Certified Employment Application

Roundup Application for Certified Employment:
Personal Information:

NOTE: This form currently does not allow the applicant to save and continue at a later date. Please work on having all of your material ready prior to completing this application and submitting. Following the staffing of the position for which you have applied, all applications and accompanying documents will be kept on file for one year and then will be destroyed.
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Ph Number*

Area CodePhone Number
Secondary Ph Number

Area CodePhone Number
E-mail*
Specific Position Applying For:*
Other positions of interest*
Coaching/ Advising Interests or Experience*
Are you willing to attend and supervise school activities as assigned?*

YesNo
Will you participate willingly in committee and other professional work?*

YesNo
Are you able, with or without reasonable accommodation, to perform the functions of the job for which you are applying?*

YesNo
Do you wish to claim employment preference as a Veteran?*

YesNo
If "Yes", give a complete account of your past U.S. Military Service Record:
Do you have the legal right to work in the United States?*

YesNo
Are you able, with or without reasonable accommodation, to perform the functions of the job for which you are applying?*

YesNo
Teaching Credential/Endorsement Information

If you do not hold a Montana Certificate, proof of ability to be certified must accompany this application or your application WILL NOT BE processed. You can begin that process by visiting www.teachmontana.com
Do you hold a valid Montana Certificate?*

YesNoHold Certificate from another state
Grades covered by Endorsement:*
Major area of preparation/endorsements:*
Please separate answers with a comma
Minor area of preparation/endorsements:*
Please separate answers with a comma
Expiration Date of Endorsement:*
Education:

List the information for the university of record where your degree(s) were awarded. Please list additional educational experiences in your resume, as well as uploading all relevant transcripts for your post-secondary experiences to this application.
Undergraduate College of Record:*
Name of College/University Attended where undergraduate degree was earned.
Graduated?*

YesNo
Date Graduated:
Area of Study/Degree Awarded:*
Semester Hours Earned:*
Note: Please convert "quarter hours" to semester hours (quarter X 1.5)
Graduate School of Record:
Name of Graduate School Attended
Graduated?*

YesNo
Date Graduated:
Area of Study/Degree Awarded:*
Semester Hours Earned:*
Note: Please convert "quarter hours" to semester hours (quarter X 1.5)
Current Employment:

List your present or most recent employer. Describe your employment history, accounting for all the time during at least the last 15 years. Please upload additional job experiences below if necessary. You may include volunteer and paid experience. DO NOT substitute a resume. You may attach additional information. Do not list substitute teaching or aide work. Student teaching experience is acceptable, however please label as student teaching.
Total Years of Certified/Full Time Service:
Student teaching is not considered full time service. For student teaching list"0" then identify student teaching in current employer below.
Current Employer*
Name of Current Employer or NONE if not Employed
Supervisor, Phone Number, and Email Address*
Name of Current Employer or NONE if not Employed
Position*
Salary*
Reason for Leaving?*
Start Date*

MonthDayYear
May We Contact?*

YesNo
Previous Employment:
Previous Employer*
Name of Previous Employer
Position*
Supervisor, Phone Number, and Email Address*
Name of Current Employer or NONE if not Employed
Salary*
Reason for Leaving?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Previous Employer*
Name of Previous Employer
Position*
Supervisor, Phone Number, and Email Address*
Name of Current Employer or NONE if not Employed
Salary*
Reason for Leaving?*
Start Date*

MonthDayYear
End Date*

MonthDayYear
References:

Give as reference, persons who are qualified to attest to your fitness for the position you seek. Include person(s) with whom you have taught and those who know your ability and character. DO NOT SAY, “REFER TO MY CREDENTIALS”.
Reference 1*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email*
Reference 2*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email*
Reference 3*
Name of Reference
Relationship*
Years Acquainted*
Phone*
Email*
Required Attachments:

Attachments include Cover Letter, Resume, Transcripts, Teaching Credentials, Letters of Recommendation (minimum of three)
Cover Letter and Resume*

Upload a File

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Letters of Recommendation*

Upload a File
Please submit a minimum of three letters Cancelof
Transcripts - Unofficial Transcripts Accepted*

Upload a File
Please submit all transcripts necessary to explain educational experience and for pay scale placement if hired. Official transcripts will be required if a job offer is extended. Cancelof
Acknowledgment Form*

Upload a File
This document can be found by visiting https://www.roundup.k12.mt.us/o/rsd/page/roundup-public-schools-employment Cancelof
Professional Conduct and DOJ Criminal Background Form*

Upload a File
This document can be found by visiting https://www.roundup.k12.mt.us/o/rsd/page/roundup-public-schools-employment Cancelof
Additional Documents as Necssary*

Upload a File

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Submit Application:
By submitting this application applicant agrees that all statements and information provided within this application and its attachments, if any, are true and complete. I understand that omission or misrepresentation of material fact may result in refusal of or separation from employment.
Should be Empty:

Roundup Application for Certified Employment:

Personal Information:

Teaching Credential/Endorsement Information

Education:

Current Employment:

Previous Employment:

References:

Required Attachments:

Submit Application: