Certified Teacher Application - Moore County Schools
The Moore County School System does not discriminate in its educational programs, activities, or employment practices on the basis of race, sex, national origin, religion, creed, age, marital status, or disability as required by the Title VI of the Civil Rights Acts of 1964, Title IX of the Educational Amendments of 1972, and Section 504 of the Rehabilitation Act of 1973.
Personal Information
Full Legal Name *
Last Name, First Name MI
Your answer
Other Name
(Please provide any additional information relative to change of name, use of an assumed name, or nickname, necessary to enable a check on your work or school records.)
Your answer
Social Security Number
This information is used to complete background check over the internet. These background checks are required by state law. If you are not comfortable submitting this information online, you may leave this field blank.
Your answer
Date of Birth *
DOB is used to complete background checks required by law.
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Current Mailing Address *
Your answer
Phone Number *
Please list the best daytime phone number (including area code) to be used to contact you.
Your answer
Email Address
Please list an email address that you use frequently.
Your answer
Social Media Sites *
Please enter your Name/Handle on social media sites in which you are a member.
Your answer
Position *
Please indicate the position for which you are applying. Select all that apply.
Required
Teaching License *
Do you currently have a teaching license in Tennessee? (If "other" please explain.)
Certifications *
For what subjects/grade levels are you certified?
Your answer
College or University *
From which college/university did you receive your educational/professional training? Please list each institution with the year of graduation.
Your answer
Student Teaching
Please list the schools in which you performed student teaching/practicum experience. Only answer if this occurred within the last 5 years.
Your answer
Professional Experience
Please list the schools in which you have performed professionally as a teacher. Please list the schools and grade/subject taught.
Your answer
Other Work Experience *
Please list any other work experience that you have obtained within the past five years. Please list the employer and the reason for change in employment.
Your answer
Veteran Status
Please list the branch of the Armed Forces for which you have served if applicable. Please indicate the dates of service, as well.
Your answer
Current Contracts *
Are you currently under contract with any other school system?
Current Contracted Position
If you are under contract list the school system and your current position.
Your answer
Non-Renewal or Tenure Refusal *
Have you ever been refused tenure or a continuing contract? If Yes, please explain.
Requested Resignation *
Have you ever been requested to resign? If Yes, please explain.
Criminal Charges Pending *
Do you have pending criminal charges? If Yes, please explain.
Abusive Convictions *
Have you been convicted of any offense involving the sexual molestation, physical or sexual abuse, or rape? If Yes, please explain.
Misdemeanor or Felony Convictions *
Have you been convicted of a misdemeanor or a felony? This includes moving and traffic violations if the maximum sanction provided by law for such includes confinement. If Yes, please explain.
License Revoked or Suspended *
Have you ever had a teaching certificate or license revoked or suspended? If Yes, please explain.
Previous Dismissals *
Have you been dismissed for any reason including incompetence, inefficiency, neglect of duty, unprofessional conduct or insubordination? If Yes, please explain.
Written Resignation *
Will you provide a copy of a written resignation to the most recent local board where you are employed at least 30 days prior to the beginning date of employment with the Moore County School District? If No, please explain.
School System Relatives *
Are you related to an employee of our school system? If yes, please provide the name of the employee.
Board Member Relatives *
Are you related to a member of the Moore County Board of Education? If yes, please provide the name of the board member.
Metro Council Relatives *
Are you related to a member of the Metropolitan Moore County Council? If yes, please provide the name of the council member.
Employment Application Notice and Authorization
Please read carefully before answering the question below.
Employment Notice and Authorization *
By typing my name I signify that I understand the Employment Application Notice and Authorization listed above.
Your answer
Application Acknowledgements
Please read carefully.
Application Acknowledgements *
By typing my name I signify that I understand the Application Acknowledgements listed above.
Your answer
Previous Employers *
Please provide the name and phone number for each employer you have had over the past 5 years. Format: Name of Direct Supervisor - Phone Number, Name of Direct Supervisor - Phone Number, etc.
Your answer
Personal References *
Please provide the name and phone number for three personal references. Please do not include family members. Format: Name of Reference - Phone Number, Name of Reference - Phone Number, etc.
Your answer
In order for your application to be complete select the email address below for the application to be emailed to the Director of Schools. *
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