MIDVALE SCHOOL DISTRICT #433

Text Box:

 

Substitute Application

Contact Information

Name

 

Street Address

 

City ST ZIP Code

 

Home Phone

 

Work Phone

 

E-Mail Address

 

Availability

During which days are you usually available for substitute assignments?

Monday

Thursday

Tuesday

Friday

Wednesday

 

Interests

Tell us in which areas you are most interested in substituting.

Office/Clerical

Primary (K-grade 3)

Elementary (Grade 4-6)

Junior High (Grade 7-8)

High School

Kitchen

Custodial

Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment or through other activities, including hobbies or sports. Speak specifically concerning your interaction with children.

 

Previous Work Experience

Summarize your previous work experience or attach a resume listing work experience.

 

Educational Background

Summarize your educational background.

 

Person to Notify in Case of Emergency

Name

 

Street Address

 

City ST ZIP Code

 

Home Phone

 

Work Phone

 

E-Mail Address

 

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a substitute, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Name (printed)

 

Signature

 

Date

 

Our Policy

It is the policy of this school district to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.  Per Idaho Code , all employees must be fingerprinted and undergo a background check.

Thank you for completing this application form and for your interest in working with us.

 

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Copyright 2010 | All Rights Reserved | Karen L. Piper