SUBSTITUTE TEACHER’S APPLICATION
BILLINGS PUBLIC SCHOOLS
415 N 30TH ST, BILLINGS, MT 59101
(406) 247-3876
Personal
Name SSN
Last First MI
Address
Street City State Zip
Home Phone ( )
Have you the right to work in the US? Yes No
Hire is subject to verification that applicant meets legal age and US work permit requirements.
Have you ever been terminated from a job? If yes, where and why
Have you, since the age of 18 or within the last 7 years (whichever is more recent), ever been convicted of a felony? If yes, describe briefly.*
*A conviction will not necessarily bar an applicant from employment.
I have previously applied for employment with Billings Public Schools been employed by Billings Public Schools NA
Position Date
Education
Name City State Major/Subject Degree
High School
College
College
Grad. School
Trade School
Teaching Experience
Please list additional teaching experience on a separate piece of paper and attach it to this application.
District District
Address Address
Position Position
Dates Dates
Contact Person Contact Person
Phone Phone
Employment Record
Beginning with your present or last position, list the last three jobs you have held.
Employer Supervisor
Address Phone
Dates From To Position Held
Reason for Leaving
Duties
Employer Supervisor
Address Phone
Dates From To Position Held
Reason for Leaving
Duties
Employer Supervisor
Address Phone
Dates From To Position Held
Reason for Leaving
Duties
An Equal Opportunity Employer: Billings Public Schools does not discriminate on the basis of age, race, color, religion, sex, marital status, handicap or national origin.
I hereby certify that the information presented on this application is true, accurate and complete. I authorize the investigation of all statements contained herein and understand that the agents of Billings Public Schools may review any document relevant to this information. I understand that misrepresentation or omission of pertinent facts may be cause for dismissal.
Signature Date