Substitute Teacher Application

Please complete the form below. Required fields marked with an asterisk *

Date*

Answer required for "Date"

Contact Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email*

Answer required for "Email"

Phone*

Number Required

Home Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Personal and Professional Information

Do you have any physical limitations that would affect the type of work to be performed?*

Answer required for "Do you have any physical limitations that would affect the type of work to be performed?"

Yes

If "Yes", please explain.

Answer required for "If \"Yes\", please explain."

Are you an American Citizen?*

Answer required for "Are you an American Citizen?"

Yes

Have you ever been convicted of a crime?*

Answer required for "Have you ever been convicted of a crime?"

Yes

If "Yes", what? Where?

Answer required for "If \"Yes\", what? Where? "

Do you claim veteran's preference?*

Answer required for "Do you claim veteran's preference?"

Yes

If "Yes", please list branch and dates of service.

Answer required for "If \"Yes\", please list branch and dates of service."

Education History

Please indicate the highest level of education that you have successfully completed:*

Answer required for "Please indicate the highest level of education that you have successfully completed:"

High School

2 Years College

4 Years College

More than 4 Years of College

High School Name, Location, and Graduation Year*

Answer required for "High School Name, Location, and Graduation Year"

College Name(s), Graduation Year(s), and Degree(s)

Answer required for "College Name(s), Graduation Year(s), and Degree(s)"

Employment Experience

Please list the name of your current or most recent employer*

Answer required for "Please list the name of your current or most recent employer"

Current employer phone number

Answer required for "Current employer phone number"

Current employer address

City & State

Answer required for "Current employer address"

Immediate Supervisor/Title

Answer required for "Immediate Supervisor/Title"

Your Job Title/Position

Answer required for "Your Job Title/Position"

Job Duties (brief statement - be sure to list all duties related to position)

Answer required for "Job Duties (brief statement - be sure to list all duties related to position)"

Date Started

Answer required for "Date Started"

Date Ended

Answer required for "Date Ended"

Reason for leaving

Answer required for "Reason for leaving"

Please list 2 additional previous employers and dates of employment

Answer required for "Please list 2 additional previous employers and dates of employment "

Job Related Skills

List any experience, skills, training or experience you have which would benefit you in substituting.*

Answer required for "List any experience, skills, training or experience you have which would benefit you in substituting."

Please list any background you have working with children.*

Answer required for "Please list any background you have working with children."

Do you hold a valid Montana Teaching Certificate? (Certification in NOT necessary to be a substitute)

If "Yes", please include a copy with this application.

Answer required for "Do you hold a valid Montana Teaching Certificate? (Certification in NOT necessary to be a substitute)"

Yes

Information regarding your eligibility for Montana certification may be secured from: Director of Certification, Office of Public Instruction, Helena, MT 59620. This district does not assume any responsibility for your certification.

References

List three people who are not related to you, including current or former employers or supervisors, who can provide information about you character, attitide, and recent work experience.

Reference # 1 First and Last Name, Position, & Phone Number*

Answer required for "Reference # 1 First and Last Name, Position, & Phone Number"

Reference # 2 First and Last Name, Position, & Phone Number*

Answer required for "Reference # 2 First and Last Name, Position, & Phone Number"

Reference # 3 First and Last Name, Position, & Phone Number*

Answer required for "Reference # 3 First and Last Name, Position, & Phone Number"

Please upload 3 Letters of Reference

Answer required for "Please upload 3 Letters of Reference"

Choose a file or drag it here.

I understand that in filing this application my work experience, character, attitude, and related information is subject to investigation to determine the desireability of my employment with the Whitehall School District, and that this information will be kept confidential. I grant permission for such an investigation to be conducted. If I am selected for an interview, I understand I may have to undergo a name-based and fingerprint criminal background investigation to determine if I have been convicted of certain criminal or drug offenses.*

Answer required for "I understand that in filing this application my work experience, character, attitude, and related information is subject to investigation to determine the desireability of my employment with the Whitehall School District, and that this information will be kept confidential. I grant permission for such an investigation to be conducted. If I am selected for an interview, I understand I may have to undergo a name-based and fingerprint criminal background investigation to determine if I have been convicted of certain criminal or drug offenses."

Yes, I understand and grant my permission.

Signature*

Signature Required

Please fix the highlighted areas below before submitting.

Substitute Teacher Application