Four County Area Vocational Cooperative
1607 Dowling Street
Kendallville, Indiana 46755
Garrett-Keyser-Butler Community School District (LEA)
APPLICATION FOR EMPLOYMENT- Certified Staff
Date of Application
Last Name
First Name
Middle Name
Email Address:
Address
City
State
Zip Code
Telephone
Social Security Number
Position Desired
Total Years of Experience
Have you filed an application with us before?
If yes, please give the date.
If yes, position applied for.
Are you presently under contract with any school district for the next school year?
If you chose yes, please tell us a bit about your present contractual relationship.
Length of present contract:
Expiration date:
Present salary:
Date available to begin work:
Teaching/School Related Work Experience
List most recent experiences first. Include student teaching if less than three years experience. Use separate sheet if necessary. Indicate any skills, experiences or training (military, on-the-job, or other) you have received which will assist us in placing you.
Employer:
Supervisor:
Address:
City:
State:
Zip:
Telephone:
Grade/Subject Taught:
Dates Employed:
Employer:
Supervisor:
Address:
City:
State:
Zip:
Telephone:
Grade/Subject Taught:
Dates Employed:
Employer:
Supervisor:
Address:
City:
State:
Zip:
Telephone:
Grade/Subject:
Dates Employed:
Please continue on a separate sheet of paper if you need additional space.
Special Skills and Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience:
Education Earned
School Name
Location (City/State)
Dates Attended
Diploma/Degree
Grade
School Name
Location (City/State)
Dates Attended
Diploma/Degree
Grade
School Name
Location (City/State)
Dates Attended
Diploma/Degree
Grade
A college transcript is required before consideration can be given to your employment. It should include all courses completed at the time of the application
Please use this file upload tool for your college transcript. It should be in a PDF format.
CERTIFICATION
Kind of state certification held:
If certified in another state, indicate which state and type of certification held:
For secondary candidates and administrative candidates please list certified teaching fields and semester hours taught.
Area of specialization (Must have at least 18 hours):
Please tell us about your administrative experience:
Please tell us about your vocational experience:
PROFESSIONAL REFERENCES
Please provide at least three (3) professional references. Names, positions, addresses, email addresses and phone numbers included:
Please describe your educational and management philosophies.
AGREEMENT:
I certify that the answers given are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that false or misleading information given in my application or interview may result in termination of employment. Furthermore, it is understood that this application and records become the property of the District, which reserves the right to accept or reject it. I further agree to observe all the rules, regulations and policies of the District.
I agree to the above mentioned policies and regulations.
My name here:
My social security number here:
Please use this file upload utility for resumes, cover letters, transcripts and/or other documentation you wish to include.
