Certified Application

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

1. All persons wishing to be considered for employment must complete the Application for Employment.

2. Applicants shall be screened on the basis of their application and references. Personal interviews are scheduled with selected applicants.

3. Applications will be considered active for twelve (12) months from the date filed. If you are hired, it becomes part of your official employment record.

A COMPLETE APPLICATION CONSISTS OF THE FOLLOWING:

Completed and signed application form.
Up-to-date resume
Copy of Praxis Score Report, NTE Scores or OAE Scores
Copy of relevant licenses or certificates
Copy of transcript

Personal Information

First Name

Answer Required

Middle Name

Answer Required

Last Name

Answer Required

Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Position that you are applying for. (List subjects and/or grades in order of preference.) Be specific. Must be certified/licensed or able to get licensed in each area of choice.

Answer Required

Are you currently under contract to another district?

Answer Required

Yes

If Yes, when does the contract expire?

Answer Required

Date available for employment

Answer Required

Have you ever taught under a continuing contract?

Answer Required

Yes

If yes, the school district and date a continuing contract (tenure) was granted:

Answer Required

Upload a copy of your Ohio license/certification

Answer Required

Choose a file or drag it here.

If Ohio licensing is in progress, list subjects/grades you anticipate receiving licensure.

Answer Required

If you hold a valid teaching license from another state please upload it here.

Answer Required

Choose a file or drag it here.

List extra-curricular activities in which you are interested and willing to supervise or coach:

Answer Required

Have you ever served on school-related committees?

Answer Required

Yes

If yes, please specify

Answer Required

Education

Please share your education history. (High School/College, Location, Field/Major, Degree) Please list all colleges and universities attended.

Answer Required

Student Teaching

School and Address

Answer Required

Supervising Teacher

Answer Required

Subject or Grade Level

Answer Required

Other Training, if any

Answer Required

Professional Experience (most recent position first). Include employer's name, supervisor's name and contact information.

Answer Required

Employment other than teaching/education (most recent position first). Include employer's name, supervisor's name and contact information.

Answer Required

Educational References:

1. Applicant must provide three references and must include current employer if employed, or last employer if not currently employed.

2. Applicants who are beginning teachers registered with a college placement office must include a reference from student teaching supervisor.

3. References from relatives or persons who can evaluate only your personality and character are not acceptable.

Reference 1 (Name)

Answer Required

Reference 1 (Contact Information)

Answer Required

Reference 1 (Relationship to Applicant)

Answer Required

Reference 2 (Name)

Answer Required

Reference 2 (Contact Information)

Answer Required

Reference 2 (Relationship to Applicant)

Answer Required

Reference 3 (Name)

Answer Required

Reference 3 (Contact Information)

Answer Required

Reference 3 (Relationship to Applicant)

Answer Required

Additional Information:

Check appropriate answer. Candidates are subject to a criminal/background check, including fingerprinting.

Have you ever been suspended, dismissed, fired, or discharged from a position of employment?

Answer Required

Yes

Have you ever been asked to resign from a position of employment?

Answer Required

Yes

Have you ever had a teaching certificate/license suspended or revoked?

Answer Required

Yes

If your answer to any of the above questions is yes, please explain below.

Answer Required

Please give a candid description of yourself, stressing those personal qualities which you feel characterize your work and abilities.

Answer Required

Please describe any experiences which you feel have significantly contributed to your abilities for the position you are seeking.

Answer Required

Please upload a copy of your resume

Answer Required

Choose a file or drag it here.

Please upload a copy of your Praxis Score Report, NTE Scores or OAE Scores

Answer Required

Choose a file or drag it here.

Please upload a copy of your transcript

Answer Required

Choose a file or drag it here.

READ CAREFULLY BEFORE SIGNING:

The undersigned applicant hereby expressly authorizes the Wheelersburg Local School District Board of Education, its agents, and its employees to check references, obtain transcripts from educational institutions, investigate my personal or employment or employment history, and perform other investigations as allowed by law.

I recognize that under Ohio Revised Code 3319.39(A), the District must request a criminal background check from the FBI and Bureau of Criminal Investigation, unless certain exceptions apply. If I have been convicted of an offense described by Ohio Revised Code 3319.39(B), or other applicable laws and regulations, I may not be eligible for employment. Any offer of employment is contingent on a successful background check in compliance with Ohio law. Accordingly, I authorize the District perform statutorily required background checks.

Furthermore, I recognize that in compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

In consideration of the review of my employment application by the Wheelersburg Local School District Board of Education, its members, officers, agents or its employees, I hereby release the Wheelersburg Local School District Board of Education and any and all providers of information to whom this release is sent, from any liability as a result of furnishing or receiving this information. A copy of this consent and release shall be considered as a duplicate original.

I have read the information contained in this application carefully and the information I have given is true and accurate. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.

ANY PERSON WHO KNOWINGLY MAKES A FALSE STATEMENT IS GUILTY OF FALSFICATION UNDER SECTION

2921.13 OF THE REVISED CODE, WHICH IS A MISDEMEANOR OF THE FIRST DEGREE.

Signature*

Signature Required

If any of your educational or employment records are under any other name(s) other than the above name, please provide other name(s):

Answer Required

Please fix the highlighted areas below before submitting.

Certified Application