Sargent Certified Application

To Applicant:

Sargent School District RE-33J is seeking high quality candidates who meet Colorado Department of Education standards for certification and licensure. Standards include passing competency tests. For specifics on Colorado requirements please contact: Colorado Department of Education Educator Licensing 201 East Colfax Avenue Denver, CO 80203 (303) 866-6628 FAX: (303) 830-0793

You must submit the following items with this application to complete your file and be eligible for interview:

1. A complete set of unofficial transcripts. (Official transcripts will be required upon employment.)

2.Three letters of recommendation.

3. Resume.

Those selected for employment must:

1. Furnish official college transcripts.

2. Be able to secure a written release if under contract to another school district.

3. Possess or be eligible to possess a Colorado teaching certificate or license.

The Sargent School District does not unlawfully discriminate on the basis of race, color, sex (which includes marital status), sexual orientation, religion, national origin, ancestry, creed, age, or disability in admissions, access to, treatment, or employment in educational programs or activities which it operates. Specific complaints of alleged discrimination under Section 504 (handicap), Title II (Disability) or Title IX (sex) should be referred to: Superintendent of Schools, Sargent School District, 7090 N. Road 2 E., Monte Vista, Colorado 81144, phone (719) 852-4023. Complaints may also be filed with the Office of Civil Rights, U.S. Department of Education, Region VIII, Federal Office Building, 1244 North Speer Boulevard, Suite 310, Denver, Colorado 80204.
Letters of Recommendation/Resume*

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Name*

First NameMiddle NameLast Name
Position Applying For*
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I hereby apply and AM QUALIFIED for the following position(s): (Indicate ONE first choice and ONE second choice. Your application will be filed by your first choice)
First Choice:*

Senior High SubjectsMiddle SchoolElementary Grade (s)
Preferred Grade Level/Subject?*
Second Choice:*

Senior High SubjectsMiddle SchoolElementary Grade (s)
Preferred Grade Level/Subject?*
Do you hold a valid Colorado teaching certificate/license?*

YesNoHave applied
If "Yes", endorsements and expiration date:(Please attach a copy)
Teaching License/Certificate

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Education*

	Name of College	Date From-To	Degree	Major	Sem Hrs	Minor	Sem Hrs
.
.
.
.

Graduate Credit earned since receiving most recent degree: college/date/amount of graduate credit.

Contractual School Teaching Experience (Most recent first)*

	Place Taught	Assignment/Responsibilities	Date From/To	Supervisor Name and Number
.
.
.
.

Total number of years teaching:*

In Colorado Outside Colorado

.

	In Colorado	Outside Colorado
.

Student Teaching, Internships, Substitute Work (Most recent first)

	Position	District	Date From/To	Supervisor Name and Number
.
.
.
.

Other Relevant Experiences (Most recent first)

	TItle	Assignment/Resonsibilities	Date From/To	Supervisor Name and Number
.
.
.
.

What activities are you qualified by preparation to instruct:

Vocal MusicInstumental MusicSpeechDramaJournalismStudent CouncilYearbookCheerleadingClass SponsorshipFlag TeamAthleticsOther
Are you under contract?*

YesNo
Date you are available to start*
List participation within the last two years in any professional activity for the improvement of the school or schools where you have been employed. (e.g., curriculum revision, etc.)
List any community and/or professional organizations of which you are a member. (Mention any offices, honors, or positions of responsibility you have held in these organizations.)
Have you ever been dismissed from a position or asked to resign?*

YesNo
If “Yes”, where, and describe reasons (attach a separate sheet if necessary.)
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Why do you wish to leave your present position?*
Will you accept an assignment, attend meetings, or other school activities after school hours?*

YesNo
Have you ever been convicted of a crime?*

YesNo
If "Yes" please provide complete details on attached sheet of paper indicating date, charge, place, and action taken. Be advised that an affimative answer does not disqualify an applicant.

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Please describe what you want to accomplish in the position for which you are applying. Include how you can be effective with students, parents, staff, and community. *
References

Please list two (2) references that are familiar with your work life.
Reference*
Reference*
Applications are placed in the active file for a period of one (1) year.

An on-site interview (at the applicant’s expense) is required before hiring, unless specifically waived by the district.

Colorado statutes provide that this application and the information contained herein are available for public inspection.
PLEASE READ CAREFULLY BEFORE SIGNING

I certify that the information given by me on this application and my supplement is true and correct to the best of my knowledge. I understand that false statements on this application may result in termination of employment.
Signature*

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Date*

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