Your Information

Name(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Date Available(Required)

How did you hear about our school and possible openings?(Required)

Position(s) desired(Required)

Full time

Part time

Substitute

Indicate schedule preference:(Required)

Indicate areas of interest(Required)

Indicate grade or subject preferences for Elementary(Required)

Indicate grade or subject preferences for Middle School(Required)

Indicate grade or subject preferences for Preschool(Required)

Indicate grade or subject preferences for Athletics(Required)

Please specify(Required)

Educational Background

Include all post high school degrees and in-process degrees.

Institution(Required)

Degree Level(Required)

Date received(Required)

GPA(Required)

Institution 2

Degree Level 2

Date received 2

GPA 2

Institution 3

Degree Level 3

Date received 3

GPA 3

Institution 4

Degree Level 4

Date received 4

GPA 4

Institution 5

Degree Level 5

Date received 5

GPA 5

Teaching Or Other Certification

Include in-process certifications.

Issuing Institution(Required)

Certification level(Required)

Date received(Required)

Renewal Date(Required)

Institution issuing certification 2

Certification level 2

Date received 2

Renewal Date 2

Institution issuing certification 3

Certification level 3

Date received 3

Renewal Date 3

Institution issuing certification 4

Certification level 4

Date received 4

Renewal Date 4

Education Courses

Include courses that are currently in-process.

Institution(Required)

Course(Required)

Unit Total(Required)

Date completed(Required)

Institution 2

Course 2

Unit Total 2

Date completed 2

Institution 3

Course 3

Unit Total 3

Date completed 3

Institution 4

Course 4

Unit Total 4

Date completed 4

Institution 5

Course 5

Unit Total 5

Date completed 5

Expertise(Required)

Special Abilities(Required)

What areas do you feel are your strengths and weaknesses?(Required)

Technology Skills(Required)

Textbook Preference(Required)

Future Plans(Required)

Personal Philosophy

Answer each of the following questions with a short paragraph

Why do you want to teach at this school?(Required)

What do you consider to be a proper classroom environment for learning?(Required)

What is your personal philosophy of classroom discipline? What role does classroom management play in today’s classroom?(Required)

Please summarize any additional information you would like to present regarding your candidacy for this position.(Required)

References

Please do not list family members or relatives for references

Personal References

Give three references who are qualified to speak about you as a role model.

Name(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Name 2(Required)

Relationship 2(Required)

Phone 2(Required)

Email 2(Required)

Name 3(Required)

Relationship 3(Required)

Phone 3(Required)

Email 3(Required)

Professional References

Give three references who are qualified to speak of your professional training and experience. List your current or most recent principal or supervisor first.

Name(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Name 2(Required)

Relationship 2(Required)

Phone 2(Required)

Email 2(Required)

Name 3(Required)

Relationship 3(Required)

Phone 3(Required)

Email 3(Required)

Essential Job Functions

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations?(Required)

Yes

No

Describe the functions that cannot be performed. Is there anything that the school can do to reasonably accommodate your needs so that you would be qualified to perform the duties and responsibilities of this position?(Required)

Applicants Certification and Agreement

Check the box next to each section and sign below

Agreement 1(Required)

I fully agree to the following statements and certify that I have understood and agree to all of the following statements.(Required)

I hereby certify that the facts set forth in this application are true and complete to the best of my knowledge. I understand that discovery of falsification on any statement or a significant omission of fact may prevent me from being hired, or if hired, may subject me to immediate dismissal regardless of the time elapsed before discovery. If I am released under these circumstances, I further understand that I will be paid and receive benefits only through the day of release.

I authorize the school to thoroughly investigate references, work records, evaluations, education, social media (such as Facebook), and other matters related to my suitability for employment.

I consent to and authorize references and former employers and co-workers to disclose to the school any and all employment records, performance reviews, letters, reports and other information related to my employment, without giving me prior notice of such disclosure.

In addition, I hereby release the school, my former employers, coworkers, references, and all other parties from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I waive the right to ever personally view any references given to the school.

Since I will be working with children, I understand that I must submit to a fingerprint check by the FBI and possibly other federal and state authorities. I agree to fully cooperate in providing and recording as many sets of fingerprints as are necessary for such an investigation.

I understand that the school does not discriminate in its employment practices against any person because of race, color, national or ethnic origin, gender, age or disability.

I understand that this is only an application for employment and that no employment contract is being offered at this time. Should an offer of employment be made, I hereby certify that I am able to provide documentation that verifies my eligibility to work in the United States.

Transcripts(Required)

Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 10 MB.

Per the application instructions, please attach electronic copies or scan of your transcripts (unofficial or official).

Applicant’s Name(Required)

Electronic Signature(Required)

Date(Required)

myYACA

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