Online Application
Date
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Month
-
Day
Year
Date
Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Phone Number
*
Position Interest
*
K - 3 Teacher
4 - 6 Teacher
K - 3 Intervention Specialist
4 - 6 Intervention Specialist
K - 3 EL Teacher
4 - 6 PE Teacher
Full Time or Part Time
*
Full Time
Part Time
School
*
Dayton SMART Elementary
Available Start Date
*
-
Month
-
Day
Year
Are You a Citizen Of The US
*
Yes
No
If No, Are You Authorized To Work In The US
*
Yes
No
Have You Ever Worked Within This District
*
Yes
No
If So, When?
Have You Ever Been Convicted Of A Felony
*
Yes
No
If Yes, Explain
Education
High School/Tech School
City of High School/Tech School
Time Frame
Did You Graduate?
Yes
No
Degree
College
City Of College
Time Frame
Did You Graduate?
Yes
No
Additional College
Degree
Did You Graduate?
Yes
No
License / Certification Endorsement
Provide: Subject | Type | Expires | State
*
Disclaimer & Signature
I certify that my answers are true and completed to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
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