2025-26 PYLUSD New Hire Intake Form

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Please complete all pages of this form in their entirety so that we can know how best to serve you.

If you have a California-issued clear credential and/or have completed a state-approved Induction program, you will only be asked to complete a portion of this form.

If you have a California-issued primarily credential or out of state credential and choose to enroll into the PYLUSD Induction Program, mentor/candidate matches are made within the first 30 days of enrollment in the program.

Email *

Last Name *

First Name *

Hire date (date contracted was signed) *

YYYY

Personal Email *

Home address *

Personal phone number to reach you *

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