EMPLOYMENT APPLICATION SUBSTITUTE / TEMPORARY BRAWLEY ELEMENTARY SCHOOL DISTRICT. Other. See back page for application guidelines

Transcription

1 EMPLOYMENT APPLICATION SUBSTITUTE / TEMPORARY BRAWLEY ELEMENTARY SCHOOL DISTRICT POSITION DESIRED: Substitute Teacher Classified Clerical Classified - Paraeducator Classified Custodian/Maintenance Other APPLICATION REQUIREMENTS: * BESD Application Form: Teaching applications also need: Bachelor s Degree CBEST Verification and/or Valid Substitute Permit or Valid CA Teaching Credentials Paraeducators applications also need: High School Proficiency Verification Meeting NCLB(No Child Left Behind) Paraeducators requirement by: (1) Minimum of 48 units of College/University coursework in core academic areas. (2) A.A./A.S. Degree or Higher Degree See back page for application guidelines PERSONAL INFORMATION Name: Social Security # : City: Zip Home Phone # ( ) Work Number # ( ) Cellular phone :# ( ) Have you ever worked for a County Office of Education? yes no Have you ever worked for a school district? yes no If, Yes when, where and in what capacity Reason for Leaving Have you been dismissed or asked to resign form any position? yes no If YES, a letter of explanation must accompany application.

2 EMPLOYMENT RECORD List all paid experience in chronological order, most recent first. Please account for all gaps in employment. (1) Employer Position Title Inclusive Dates: From: Name and Title of Immediate Supervisor OK to contact yes no Work phone # ( ) Other phone# ( ) Reason for leaving position (2) Employer Position Title Inclusive Dates: From: Name and Title of Immediate Supervisor OK to contact yes no Work phone # ( ) Other phone# ( ) Reason for leaving position (3) Employer Position Title Inclusive Dates: From: Name and Title of Immediate Supervisor OK to contact yes no Work phone # ( ) Other phone# ( ) Reason for leaving position

3 PERSONAL REFERENCES ( Do Not List Relatives) (1) Name Home phone# ( ) Work phone# (2) Name Home phone# ( ) Work phone# (3) Name Home phone# ( ) Work phone# EDUCATION and TRAINING Check the appropriate box, if you possess one of the following High School Diploma GED Certificate High School Proficiency Certificate Circle highest grade or education level achieved: AA/AS BA/BS Master s Doctorate (1) Name of High School Field of Study: Major Minor Dates Attended: From (2) Name of College University Field of Study: Major Minor Dates Attended: From (3) Name of College University Field of Study: Major Minor Dates Attended: From List any other businesses, trade or special training that relates to the position (give location and dates)

4 * CREDENTIAL INFORMATION * Do you hold a valid California Teaching Credential? yes no List all types of valid K-12 credentials you currently hold: (1) Type/Authorization (2) Type/Authorization (3) Type/Authorization (4) Type/Authorization Additional Certificated Held: BCC BCLAD CLAD/CTEL LDS Other If you do not currently hold a valid teaching credential, through which college or university have you applied? Date Applied Date CBEST passed Anticipated test date Have you taken the MSAT? yes no Passed: yes no Date Score Have you taken the PRAXIS/SST? yes no Passed: yes no Date Score Have you ever taught or been an administrator in California? yes no Have you ever had a credential suspended or revoked, or received any other type of disciplinary action from any teaching or licensing agency of any type, from any state or county? yes no If YES, please indicate action Revocation Suspension Other Explain when, where, why action was taken, and current status (Explanation Required)

5 EMPLOYMENT SKILLS Type (WPM) (if applicable) Shorthand (WPM) (if applicable) What type of computer system are you most familiar with? IBM Compatible Macintosh List Word Processing Software in which you are proficient. List other Accounting/Spreadsheet Software in which you are proficient. List other computer software you have used. Check the box of the office machines that you can operate: Other Computer Machine Transcription Fax Copy Machine Ten Key Any mechanical or other relevant skills Please list any special licenses or certificate that you hold California Driver s License Number List language, other than English, that you are familiar with: (1) (2) Read Speak Write Fluent Some Read Speak Write Fluent Some

6 APPLICATION GUIDELINES Thank you for your interest in employment with the Brawley Elementary School District. Please keep in mind the following important suggestions as you prepare your application: (1) The employment application represents you; it is to your advantage to fill out the application form carefully, neatly, and completely. Do not leave blanks spaces with SEE RESUME written across them. Write on the application form the information requested and then attach a resume or other supplemental material intended to expand and document the statements made on the application. (2) In order to avoid misfiling or loss, make sure that letters of recommendation, resumes, and other supplemental material sent under separate cover include your name and position for which you are applying. (3) It is your responsibility to submit a complete application. The District Office CANNOT DUPLICATE materials in order to complete your application. (4) Application materials submitted cannot be returned and become the property of the Brawley Elementary School District. Copies are accepted unless noted otherwise. We cannot honor request to make copies of application materials submitted. (5) Normally a selection committee will review and evaluate applications to select a limited number of candidates to interview. Meeting the minimum qualifications for a position does not assure the candidate an interview. Consideration will be given to factors other than education and experience, including, but not limited to, personal development, ability to work with others and initiative. (6) Applicants selected for an interview will be contacted by telephone. (7) No fax application will be accepted. (8) Applicant selected for employment will be required to provide official college/university transcripts. REQUIRED APPLICANT STATEMENT (1) Have you ever been convicted of a felony or a misdemeanor? Yes No List all convictions, even if such conviction was later expunged from your record pursuant to Penal Code section ( c )and ( c ). A conviction includes a plea of guilty, nolo contendere (no contest) and /or a finding of guilty by a judge or jury. If YES, a letter of explanation MUST accompany your application. Yes No (2) Can you, after employment, submit verification of your legal right to work in the United s? (3) Do you object to the contacting of references other than those provided? Yes No (4) Do you have the ability to perform all job-related functions in the position for which you are applying, with or without reasonable accommodation? Yes No I hereby certify that all statements made hereon are true and correct to the best of my knowledge and authorize investigation of all statements made herein. I understand that applicants may be disqualified or dismissed for any false statement. I release from all liability persons and organizations providing information required by the process. The Brawley Elementary School District reserves the right to disregard any application which is not fully complete and signed by the applicant. Signature of Application Date PLEASE MAIL OR DELIVER YOUR COMPLETED APPLICATION: Brawley Elementary School District 261 D Street, Brawley, CA (760) Internet : EQUAL OPPORTUNITY EMPLOYER

7 BRAWLEY ELEMENTARY SCHOOL DISTRICT APPLICANT IDENTIFICATION RECORD Date Social Security # TO THE APPLICANTS: The information requested on this form is required by the regulations of the department of Fair Employment and Housing (DFEH). The employers in California are required to keep these records on file for a period of two years. For your protection, the employers are ordered to store the records in a different location away from your application. The information is for data purposes only, and voluntary on your part. NAME Male Female POSITION APPLIED FOR: PLEASE CHECK ONE American Indian/Alaskan Native Asian African American Caucasian Filipino Hispanic Pacific Islander Other The following option is not required to comply with the DFEH Regulations, but is for data purposes only and is voluntary on your part. AGE