Certified Application - On Line
Certified Application
              Application for Certified Personnel Position
 Office of the Superintendent 
600 East Marshall Street
                                                                 Sweet Springs, Missouri 65351
(660)335-4860 
 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)
6. Resume
 
 
Date 
Last Name  First Name  MI
Address
 
Phone Number:   Work Phone: 
Email Address:  

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:          
Teaching Experience:
Name of School               Location      Grade/Subject         Dates
References:
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.

Date:       Signature:  

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.  

 

 
 
 
 
 
 
 
 
 
 
 
 
 


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