Employment Sub

Frankston Independent School District

Employment Application For Substitute Teacher
Personal Data
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Phone Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Other name that may appear on records

First NameLast Name
(Used for certification, reference, and criminal history record checks.)
Are you receiving Teacher Retirement System (TRS) retirement benefits?*

YesNo
Are you employed as a part-time employee by a TRS-covered employer?*

YesNo
Required to determine if the district will be assessed a monthly surcharge as required by TRS rules.
Please choose the days you are available to substitute and your assignment preferences.*

Every dayMondayTuesdayWednesdayThursdayFridayAny assignmentElementaryMiddle SchoolHigh SchoolSpecial Education
Preferred campus:*

ElementaryMiddle SchoolHigh School
Credentials included with application:*

ResumeAll teaching and professional certificates or licensesAll transcripts showing degrees
Date*

MonthDayYear
Date
Have you been employed by Frankston ISD in the past?*

YesNo

Education & Training*

Rows	Name and location of school attended	Course of study and major/minor	Diploma, degree. certificate, or license granted	Year graduated (College Only)
Education & Training
Education & Training
Education & Training
Education & Training

Certificates of Licenses Currently Held:*

NoneValid TexasValid Other StateTexas One-Year(out-of-state/country):
Other:
Category/Level(s) of Certification:
Areas of Specialization/Supplemental Certificates/Endorsements(as listed on Certification)

Teaching Experience*

Rows	School #1	School #2	School #3	School #4
Name and location of school
Type of assignment
Dates taught
Principal's name and phone number
Reason for leaving

Please provide a list of all other jobs or administrative positions you have held in the past 10 years. Attach resume if available.*

Rows	Employer #1	Employer # 2	Employer #3	Employer #4
Employer name and location
Position/title held
Dates employed
Supervisor's name
Supervisor's phone number
Reason for leaving

Please list references the district can contact regarding your work history.*

Rows	Full name of reference	School district/firm name	Mailing address	Position/title	Area code/phone number
References
References
References
References

Have you ever been convicted of, pled guilty or no contest (nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or any offence involving moral turpitude(including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)?*

YesNo
If yes, please state where, when, and the nature of the offence:
A felony conviction is not an automatic bar to employment. The district will consider the nature, date, and relationship between the offence and the position for which you are applying.)
I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment.

I authorize the references listed on the previous page to give you any all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to you.
I understand that the district is required by Texas Education Code to review the criminal history of applicants.*

YesNo
Signature*
Date*

MonthDayYear
Date
This application becomes the property of the district. The district reserves the right to accept or reject it.
*Applicants for all positions are considered without regard to race, color, sex (including pregnancy), national origin, religion, age, disability, genetic information, veteran, or military status, or any other legally protected status. Additionally, the district does not discriminate against an applicant who acts to oppose such discrimination or participants in the investigation of a complaint related to a discriminating employment practice.
Attach Resume:

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Frankston Independent School District

Personal Data