USD 308 Hutchinson Public Schools

CERTIFIED POSITION APPLICATION (you must use Internet Explorer 6.0 or higher)

First Name:

Last Name:

Middle Name:

Permanent Address:

City:

State:

Zip:

Phone:

Temporary Address:

Temporary City:

Temporary State:

Temporary Zip:

Temporary Phone:

SSN:

Email Address:

Have you ever been convicted for a misdemeanor or felony other than a minor traffic violation? Yes No

All employees hired by USD 308 will undergo a background check. Any applicant who does not answer honestly the above questions will not be employed by Hutchinson Public Schools. If either question is marked yes, a confidential letter of explanation must be submitted to the Human Resources Director or Superintendent before consideration for employment will be made.

Level of position desired:

Elementary School Middle School Senior High School Other

List areas you are currently licensed to teach by the State of Kansas:

Subject or level you desire to teach:

First Choice:

Second Choice:

Third Choice:

Name any other area in which you are interested in teaching, such as art, music, physical education, remedial reading, ESL, special education, etc. If special education, indicate the specific area of interest (i.e., mild, moderate, or severely handicap). Also, include sports and activities you are qualified to coach or sponsor.

Professional Preparation: (include summer school and extension work)

College or University	City, State, and Zip	Degree

Highest Degree Earned:

Number of Graduate Hours Earned Since Highest Degree:

Undergraduate Major:

Overall GPA:

Field: (second area of specialization)

Graduate Major:

Overall GPA:

Field: (second area of specialization)

Graduate Major:

Overall GPA:

Field: (second area of specialization)

Professional Experience: (include only contract teaching and administrative experience)

Name of Employing Agency

City and State

Type of Position

Years in Position

Name of Employing Agency

City and State

Type of Position

Years in Position

Name of Employing Agency

City and State

Type of Position

Years in Position

Name of Employing Agency

City and State

Type of Position

Years in Position

Reason for leaving present or last position:

References: (References should include the supervisor, principal, or other professional educator in a position to judge your administrative ability).

REFERENCE #1

Name
Relationship

Address, City, State, Zip
Phone

REFERENCE #2

Name
Relationship

Address, City, State, Zip
Phone

REFERENCE #3

Name
Relationship

Address, City, State, Zip
Phone

REFERENCE#4

Name
Relationship

Address, City, State, Zip
Phone

Please express your basic views in response to these questions. Responses should be well thought out since your viewpoints are very important to us.

1. What makes your professional life as a teacher meaningful?

2. What do you consider to be your major strengths when working with students?

3. How do you determine what to teach your students?

4. In what areas do you believe your students will grow the most by having you as a teacher?

5. The remaining space may be used for additional information which you feel is pertinent to this application.

I hereby authorize the District to conduct work history, personal reference check and/or police record inquiries to determine my acceptability for employment. I further affirm that all information given in this application is true and complete. If the District receives information to the contrary, I understand I will be terminated from my position.

I acknowledge the above statement Date:

A personal interview is required. We will inform you of procedures. All communication should be directed to the Human Resources Department, 1520 N. Plum, Hutchinson, KS 67501.

If you are employed by Hutchinson Public Schools, part of your employment processing will be to have a criminal background check and pass a medical examination. In addition, you will need to furnish the following: social security card, driver's license or other form of picture identification.

Any misstatements or omissions of material facts in this application may be cause for dismissal if hired by the Hutchinson Public Schools.

This application will remain active for one year. Please notify us of any changes on the application throughout the year.

USD 308 does not discriminate on the basis of race, religion, color, national origin, sex, age, or disability in employment or in access to or the use of its programs and activities. The following person has been designated to handle inquiries regarding nondiscrimination policies: Superintendent of Schools, Hutchinson Public Schools, 1520 N. Plum, Hutchinson, Kansas 67501, 620.665.4408.

To complete the application process, please send cover letter, resume, and copy of certificate/license to the following address:

Louetta Finn

Human Resources/Certified

Hutchinson Public Schools, USD #308

1520 N. Plum

Hutchinson, KS 67501


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