Substitute Teacher Information Request Form

Substitute Teachers:

SUBJECT: 2025-2026 Substitute Teaching
Shelby Eastern Schools wishes to thank you for your services as a substitute teacher during school year 2024-2025 school year. We hope your experiences were productive, positive, and enjoyable.

You may accept this notification, which is not a contract of employment, as reasonable assurance that you will be on our substitute teacher list at the beginning of the 2025-2026 school year and after the Christmas and Spring breaks during the school year. If you wish to remain on Shelby Eastern’s substitute teacher list, please submit the below questionnaire by Friday August 1st, 2025.
I have read and acknoledge the above atatement.*

I agree
If you do not have a current substitute permit or need to renew your application you can apply for permit at https://license.doe.in.gov/
If you need to renew or apply for a background check you can appy at https://secure.safehiringsolutions.com/app.cfm?id=59D9D930-B7CC-4E86-BBE4-09B0963C1579
Name*

First NameLast Name
E-mail*
example@example.com
Physical Street Address*
Mailing address if different than above
City/State:*

CityZip
Phone Number*

Area CodePhone Number
Emergency Contact*

NamePhone Number
Secondary Phone Number

Area CodePhone Number
Please select the school(s) you are availabe to substitute at:*

MESMJSHWESWJSHAny/All
Please select the grade level(s) you are available to substitute for:*

PreK TeacherKindergarten Teacher1st Grade Teacher2nd Grade Teacher3rd Grade Teacher4th Grade Teacher5th Grade Teacher6th Grade Teacher7th Grade Teacher8th Grade Teacher9th Grade Teacher10th Grade Teacher11th Grade Teacher12th Grade TeacherSpecail Ed/LifeSkills TeacherInstructional Assistant (noncertified)Special Ed Instrutional Assistant (noncertified)Any/All
If you have any other notes we should consider during substitute placement please note them in the box: (example: typical days of unavailability, avoid a certain subject or prefer a class over another one)
If you have a license that you would like to upload please do so here.

Browse Files

Cancelof
Signature

Clear
Should be Empty:

Substitute Teachers: