Regional Academic Summer School Employment Application 2019
The date of your application will be automatically recorded when you submit the form
Please note - A separate Regional Academic Summer School Proctor Application will be emailed to all current Rockland BOCES employees in May.
If you're a TA/Teacher's Aide looking to apply to Extended School Year Summer School offered through BOCES' Student Services division, please return to the Rockland BOCES homepage and follow the appropriate link under Quick Links.
Last Name *
Your answer
First Name *
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Please enter your preferred phone # *
Your answer
Please enter an additional phone #
Your answer
Please enter your email address (accessed over the summer) *
Your answer
Languages fluent in other than English
Last/Current Employer (Education related)
Your answer
Position held
Your answer
# of years
Your answer
Teacher applicants please enter total # of years teaching
Your answer
Position(s) applying for (Certification/Licensure required where noted) *
Required
Teacher applicants please enter course(s) you're interested in teaching (certification required).
Please enter certification(s) / license(s) held *
Required
Please check all that apply as to your availability to PROCTOR regents exams August 13-14 (when not grading or assigned to another post) *
Required
If you have not previously worked for Rockland BOCES Regional Academic Summer School please list two individuals, including at least one supervisor for references.
Reference 1 Name
Your answer
Reference 1 Position
Your answer
Reference 1 Place of Employment
Your answer
Reference 1 Contact Phone #
Your answer
Reference 1 Contact eMail
Your answer
Reference 2 Name
Your answer
Reference 2 Position
Your answer
Reference 2 Place of Employment
Your answer
Reference 2 Contact Phone #
Your answer
Reference 2 Contact eMail
Your answer
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