Professional Job Application
This form is only to be used when initially applying. Once on file, there is no need to fill this application out again.
To apply for a specific position, please follow instructions on job posting.
I. Personal Data
Name *
First and last name
Your answer
Present Address *
Your answer
Home Address *
Your answer
Email *
Your answer
Phone number *
Your answer
II. Teaching Experience
List all schools
Names of Schools, Addresses, Dates of Employment, Grades/Subjects taught
Your answer
III. Employment History
List all other employers.
Name of Employers, Addresses, Supervisors, Telephone Numbers, Dates of Employment
Your answer
IV. Background Information
Have you ever been disciplined, reprimanded, suspended, or discharged from any employer because of allegations of misconduct? If yes, please explain. *
Your answer
Is any action now pending against you for alleged misconduct in any school district, court, or before any educator licensing agency? If yes, please explain. *
Your answer
Have you ever been convicted of, or are you currently under indictment for a felony? If yes, please explain. *
Your answer
V. Educational Background
My Bachelors Degree is from what school? Year earned and Address. *
Your answer
My Masters Degree is from what school? Year earned and Address.
Your answer
List those states in which you hold a valid teaching certificate.
Your answer
List areas of endorsements on certificate. *
Your answer
Total Years of Teaching Experience? *
Your answer
Total Years of Teaching Experience in West Virginia? *
Your answer
Total Years of Teaching Experience in Webster County? *
Your answer
Please list the job(s) you are interested in at this time.
Your answer
VI. References
You must list three (3)
Name, Occupation, Address, Telephone Number *
Your answer
Name, Occupation, Address, Telephone Number *
Your answer
Name, Occupation, Address, Telephone Number *
Your answer
VII. Affirmation and Signature
I hereby formally make application for a teaching position in Webster County School District and assert that the information given in this application is true and accurate to the best of my knowledge.
Type your name and today's date *
Your answer
All out of state applicants must include verification of current licensure.
Webster County School District does not discriminate on the basis of race, color, national origin, sex, age or handicap in the administration of any of its educational programs, activities, or with respect to employment. Inquiries should be directed to the Title IX Section 504 Coordinator, 315 South Main Street, Webster Springs, WV 26288. Telephone: 304-847-5638.
Webster County Schools is an equal opportunity employer
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