• Collinsville Public Schools

    1902 West Maple

    Collinsville, OK 74021

    (918) 371-2326

    "An Equal Opportunity Employer"

  • CERTIFIED APPLICATION

  • NOTICE TO APPLICANT:

    Independent School District #I-6 of Tulsa County, Oklahoma, does not knowingly discriminate against any employee or applicant for employment on the basis of race, color, sex, pregnancy, gender, gender expression or identity, national origin, religion, disability, veteran status, sexual orientation, age, or genetic information. This policy encompasses recruitment, selection, assignment, promotion, transfer, termination, compensation, training and apprenticeship and all other terms, conditions, benefits and privileges associated with employment. This policy also extends to the educational programs and activities operated by the District.

    Discrimination is specifically prohibited by Title IX of the Education Amendments of 1972, as amended, and Title 45, Subtitle A, Part 86, of the impending regulations administered by the Director of the Office of Civil Rights of the United States of Health, Education and Welfare.

  • FIELDS MARKED BY AN ASTERISK ARE REQUIRED FOR YOUR APPLICATION TO BE SUBMITTED

  • I. PERSONAL DATA

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  • II. POLICY STATEMENTS AND QUESTIONS

  • 1.   Interiews will be arranged by the personnel office. You will receive no further reply unless you are being actively considered for a specific position.

    2.   This application will remain on file for one year. It must be renewed at that time, if so desired.

    3.   Each applicant should edit the data provided most carefully before submitting this form to the personnel office.

  • III. FIELDS OF SERVICE PREFERRED

  • IV. INSTITUTIONS OF HIGHER LEARNING ATTENDED

  • CERTIFICATION

  • V. EXPERIENCE IN SCHOOL WORK

  • Experience in school work, as requested hereunder, should include only teaching or administrative experience in a duly accredited private or public school, college or university, on a regular full-time basis as accepted by the Oklahoma State Department of Education. Do not include part-time substitute or student teaching experiences.

  • VI. STUDENT TEACHING EXPERIENCE

  • VII. MISCELLANEOUS

  • VIII. REFERENCES

  • IX. SCHOOL SERVICE

  • In order that the officials of the Collinsville Public Schools may be fully informed as to my personal character and qualifications for employment, I hereby authorize Collinsville Public Schools to contact any former employer or other person whom they wish to contact concerning my personal character and qualifications and I hereby release such persons and Collinsville Public Schools from any and all liability for information provided or obtained as a result of the inquiries.

    I understand that any false information or misrepresented information contained in this application may be grounds for my immediate termination.

    Typing your name in the box below indicates you agree the electronic signature is the legal equivilant of your manual signature on this application.

  • We are currently unable to accept resumes and certificates attached to this application. If you are being actively considered for a position, we may request those items at that time.

  • Should be Empty: