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WINNSBORO ISD WINNSBORO TX 75494 An Equal Opportunity Employer
Employment Application for Professional Personnel |
It is the policy
of Winnsboro ISD not to discriminate on the basis of race, color,
national origin,
sex, age, disability, religion or political beliefs in its educational
and vocational
programs, activities, or employment as required by
Title IX, Section 504 and Title VI. |
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PERSONAL
Date of Application _______________ Social Security Number ___________________________ Name
____________________________________________________________________ Last
First
Middle Initial Address
_________________________________________________________________________ Street/ PO Box City State Zip Code Other
address or phone where you may be reached __________________________________________ Work Phone No.
__________________________Home Phone No. __________________________
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POSITION Position for which you are applying ____________________________________________ Attach these credentials: resume, all teaching and professional certificates, all transcripts showing degree, current teachers’ service record. Date available _________________ Former Winnsboro ISD employee Yes _____ No _____ If yes, give dates of employment ______________________________________________ Bilingual? Yes
___ No ___ |
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EDUCATION / TRAININGName of School and Location |
Course of Study Major/Minor Fields |
Date of Diploma, Degree or certificate |
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CERTIFICATION
Type certificate held: None Valid Valid (Other state) Administrator Superintendent Principal Mid-Management Counselor Elementary Early Childhood Secondary |
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All Level Art All Level Health/PE All Level Music Librarian Nurse Special Education (specify) _______________ Vocational (specify) _______________ |
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List any special permits and expiration dates: |
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TEACHING EXPERIENCE
List teaching experience beginning with most recent years. |
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Name of School and
Location |
Assignment |
Dates Employed |
Reason for Leaving |
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Total creditable years
_____ (full time teaching in college, public school, or in an accredited
private school is creditable) |
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Please provide a complete
listing of all other jobs or administrative positions you have held in the
past 10 years. |
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School District/Firm Name |
Position/Title |
Dates Employed |
Reason for Leaving |
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PROFESSIONAL DATAPublications/articles:
Seminars, workshops conducted: Other related professional activities: |
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GENERAL
INFORMATION Do you have any physical or health impairments that would limit your ability to perform the job(s) for which you are applying? Yes ___ No ___ If yes please explain: Do
you have a relative who is either a member of the Winnsboro ISD Board of
Education or who is employed in any
capacity in the Winnsboro ISD? Yes
___ No___ If yes, please give the name of the
relative, relationship, and
position held: Have
you ever been convicted of a felony or offenses involving moral turpitude
and/or received probation or deferred
adjudication? Yes ___ No___
If yes, explain: (Conviction of a felony is
not an automatic bar to employment.
The district will consider the nature, date, and relationship between
the offense and the position for which you are applying.) |
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REFERENCES Please list
below references that may be contacted regarding your work history. |
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Full Name |
District/Firm |
Dates Employed |
Position/Title |
Phone number |
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Describe your educational philosophy. |