Certified Staff Application
Application Date:
-
Month
-
Day
Year
Date
Position Applying For:
Elementary Special Education Teacher
Elementary 1/2 Day Reading Specialist
Elementary Media Specialist 3rd-5th
Non-Specific Elementary Position
Non-Specific Secondary Position
Hold Ctrl key and click for multiple positions
PERSONAL INFORMATION
First Name:
Middle Name:
Last Name:
Address:
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
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Aruba
Australia
Austria
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Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
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Equatorial Guinea
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Ethiopia
Falkland Islands
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Fiji
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Italy
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Jersey
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail Address:
Date of Birth:
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Date
Primary Phone Number:
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Area Code
Phone Number
Select One:
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Cell
Home
Work
Secondary Phone Number:
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Area Code
Phone Number
Select One:
Please Select
Cell
Home
Work
Emergency Contact Name:
Relationship:
Phone Number:
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Area Code
Phone Number
CERTIFICATION INFORMATION
Certification Status
Select One of the Following:
None
Testing Completed Successfully
Date license application was filed:
-
Month
-
Day
Year
Date
Valid Out-of-State Certificate
Date OK certification application was filed:
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Month
-
Day
Year
Date
Valid Oklahoma License
Expiration Date:
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Month
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Day
Year
Date
Certificate Number:
Valid Oklahoma Provisional Certificate
Expiration Date:
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Month
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Day
Year
Date
Certificate Number:
Valid Standard Oklahoma Certificate
Expiration Date:
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Month
-
Day
Year
Date
Certificate Number:
Areas of Certification: Please complete the form on the last page of this application indicating all areas in which you are certified to teach.
Grade/Specialty Preference
Check all that apply:
Early Childhood (PK & KG)
Lower Elementary (1st & 2nd)
Upper Elementary (3rd - 5th)
Middle School (6th - 8th)
High School (9th - 12th)
Art
Library Media
Music
P.E.
Administrator
School Nurse
Special Education
Interested in Sponsoring/Coaching
Check all that apply:
Academic Team
Baseball
Basketball
Cheerleading
Cross Country
Football
Golf
Honor Society
Soccer
Softball
Student Council
Track
Volleyball
Wrestling
Yearbook
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PROFESSIONAL PREPARATION
High School (Institution)
City/State
Graduation Year
Bachelors Degree (Institution)
City/State
Graduation Year
Masters Degree (Institution)
City/State
Graduation Year
Doctorate (Institution)
City/State
Graduation Year
Undergraduate
Major Area:
Minor Area:
Graduate
Major Area:
Minor Area:
Graduate Hours Above Highest Degree:
Institution:
TEACHING EXPERIENCE
District Name:
City:
State:
Grade(s) / Subject(s) Taught:
From:
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Month
-
Day
Year
Date
To:
-
Month
-
Day
Year
Date
Principal/Supervisor Name:
District Name:
City:
State:
Grade(s) / Subject(s) Taught:
From:
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Month
-
Day
Year
Date
To:
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Month
-
Day
Year
Date
Principal/Supervisor Name:
District Name:
City:
State:
Grade(s) / Subject(s) Taught:
From:
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Month
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Day
Year
Date
To:
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Month
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Day
Year
Date
Principal/Supervisor Name:
District Name:
City:
State:
Grade(s) / Subject(s) Taught:
From:
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Month
-
Day
Year
Date
To:
-
Month
-
Day
Year
Date
Principal/Supervisor Name:
Total Years in Oklahoma
Only Public or Accredited Private School Experience
+
Total Years Out-of-State (5 max)
+
Military Service (5 max)
=
Total Creditable Years Teaching:
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REFERENCES
Please include three professional and two personal references.
Professional
Name:
Position:
Relationship to You:
# of Years Acquainted:
Contact Number:
-
Area Code
Phone Number
Additional Contact Number:
-
Area Code
Phone Number
Address:
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Name:
Position:
Relationship to You:
# of Years Acquainted:
Contact Number:
-
Area Code
Phone Number
Additional Contact Number:
-
Area Code
Phone Number
Address:
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Name:
Position:
Relationship to You:
# of Years Acquainted:
Contact Number:
-
Area Code
Phone Number
Additional Contact Number:
-
Area Code
Phone Number
Address:
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Personal
Name:
Position:
Relationship to You:
# of Years Acquainted:
Contact Number:
-
Area Code
Phone Number
Additional Contact Number:
-
Area Code
Phone Number
Address:
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Name:
Position:
Relationship to You:
# of Years Acquainted:
Contact Number:
-
Area Code
Phone Number
Additional Contact Number:
-
Area Code
Phone Number
Address
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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GENERAL INFORMATION
1. Are you currently under contract?
No
Yes
If Yes, where?
2. If under contract, have you discussed your release with your current employer?
No
Yes
3. If under contract, what is the first date you would be available for employment?
-
Month
-
Day
Year
Date
4. Are you aware of any reason you would not be able to perform the essential responsibilities of the position for which you are making application?
No
Yes
If Yes, please explain:
5. Do you have a relative who is currently employed at Glenpool Public Schools or who is a member of the Glenpool Board of Education?
No
Yes
If Yes, please explain:
6. Have you ever been convicted of a felony or misdemeanor other than a traffic violation?
No
Yes
If Yes, please explain:
7. Have you ever been dismissed from employment with a public school or your contract non-renewed at the conclusion of a school term?
No
Yes
If Yes, please explain:
8. Please explain any gaps in employment which exceed 30 days in duration.
CONDITIONS OF EMPLOYMENT
Any candidate who is offered employment with Glenpool Public Schools understands and agrees to the following conditions of employment:
1. Must provide authorization for a felony record search.
2. Must sign annual criminal record questionnaire and be subject to annual random criminal background checks.
Smoking and/or the Use of Other Tobacco Related Products is Prohibited in ALL School Facilities and on ALL School Grounds.
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Please write a statement listing what you consider to be your major strengths as an educator and how the application of these strengths would be of benefit to the students in your classes.
***If you are applying for an Administrator position or a Special Education position, please fill out the appropriate supplemental questions on the following pages.***
I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge. I also understand that an employment contract based upon information contained in this application which later proves to be false or incomplete shall result in withdrawal of offer of employment or contract becoming null and void.
Glenpool Public Schools is authorized to contact all persons, firms, and entities listed in this application or related papers and/or others who are/were in a position to provide information relevant to the consideration of employment of this applicant. Such persons, firms, and entities are hereby authorized to release any information or records concerning me to the Glenpool School District and I hereby release said persons, firms, and entities from any/all liability as a result of their providing such information or records.
Signature of Applicant:
Date:
-
Month
-
Day
Year
Date
College Transcript 1
College Transcript 2
Teaching Certificate
Resume
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Questions on this page will appear only if you are applying for an Administrator position.
ADMINISTRATOR APPLICANT SUPPLEMENTAL QUESTIONNAIRE
This supplement to the standard application will permit the applicant to express his/her position on issues considered important to an administrative position with Glenpool Schools. Please answer each question as clearly and as concisely as possible. Please relate each response to the administrative position for which you are applying.
Applying for the position of:
Please list previous administrative experience (responsibilities, locations, and length of service in each position).
1. Describe your preferred leadership style. (Explain or give short examples.)
2. Please list what you consider to be the five most important characteristics of an exceptional teacher.
3. Please state your philosophy regarding student discipline and cite methods of discipline that you have used effectively or that you feel would be effective in modifying behavior.
4. Define curriculum and instruction. What would be your role in regard to these vital educational components? What would be your first action regarding curriculum and instruction?
5. Please share the role you would take in the following five areas of curriculum and instruction:
A. Academic Standards
B. Data driven decision making
C. Teaching
D. Assessment of student learning
E. Professional development
6. Regarding curriculum and instruction, how would you lead your building in creating high expectations for students and determining if they are adequately prepared to exit high school?
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Questions on this page will appear only if you are applying for a Special Education position.
SPECIAL EDUCATION APPLICANT SUPPLEMENTAL QUESTIONNAIRE
1. What is your philosophy in regard to education for children with disabilities?
2. What is your definition of least restrictive environment?
3. What is your definition of inclusion?
4. What roles does the special educator play in providing the least restrictive environment for students with disabilities?
5. List the materials, techniques, and assessment instruments you would use in establishing your program for elementary/middle/secondary. Focus on the grade level for which you are applying.
6. What would you do to enhance and maintain your expertise in the field of special education?
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AREAS OF CERTIFICATION
(As you scroll through each list, hold down the Ctrl key and click on all that apply.)
0500 Prof School Services
0501 Superintendent
0502 Elem. Superintendent
0503 Secondary Principal
0504 Middle Level Principal
0505 Elementary Principal
0507 Vocational Administrator
0509 Audio/Visual Specialist
0511 Census & Attendance
0513 Librarian
0515 Library Media Specialist
0517 School Psychologist
0519 School Psychometrist
0521 Speech Language Pathologist
0523 Speech Pathologist
0524 Elementary Counselor
0525 School Counselor
0526 Secondary Counselor
0531 Curriculum Administrator
1000 Elementary Education
1001 Early Childhood
1002 Special Ed Kindergarten
1003 Early Childhood
1004 Four-Year-Olds & Younger
1501 Elementary Education
2000 Elem-Secondary Edu
2001 Art
2002 American Sign Language
2003 French
2004 Japanese
2005 German
2006 Russian
2007 Latin
2008 Italian
2009 Other Foreign Language
2010 Native American Language
2011 Spanish
2012 Chinese
2013 Music-Instrumental
2014 Music Theory
2015 Music-Vocal
2016 Turkish
2017 Health
2018 Greek
2019 PE / Health / Safety
2020 Dance
2021 Reading Specialist
2025 Cherokee
2027 Choctaw
2030 Kiowa
2075 Art Jr. High
2085 Music Jr. High
2090 PE Jr. High
2500 Special Education
2501 Emotionally Disabled
2503 Hearing Impaired
2505 Learning Disability
2507 Mentally Handicapped
2509 Physically Handicapped
2511 Visually Handicapped
2550 Blind / Visual Impairment
2552 Deaf/Hard of Hearing
2556 Mild-Moderate Disabilities
2558 Severe-Profound
3500 Business
3501 Accounting
3503 Business English
3505 Business Law
3507 Business Machines
3509 Business Math
3511 Career / Occup Inform
3513 Comp in Bus/Info Pro
3515 Economics
3517 Finance
3519 General Business
3521 Management
3523 Marketing
3525 Office Proc / Manage
3527 Shorthand
3529 Typewriting
3550 Business Education
3700 Foreign Language
3701 French
3703 German
3705 Latin
3709 Russian
3711 Spanish
4000 English/Language Arts
4001 American Literature
4003 English Literature
4005 Grammar & Composition
4007 Journalism
4009 Library Science
4011 Newspaper
4013 Speech & Drama
4015 World Literature
4017 Yearbook
4075 Language Arts Jr. High
4500 Home Economics
4501 Home Economics
4503 Adult / Family Living
4505 Career Education
4507 Child Dev / Parent Ed
4509 Consumer Education
4511 Nutrition Education
4513 Textiles / Clothing
4550 Family & Consumer Science
5000 Industrial Arts
5001 Drafting Technology
5003 Electric/Electronics
5005 Gen Industrial Arts
5007 Graphics
5009 Metal Technology
5011 Power Technology
5013 Wood Technology
5500 Mathematics
5501 Algebra
5503 Analysis
5505 Calculus
5507 Computer Science / App
5509 General Mathematics
5511 Geometry
5513 Linear Algebra
5515 Statistics
5517 Trigonometry
5550 Advanced / Secondary Math
5552 Intermediate Math
5575 Math Jr. High
6000 Science
6001 Anatomy / Physiology
6003 Biology
6005 Botany
6006 Chemistry
6007 Computer Applications
6009 Earth Science
6011 General Science
6013 Physical Science
6015 Physics
6017 Zoology
6050 Biological Sciences
6075 Science Jr. High
6500 Social Studies
6501 American History
6503 Ancient / Medieval History
6505 Black History
6507 Conserv Nat Resources
6509 Democracy
6511 Economics
6513 Geography
6515 International Problems
6517 Oklahoma History
6519 Sociology / Anthropology
6521 US Government
6523 World History
6550 US History / OK History / Govt / Econ
6552 World History / Geography
6554 Psychology / Sociology
6575 Social Studies Jr. High
7000 Specialized Service
7001 Occupational Therapy
7003 Physical Therapy
7005 School Nurse
7500 Career & Tech Edu
7501 Marketing
7503 Occupational Agriculture
7505 Occupational Home Economics
7507 Technical Education
7509 Trade and Industrial
7511 Vocational Agriculture
7513 Vocational Business
7514 Career & Technology Business
7515 Career & Technology Health
7517 Vocational Home Economics
7550 Agriculture Education
7559 Occupational Family & Con Science
7575 Career & Tech Family & Con Science
8000 Special Endorsements
8001 Aeronautics
8003 Athletic Coach
8005 Bilingual / Multiculture
8007 Computer Science
8009 Driver / Safety Education
8011 English as a Second Language
8013 Psychology
8015 ROTC
8017 Gifted and Talented
8019 Elementary Keyboarding
8021 Curriculum Supervisor
8500 Technology Education
8501 General Technology Engineering
8503 Communication Technology
8505 Construction Technology
8507 Manufacturing Technology
8509 Eng / Pwr / Transp Technology
8550 Technology Engineering
8575 Technology Engineering Jr. High
9800 Special Education Registries
9801 Autism
9802 Deaf-Blindness
9803 Multiple Disabilities
9804 Other Health Impairment
9805 Traumatic Brain Injury
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