Teacher Application

Teacher Application
TOP COMMUNITY DEVELOPMENT

8429 1ST AVE. SE LEEDS, AL 35094
APPLICATION FOR EMPLOYMENT: TEACHER

(Full time & Part time)

In order that your application may be properly evaluated, it is essential that all of the following questions be answered carefully and completely. Applications will not be processed unless completed in full and accompanied by all of the requested documentation. In addition to this application, please also submit the following:
1. Current ALABAMA State Teaching License (if applicable).
2. Resume’
3. Copies of any teaching certifications/medical certifications (if applicable)
PERSONAL INFORMATION
Name

First NameMiddle NameLast Name
Have you ever used a different name (maiden or alias)? If so, specify the name.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
Social Security Number
Where?
Email Address
example@example.com
When can you start?

MonthDayYear
Date
How were you referred to us?
Total number of years?
POSITION DESIRED
Pick one

Part TimeSummer Program Volunteer
I would like to do substitute teaching, if I am not selected for a regular position.

YesNo

Select the subjects you are capable of teaching, either by training or experience, in the area below.

EDUCATIONAL BACKGROUND
Date (month and year) you received your Bachelor's Degree
Major
Minor
Name and location of College/University
Date (month and year) you received your Master's Degree (if applicable)
Major
Minor
Name and location of College/University
U.S. MILITARY RECORD
Service Branch
Final Rank
Entered Date

MonthDayYear
Date
Discharged Date

MonthDayYear
Date
List any additional special skills, technical or professional knowledge which you may have:
REFERENCES

Give three or more references, including superintendents and principals under whom you have taught. These persons should have first-hand knowledge of your character, personality, scholarship, and teaching ability.
Please list person's name, title, work address, and telephone number.

EMPLOYMENT EXPERIENCE

List all of your current and previous positions (paid and unpaid) in chronological order starting with the most recent. Please complete this section and attach additional documents as needed even if you submit a resume.
Employed From
mm-dd-yy
Employed to
mm-dd-yy
Company Name
Your Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Department
Supervisor's Phone Number

Area CodePhone Number
Supervisor's Name and Title
Work Performed
Reason for Leaving
May we contact your present employer?

YesNo

1. What are your strengths?
2. Where do you need improvement?
3. How do you think your peers would describe you?
9. Please describe your reasons for wanting to teach in an AfterSchool/Summer Program?
Resume Upload
Upload a copy of your resume here

Browse Files

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APPLICANT'S DECLARATION
AUTHORIZATION AND RELEASE

My answers on this application and on any resume’ I provide are complete and true. I understand that the submission of any false or incomplete information in connection with my application, whether on this or other documents or in interviews, will be cause for the rejection of my application or the termination of my employment at any time. I authorize TOP Community Development and its agents to verify any information related to my application or resume. I also authorize and direct individuals, schools, employers, and law enforcement or government officials to freely provide any information concerning my background, and hereby release any and all of them from any liability for doing so.
Electronic Signature (your name)
Date*

MonthDayYear
Date
The TOP Community Development shall comply with appropriate federal and state laws and regulations prohibiting discrimination in employment on the
grounds of race, color, national origin, protected age category, gender, marital status, military status or physical or mental disability of any individual who is otherwise qualified.
Should be Empty:

TOP COMMUNITY DEVELOPMENT