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 firstname.lastname@example.org
Position Desired/Grade Level/Subject:
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
Name of High School:
Did you graduate? Yes No
COLLEGE or UNIVERSITY ATTENDED:
Date of Attendance:
College Degree Earned:
Area of specialization:
Semester Hours in Major:
Semester Hours in Education:
Total Credit Hours:
Date of Attendance:
MISSOURI TEACHING CERTIFICATES
Education Certification Subject:
Education Certification Type:
Initial Professional Certificate
Career - 99 year Certificate
Additional current certifications (subject/type):
Substitute Certificate: Yes No
School currently employed with:
Dates of Service:
Number of years:
Please list grade level and subject area of student teaching experience:
List experiences with extra curricular activities that you have been involved:
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:
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: