Non-Certified Staff Application
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Position Desired *
Part-Time Teaching Area(s)
First Name *
Middle Name
Last Name *
Street Address *
City *
State *
Zip Code *
Best Contact Phone # *
Email Address
When are you available to start? *
Have you ever been employed by this school/district? *
Have you ever been convicted of a felony *
Have you ever been dismissed from a position? *
If yes to the above question, please explain
To submit a resume, please send to
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