ZANESVILLE CITY SCHOOLS 160 N. FOURTH ST. ZANESVILLE, OHIO P: (740)

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1 ZANESVILLE CITY SCHOOLS 160 N. FOURTH ST. ZANESVILLE, OHIO P: (740) Submit all application materials to Human Resources Department at this address F: (740) The Zanesville City Schools Board of Education is an Equal Opportunity Employer and reaffirms its policy to provide equal opportunity to all applicants without regard to race, color religion, sex, natural origin, age, handicap, marital status, or political affiliations. I am interested in: Full Time Tutor Substitute FOR OFFICE USE ONLY Date Application Recieved: Date Credentials Received: Date Transcripts Received: Interview Date: Interviewed By: APPLICATION FOR PROFESSIONAL POSITION Please type, or print in black ink PERSONAL INFORMATION LAST FIRST MIDDLE DATE OF APPLICATION STREET ADDRESS SOCIAL SECURITY NUMBER MAILING ADDRESS (only if different from above) DATE OF BIRTH (optional) CITY STATE ZIP CODE ADDRESS TEACHING PREFERENCES & COMPETENCIES LEVEL PREFERRED (rate 1-3) Elementary (K-6) Middle School (7-8) High School (9-12) POSITION PREFERRED (please include subject and/or grade level) 1st Choice: 2nd Choice: 3rd Choice: LIST OTHER SUBJECTS YOU ARE LICENSED TO TEACH LIST ANY ACTIVITIES YOU ARE WILLING TO DIRECT (plays, clubs, etc.) LIST ANY ACTIVITIES YOU ARE WILLING TO COACH (sports, intramurals, etc.) I WILL BE AVAILABLE TO BEGIN TEACHING (date)

2 LICENSES Please submit a photocopy of all your Ohio teaching certificates with this application. Name of Ohio Teaching License(s) That You Hold Date Issued Date of Expiration License Number Subjects or Grades Appearing on License I DO T HOLD A VALID OHIO CERTIFICATE I HAVE APPLIED FOR AN OHIO LICENSE (date of application) I AM ELIGIBLE FOR OTHER LICENSES T PRESENTLY HELD (list) I HOLD LICENSES FROM OTHER STATES (list) ACADEMIC PREPARATION FOR TEACHING School Location (City, State) Major Course or Subject (Also list any minors) From Dates Attended GPA Sem. To Hours (Total) Diploma or Degree High School College or University HORS / DISTINCTIONS EARNED COLLEGE OR UNIVERSITY HOURS EARNED IN TEACHING FIELD DURING PAST THREE (3) YEARS TE TO APPLICANT: YOU SHOULD SUBMIT OFFICIAL TRANSCRIPT(S) OF ALL COLLEGE / UNIVERSITY TRAINING WITH THIS APPLICATION, OR AS SOON AS POSSIBLE THEREAFTER.

3 PRACTICE TEACHING Please list your student teaching experiences. You may omit this if you have two or more years of professional experience. Name of School (City, State) From Dates To Grades & Subjects Taught Supervising Teacher / Phone No. TEACHING EXPERIENCE Starting with your present or most recent, please include all contracted positions you have held as a licensed teacher. In Ohio, 120 or more days of experience in the same school year equals one year of experience. Name of School / Address From Dates To Principal / Phone No. Grades & Subjects Taught and Related Assignments Total Years YOU HAVE MY PERMISSION TO CONTACT ANY OF THE PERSON D ABOVE. ARE YOU PRESENTLY UNDER CONTRACT? IF, WHICH DISTRICT? HAVE YOU BEEN EMPLOYED UNDER A CONTINUING CONTRACT IN OHIO? CONTINUING CONTRACT GRANTED BY (district name) ON (date) HAVE YOU EVER BEEN DISCHARGED OR ASKED TO RESIGN FROM A TEACHING POSITION? IF SO, PLEASE EXPLAIN HAVE YOU PREVIOUSLY APPLIED WITH ZANESVILLE CITY SCHOOLS? IF SO, PLEASE EXPLAIN

4 REFERENCES Please list below the names and addresses of people who are best qualified and willing to give an objective appraisal of your fitness in the position you seek. Please include administrators and teachers with whom you have worked. DOES THE BOARD OF EDUCATION OR ITS AGENTS HAVE YOUR PERMISSION TO CONTACT THE PERSONS D ABOVE? DO YOU HAVE A PLACEMENT FILE? IF SO, WHERE? Zanesville City Schools Board of Education is an Equal Opportunity Employer, and reaffirms its policy to provide equal opportunity to all applicants without regard to race, color, religion, sex, national origin, age, handicap, marital status and / or political affiliations.

5 MILITARY SERVICE ARE YOU ELIGIBLE FOR UNITED STATES MILITARY SERVICE CREDIT? DATES SERVED (From / To) OTHER EXPERIENCES Other work experiences which I believe have been valuable to my career are: LEGAL HAVE YOU EVER BEEN CONVICTED OF A FELONY? IF SO, PLEASE EXPLAIN: PRE-INTERVIEW QUESTIONS This section is designed to provide you with an opportunity to share some of your experiences and thoughts about teaching. Please respond briefly and candidly to each item in the space provided. (TE: Please handwrite your responses in this section of the application) 1. Why have you chosen to apply for employment at Zanesville City Schools? 2. What should be the nature of the relationship between students and teachers? 3. What I most want to accomplish as a teacher is: 4. What I could do to improve my teaching is:

6 5. The most important things I do to maintain discipline in my classroom are: 6. My greatest pleasure in teaching is: 7. What I consider to be the most effective teaching approaches and techniques: 8. What key components do you believe should be included in your lesson plans? 9. What are your most valued reasons for being a teacher? 10. When you think about your students, in what major ways to you most want to influence their lives? TIFICATION I certify that the information in this application is true and accurate to the best of my knowledge and belief. I hereby authorize the Board of Education or its agents to conduct such investigations and to obtain such records (including criminal and credit records) as the Board deems necessary. I understand that giving false or misleading information, either oral or written, may result in denial or termination of my employment. I understand that the Zanesville City Schools Board of Education observes a standard of strict confidentiality with regard to information submitted by applicants. However, I understand that Ohio public record laws may mandate disclosure of applicant information by the school district. SIGNATURE OF APPLICANT DATE

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