want To Work In This District?

ADDITIONAL INFORMATION

Can you perform all the essential job function(s) of the position(s) for which you are applying, with or without reasonable accommodation?

YES

Have you ever had a teaching certificate or teaching license revoked or suspended?

YES

If yes, explain:

Have you ever failed to be rehired, been asked to resign a position, resigned to avoid termination, or terminated from employment?

YES

If yes, explain:

Are you a relative of any board member, administrator, or supervisor who is currently serving the School District?

YES

NAME OF RELATIVE

RELATIONSHIP

POSITION HELD

REFERENCES

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

LEGAL INFORMATION

Are you eligible to work in the United States?

Reaquired field: Yes

Reaquired field: No

Have you ever been convicted of a criminal offense other than a minor traffic violation?

Reaquired field: YES

Reaquired field: NO

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

Have you ever had any indicated finding of child abuse filed in your name?

Reaquired field: Yes

Reaquired field: No

If Yes, explain, giving dates:

Does your name appear on any Sex Offender Database in any state or country?

Reaquired field: Yes

Reaquired field: No

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.

PRE-EMPLOYMENT QUESTIONS

Please state your personal philosophy of education as it relates to your field of preparation.

What do you think the most important factors are for promoting a positive culture and climate for students? For teachers?

Do You have any additional information you feel will help us make a better decision in our consideration of you for a position?

UPLOAD DOCUMENTS

Upload Resume

Upload

Upload Teacher Certification

Upload

Upload Transcripts

Upload

CONFIDENTIAL BACKGROUND CHECK AUTHORIZATION

Addendum to Employment Application

The Fayetteville Independent School District is required by state law to obtain criminal history information on applicants for employment with the district (Texas Education Code Section 21.917). The information requested below is necessary to obtain criminal history record information.

Full Name

Social Security Number:

Date of Birth

Drivers License Number

Sex

Reaquired field: Male

Reaquired field: Female

Ethnicity

I understand the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment, but will be used solely for the purpose of obtaining criminal history record information

SIGNATURE OF APPLICANT

Email a copy to

optional

Required Fields

Fayetteville ISD Professional Teacher Application