Certified Application: Teacher, Principal, Admin

Certified Application

Please complete the following information as your formal application for the position.  If you have a resume/cover letter you would like to send, please email that to spavlica@oakgrove.k12.mo.us

Your Name: 
 

Email Address:  

Phone:  

Position Desired/Grade Level/Subject: 

Salary Desired:  

Are you currently legally authorized to work in the United States?     Yes    No

Have you ever worked for Oak Grove School District? Yes    No

If yes, when?  

Have you ever been convicted of a felony?  Yes    No

If yes, please explain:  

Are you currently under contract?  Yes    No

If so, enter date contract ends:  

Total years experience as a K-12 teacher:  

What is the highest college degree you have earned?  

How many credit hours have you earned beyond above degree?  

Do you hold a Certificate to teach in Missouri? Yes    No
 


EDUCATION

Name of High School:  

City/Location:  

Did you graduate?  Yes    No

COLLEGE or UNIVERSITY ATTENDED:  

City/Location:  

Date of Attendance:  

College Degree Earned: 

Area of specialization:  

Semester Hours in Major:  

Semester Hours in Education:  

Total Credit Hours:  

Additional Education:  

Location:  

Date of Attendance Additional Ed:  

Degree:  
 


MISSOURI TEACHING CERTIFICATES

Education Certification Subject:

Education Certification Type:
Initial Professional Certificate 
Career - 99 year Certificate
Initial Administration
Career Administration
Other:  

Grade Level:
 B-3
 K-3

 K-8
 1-6
 1-8
 6-12
 7-12
 9-12
Other:  

Effective Date:  

Expiration Date:  

Additional current certifications (subject/type):  

Substitute Certificate: Yes     No
 


TEACHING EXPERIENCE

School currently employed with: 

Grade/Subjects:  

Dates of Service:  

Number of years:  

Salary:  

Please list grade level and subject area of student teaching experience:

List experiences with extra curricular activities that you have been involved:

EMPLOYMENT QUESTIONS

Have you ever been non-renewed?   Yes    No
If so, from where?  

What was the reasoning for being non-renewed?
 

Why do you wish to leave your present position? 

Why do you wish to teach at Oak Grove? 

Of what professional organizations are you a member?

What professional recognition have you had?

Additional qualifications and comments:  

 


REFERENCES

Reference #1: Name, address, phone, email, and their title/position:
 

Reference Name #2: Name, address, phone, email, and their title/position:

Reference Name #3: Name, address, phone, email, and their title/position:



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