JOSEPH CITY UNIFIED SCHOOL DISTRICT NO. 2 P.O. BOX 8 JOSEPH CITY, ARIZONA PH. (928) FAX (928)

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1 Dear Classified Applicant, JOSEPH CITY UNIFIED SCHOOL DISTRICT NO. 2 P.O. BOX 8 JOSEPH CITY, ARIZONA PH. (928) FAX (928) Thank you for your inquiry concerning a certificated position in the Joseph City Unified School District #2. Enclosed you will find an application and salary schedule. Application screening, which includes reference checks, will be conducted once your application is completed and a position is identified for which you are qualified. Depending on the number of applicants for the particular job vacancy, either all candidates with the required experience and credentials or only those with superior experience and credentials will be interviewed. APPLICATION PROCEDURES As an applicant for a certificated position in the Joseph City Public Schools, you must: 1. File a completed application with the District Office. 2. Submit a copy of the following: A high School transcript and/or diploma. A complete transcript of any college or university credits you have earned. Three letters of reference, preferably from previous supervisors or individuals who are familiar with your work. If selected for an interview, your current supervisor may be contacted following the interview. Copies of any licenses/certificates you hold (e.g. AZ substitute teacher certificate, plumber license, electrician license, etc.) 3. You should be specific as to the position desire. 4. Interviews will not be granted until your file is complete with application, transcripts/diploma, licenses/certificates, and three letters of reference. CERTIFICATION REQUIREMENTS To be a qualified educator within the definition of Arizona Statutes, a person must possess a valid certificate issued by the lawful authorities of the State of Arizona. Complete information regarding certification may be obtained from: Certification Office Arizona Department of Education P.O. Box 6490 Phoenix, Arizona (602) The status of your application may be checked at any time by calling or writing the District Office. Please remember, only files which are completed, will be reviewed for possible interviews. These interviews will be initiated and arranged by the principals or Superintendent. I wish you the best as you prepare for possible employment with the Joseph City Schools. 1

2 Joseph City Unified School District #2 P.O. Box 8, Joseph City, AZ Phone: (928) Fax: (928) APPLICATION FOR CLASSIFIED EMPLOYMENT. Date: Mr. Last Name: Mrs. Miss. First Name: Ms. Soc. Sec. # Mailing Address: Home Phone #: Address: Position(s) Desired. (Indicate one or more) (List order of preference) A. B. C. Full-time Part-time Temporary Substitute Submission of resume recommended, not required. This application must be completed without reference to resume. Applications will be retained for 2 years. Personal Data (Please type or print) 1. When will you be available? 2. Other names used Date of use: 3. Previous mailing address: 4. Do you have a driver s license? Yes No Do you have a Commercial Driver s license? Yes No Type: 5. List languages, including English, in which you are proficient. English: Speak Read Write Spanish: Speak Read Write Navajo: Speak Read Write Other: Speak Read Write An Equal Opportunity Organization. The District does not discriminate on the basis of age, race, color, religion, sex, marital status, disability or national origin. 2

3 PROFESSIONAL AND OTHER WORK EXPERIENCE Provide information below for employer(s) for at least the last ten years with most recent experience first. (List employer s phone number) See Resume is not responsive. If you have not had three years work experience, provide other related experiences information below Employer s Name(s) Supervisor s Position Held Reason for Leaving (Including address/phone) You are required to provide the month and year for each date required. If you are being considered for employment, the District will contact your current and past employers. Attach supplemental sheet if necessary. Identify questions to which you are responding. Please explain any gaps in employment of over 30 days. (For the past 10 years) Attach supplemental sheet if necessary. Identify questions to which you are responding. Have you ever been dismissed from a position? Yes No If yes, explain: Have you ever been asked to resign form a position? Yes No If yes, explain: Have you ever resigned from a position rather than being non-renewed, dismissed or faced disciplinary action by employer or against certificate? Yes No If yes, explain: EDUCATIONAND PROFESSIONAL PREPARATION List schools attended and special training received; See Resume is not responsive. Attach a copy of official college transcript(s). High School Location Dates Attended Year Graduated Degree GPA College Location Dates Attended Year Graduated Degree Major/Minor GPA 3

4 Describe additional education not listed: List honors you have received: List professional organizations to which you belong: List leadership positions you have held in organizations: Describe special abilities or talents applicable to position you are seeking: PERSONAL REFERENCES Give names and complete addresses of 3 references that are familiar with your personality, character and work habits. (Do not use relatives as references) Name Dates known* Occupation Address Phone *Provide month and year. NARRATIVE QUESTIONS In the space provided, answer the following questions as they relate to the positions for which you are applying. (E.g. teacher, school nurse, school guidance counselor, etc.) At the end of your first year of district employment, how will you determine whether or not you have been successful? Why do you want to work for Joseph City USD#2? What are your goals for future employment? 4

5 CONVICTION REPORT Because of the responsibility Joseph City Unified School District No. 2 has to its school children and community, the following information is needed from all applicants and employees regarding convictions. * A record of conviction does not necessarily disqualify applicant from consideration; however, failure to complete this section accurately and completely may mean disqualification from consideration for employment or may be cause for consideration of dismissal if employed and may result in prosecution for filing false information with a public agency. Applicants and employees must report any convictions that occur subsequent to the time they initially completed this form. Questions regarding this information should be directed to the Superintendent s Office. Please read carefully and answer every question. Please print clearly. Full Name: Other names used: Social Security Number: Have you ever been convicted of a minor offense other than traffic violations? (A DUI conviction is not considered a minor traffic offense) Yes No Have you ever been convicted of a felony?** Yes No Are you now awaiting trial on a felony charge? Yes No Have you ever been convicted of a sex or drug related offense? Yes No Have you ever admitted or been convicted of a dangerous crime against children as defined in A.R.S ? *** Yes No *CONVICTION means the final judgment on a verdict or a finding of guilty, a plea of guilty, or a plea of no- contest, in any state of federal court of competent jurisdiction in a criminal case, regardless of whether an appeal is pending or could be taken. Conviction does not include a final judgment which has been expunged by pardon, reversed, set aside or otherwise rendered invalid. ** Please note that prior to hiring, you must submit a notarized statement attesting to the fact that you have neither admitted nor committed the crimes listed in A.R.S (F) and A.R.S The District may initiate a background check. The crimes required to be disclosed on the affidavit are: ***A.R.S Dangerous Crime Against Children means any of the following committed against a minor under fifteen (15) Years of age: Involving or using minors in drug offenses. First or Second Degree Murder Aggravated assault resulting in serious physical injury or committed by the use of a deadly weapon or dangerous instrument. Sexual assault Molestation of a child Sexual conduct with a minor Commercial sexual exploitation of a minor Child abuse as defined in , subsection 8 paragraph 1. Kidnapping Sexual abuse Taking a child for the purpose of prostitution Child prostitution A A.R.S (F) Sexual abuse of a minor Incest Arson Sexual exploitation of a minor Contribution to the delinquency of a minor. Felony offenses involving distribution of marijuana or dangerous or narcotic drugs. Burglary Robbery Voluntary manslaughter IF YOU ANSWERED YES TO ANY QUESTIONS C THROUGH G ON PAGE 5, ATTACH SUPPLEMENTAL CONVICTION INFORMATION FORM AVAILABVLE FROM THE DISTRICT. Is there any other information not required by this application that you should disclose to the District so that it may accurately evaluate your fitness to work in a position of public trust with minor students? Yes No (If you are uncertain as to the relevance or necessity to disclose a matter, trait, etc., disclose it and the District will determine whether the information is pertinent.) If your answer is anything other than No, Explain fully. (Use separate sheet of paper if necessary) 5

6 Under penalty of prosecution and dismissal, I hereby certify that the information presented on this application is true, accurate and complete. I authorize the investigation of all statements contained herein and understand that any document relevant to this information may be reviewed by the agents of Joseph City Unified School District No. 2. I authorize the Joseph City Unified School District No. 2 to make reference checks prior to employment and I will execute such documents to facilitate this investigation. I understand that my employment is not finalized until the background investigation has been completed and the Governing Board has officially approved my employment. I understand that misrepresentation or omission of pertinent facts may be cause for dismissal. Signature Date 6

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