Substitute Teacher Application

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

Date*

Answer Required

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Phone*

Number Required

Home Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Personal and Professional Information

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

Answer Required

Yes

If "Yes", please explain.

Answer Required

Are you an American Citizen?*

Answer Required

Yes

Have you ever been convicted of a crime?*

Answer Required

Yes

If "Yes", what? Where?

Answer Required

Do you claim veteran's preference?*

Answer Required

Yes

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

Answer Required

Education History

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

Answer Required

High School

2 Years College

4 Years College

More than 4 Years of College

High School Name, Location, and Graduation Year*

Answer Required

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

Answer Required

Employment Experience

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

Answer Required

Current employer phone number

Answer Required

Current employer address

City & State

Answer Required

Immediate Supervisor/Title

Answer Required

Your Job Title/Position

Answer Required

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

Answer Required

Date Started

Answer Required

Date Ended

Answer Required

Reason for leaving

Answer Required

Please list 2 additional previous employers and dates of employment

Answer Required

Job Related Skills

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

Answer Required

Please list any background you have working with children.*

Answer Required

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

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

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

Answer Required

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

Answer Required

Please upload 3 Letters of Reference

Answer Required

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

Yes, I understand and grant my permission.

Signature*

Signature Required

Please fix the highlighted areas below before submitting.

Substitute Teacher Application