Substitute Teacher Application
For Use in Applying for Substitute Teaching
Email address *
Legal Name *
Your answer
Address *
Your answer
Primary Phone *
Your answer
Secondary Phone
Your answer
Are you available every day? *
If not available every day, when are you available? *
Your answer
Will you work at any grade level PK-12? *
If not, what grade level do you want to substitute?
Your answer
Do you hold a Kansas Teaching Certificate? *
If no, do you hold a valid Emergency Substitute Teaching Certificate?
Education (include High School and College(s) attended) *
Your answer
Teaching Experience (Include District/Building/Dates/Supervisor) *
Your answer
List Other Work Experience:
Your answer
List any other information concerning yourself which in your judgement might be helpful as we consider your application.
Your answer
References *
Your answer
Have you ever been convicted of, or are you currently charged with, a crime for other than a minor traffic violation? *
Have you ever been convicted of a crime involving dishonesty? *
Have you ever been convicted of a crime involving a controlled substance? *
Have you ever been convicted of a crime involving a child? *
Have you ever entered into a criminal diversion agreement after being charged with any offense described in the previous five questions? *
Are criminal charges pending against you in any state involving any offenses described in the same five questions above? *
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