Application for Certified Personnel Position
Office of the Superintendent
600 East Marshall Street
Sweet Springs, Missouri 65351
FAX (660) 335-4378
It is essential that you submit all documents requested:
1. A completed and signed application form
2. Letter of Application
3. College Transcript (s)
4. Copy of Administrative Certificate (if applicable)
Last Name First Name MI
Phone Number: Work Phone:
Social Security Number:
Have you ever been convicted of a felony? no yes
Have you ever been investigated by state authorities for alleged physical or sexual child abuse? no yes
Is there any reason that might prevent you from performing the duties of this position? no yes Eduational Preparation:
Name and Location of School or College: Degree Grad. Date College Hours
Areas of Certificaton:
State Area Grades Expiration Date
Are you currently Under Contract yes no Contract Expiration Date
Date Available to begin employment:
Name of School Location Grade/Subject Dates
Name Title Address Phone Number
Professional Organization memberships and/or special recognition:
Why are you interested in working in the Sweet Springs School District?
List extra-curricular activities you are qualified/willing to sponsor/coach.
Write a brief biographical sketch of your life.
I hereby certify that the above information to the best of my knowledge is true, accurate and complete. Any misrepresentatioon or willful commissions of facts shall be sufficient cause for disqualification of this application or 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 also authorize the District to conduct a background investigation and authorize release of information in connection with my application for employment. This investigation may include such information as criminal convictions, driving records, previous employers and educational institutions, personal references, professional references, and other appropriate sources. I waive my right to access to any such information and without limitations hereby release the school district and the reference source from any liability.
It is the policy of the Sweet Springs School District not to discriminate on the basis of race, color, national origin, sex, age or handicap in admission or access to, or treatment or employment in its programs or activities.