Calhoun County School District
Certified Employee Application
Last Name *
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First Name *
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Address *
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Phone Number *
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Email address *
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Endorsement Codes on License *
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Education (please list degrees conferred, dates earned, and institution) *
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Experience (please list years worked, grades taught, and reason for leaving position) *
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Have you previously been employed by the Calhoun County School District? *
Are you presently under contract with any school system? *
If yes, what school district and when does contract expire? *
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Are you a citizen of the United States? *
Have you ever been asked to resign, been discharged, or failed to be re-employed for a teaching or administrative position? *
If yes, give details. *
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Have you ever been convicted of an offense other than a misdemeanor? *
If yes, give details.
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List co-curricular activities which you are qualified and prepared to direct.
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Additional information you wish to submit
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References (Please list 3 professional references)
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