Certified Teaching Application
Complete this form and its enclosures and submit. An unofficial transcript verifying your completed degrees, and a copy of your teaching certificate or license, must be send to the Superintendent's Office immediately. If you fail to complete all items which apply, your application for employment will not be processed. All required fields must be completed in order to submit application
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
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Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
*
Position Applied
*
Speech Language Pathologist
Middle School Math
Secondary Ag.
How did you hear about us
Please Select
LinkedIn
Event
Social Media
Company Website
Family / Friend
Other
Please Specify
Available Start Date
*
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Month
/
Day
Year
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Employment, Education, and Certification History
Please provide all Educational Related Employment History (Salaried)
Please Provide all Educational and Professional Training
GPA
blanks
on
blank
scale.
How many college credit hours have you earned since your highest degree?
Certification/License
Have you applied for a New Mexico Teaching License
*
If yes to the previous question, have you ever been issued a waiver or a one-year license in New Mexico? If yes, provide date employed and employed
Out of State Graduates, do you hold an out-of-state teaching license?
Yes- Please upload copy of license with application
No
Are you currently working on additional teaching licenses?
Have you ever had your teaching license revoked?
*
Yes
No
Have you ever been asked to resign, been discharged, or been non-renewed from any position, teaching or otherwise?
*
Yes
No
If yes, explain
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Personal
Are you a U.S. Citizen
*
Yes
No
Are you a permanent resident?
Yes (please provide appropriate documentation)
No
Have you ever been convicted of a felony or any crime involving dishonesty or moral turpitude
*
Yes
No
Check all that apply which you are able to direct or coach successfully
Reason for choosing Loving Municipal School District
By using events and situations that occurred in your recent work experience and training, describe how those experiences will contribute to your becoming a positive factor in our system.
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References and Contact Information
References- Give at least 6 references. These references should be from work experiences, lay citizens, and especially Superintendents, and Principals under whom have first-hand knowledge of your character, personality, scholarship, and teaching ability.
*
List any relative who is either a member of the Loving Municipal Schools Board of Education or is employed by the Loving Municipal School District
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Letter of Interest
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Resume
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3 Letters of reference, including one from current employer
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Copy of transcripts (official transcript(s) required upon employment)
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Agreement, Authorization, Waiver, and Release
Signature
Submission Date
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Year
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Disclaimer
The Loving Municipal School District shall adhere to a policy of equal employment opportunities for all employees. During the selection process, individuals shall be employed without regard to race, creed, color, age, sex, religion, marital status, national origin, or physical disability, except in situations where physical disability renders such applicant not "otherwise qualified". Discrimination against any person shall be prohibited in recruitment, examination, appointment, training, promotion, retention, discipline, and any opinions of affiliation, or because of other non-merit factors. Inquiries concerning your rights or grievances should be referred to the Superintendent, Loving Municipal School District, P,O, Box 98, Loving NM, 88256
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