Fulton Independent School Certified application form
Fulton Independent School
The Fulton Independent School District does not discriminate on the basis of race, color, religion, sex, national or ethnic origin, political affiliation, marital status, age, or disabling condition, in employment or in the provision of services.
Name *
Full Name: Last, First, Middle
Address: Street, Route, etc. *
City, State, Zip Code *
Mailing Address: *
Telephone: Day/Evening *
Email *
Date Available: *
Social Security Number: *
(Optional) Race:
CERTIFICATION(S) (if pending please note)*A copy of a valid state certificate should accompany this application.*If you have only recently applied for Kentucky Certification, please indicate the date you made your application to Frankfort. *
Certified Position and/or extra curricular duties desired:*Specify grade & Content *
*FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A STATE CRIMINAL, HISTORY BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT. UNDER CERTAIN CIRCUMSTANCES, A NATIONAL CRIMINAL HISTORY BACKGROUND CHECK MAY BE AS A CONDITION OF EMPLOYMENT *
Required
Educational and Professional Preparation*Dates, Institution Attended, Degree Received, Subject (Please list all degrees) *
Teaching and/or administrative experience*(Please list in order of most recent work experience)Dates, Total years, Employers name & Address, Immediate Supervisor, Position or Assignment *
Work experience other than education (Please list in order of most recent work experience)*Dates, Total years, Employers name & Address, Immediate Supervisor, Position or Assignment
References: Name, Official Position, Mailing Address, City/State/Zip, Phone*Please give names of those who have closely observed your work in your role as an educator, employee, or as a student. Include at least two (2) references other than teachers or administrators. If you are a recent graduate, include the name of your supervising teacher. *
If you are currently employed by a School District please list name of district and if under contract is it limited or continuing. *
STATEMENT OF AGREEMENT: In applying for a certified position with Fulton Independent School District, I agree to assume responsibility for participation in school activities, professional development activities, committee work, Parent/Teacher Organization, faculty meetings, parent conferences, in addition to, providing the best possible educational experiences for the students in my charge. My digital signature hereby affirms that the information on this application is accurate and correct. *
Please submit your cover letter and/or resume to kim.farmer@fultonind.kyschools.us
Submit
Never submit passwords through Google Forms.
This form was created inside of Fulton Independent School District. Report Abuse