PCSC Substitute Teaching APP

Substitute Teaching Application

Paoli Community School Corporation does not discriminate on the basis of age, race, color, religion, gender, marital status, handicap/disability, or national origin.
Consideration for employment as a substitute teacher requires a valid Indiana Substitute Teaching Permit or Indiana Educator License.
Date of Application*

MonthDayYear
K-67-12K-12
Describe Availability for Substitute Teaching*
Name (First Middle Last)*
Present Address*
Home Phone*
Cell/Other Phone
Email*
Social Security Number*
Indiana Teacher Retirement #
Teaching License Area(s), License # and Expiration Date(s)
Indiana Substitute Teaching Permit #
Present/Most Recent Position*
Reason for Leaving Present/Most Recent Position*
Most Recent Administrative Supervisor(s) & Contact Info*
Explain any dismissal from a position or resignation in order to avoid dismissal*
Educational History (HS, Undergrad, Grad - include majors & minors and GPA)*
College or Other Activities in Which You Participated
Location(s), dates, grades, content area(s) and supervisors of student teaching experience(s)
Contractual Teaching Experience (Location, beginning & ending dates, content/grade level, supervisors, )
Teaching contract years of experience
Other Work Experience*
List Professional Organizations to Which You Belong
List Any Specific Talents, Abilities or Honors
Reference #1*
Reference #2*
Reference #3*
List Any Relatives Now Employed by Paoli Community School Corporation
Military Experience
Please Describe: A) Why You Desire to Work at Paoli Community Schools, and B) Professional Goals for the Future*
Please Describe: A) Your Core Beliefs About Education, B) Any Qualifications You Wish to Stress, C) Any Additional Information You've Not Been Able to Provide Above*
YesNO
If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, county and state, and type(s) of rehabilitation.
E-Initials: By writing initials and submitting, the applicant guarantees he or she was the only person to complete any/all parts of this online application. The applicant authorizes agents of PCSC to investigate all statements contained in the submitted application. The applicant understands false or misleading information may be cause for dismissal. If agreed, write your initials before submitting (IP ADDRESSES AUTOMATICALLY ACCOMPANY APPLICATION)*
A copy of your submitted application will be sent to the email address provided in your application. Since personal and private information is contained in your submitted application, ONLY submit this application if the email account provided is secure and accessible only by you.
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Substitute Teaching Application