2020 ESY Classified Application
Contact Information
Full Name (First, middle and last are required) *
Your answer
Phone Number *
Your answer
Home Address
Your answer
Email Address *
Your answer
Licensure and Training Information
1. Are you a current regular employee (non-substitute) in Dublin? *
2. Have you substituted in Dublin this school year? *
Have you worked Dublin ESY in previous years? *
3. Licensure/Certification area (s) valid through 07/19/2020 *
Your answer
If not current, expected date when valid:
MM
/
DD
/
YYYY
4. If not selected for a regular Summer School position, would you be interested in being a Summer School substitute? *
Current Position
Current District and Building
Your answer
Current Subject
Your answer
Current Grade
Your answer
Beginning Date (Month/Year)
Your answer
Current Principal
Your answer
Current Principal Phone Number
Your answer
Relevant Experiences (for Non-Dublin Employees only)
Previous District and Building
Your answer
Previous Subject
Your answer
Previous Grade
Your answer
Beginning Date (Month/Year)
Your answer
Ending Date (Month/Year)
Your answer
Previous Principal
Your answer
Previous Principal Phone Number
Your answer
ESY Programming Available
Please check the ESY Program(s) that you are interested in working with this summer.

Pre-School/Elementary/Multi-Sensory Reading Times and Dates:
Orientation: May 28th, 2020 from 12:00-2:00pm at Bailey Elementary (subject to change)
ESY Dates: June 9-11, June 16-18, June 23-25, and July 7-9
ESY Staff Times: 8:00-11:30 am

Middle/High School Times and Dates:
Orientation: May 28th, 2020 from 8:00-10:00am at Scioto High School (subject to change)
ESY Dates: June 9-11, June 16-18, June 23-25, and July 7-9
ESY Staff Times: 7:45-11:15am
I am interested in working with students on Language arts improvement, math improvement, communication and socialization in the following capacity: *
Required
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