TEWKSBURYTOWNSHIPSCHOOL DISTRICT

173 Old Turnpike Road

Califon, New Jersey 07830

908-439-2010Phone

908-439-2655 Fax

EMPLOYMENT APPLICATION

Name of Candidate ______

Present Address ______

Telephone ______Cell Phone ______

Email Address ______

Social Security # ______

POSITION SOUGHT

_____ Substitute _____ Student Teacher/Observer/Intern

Indicate grades/subjects in order of preference ______

______

Indicate by grade any children you have in the district ______

Date ______

Note: The applicant should exercise the greatest care in preparing this application. Information provided herein becomes a legal part of the contract with reference to selection. Please do not omit any item.

PERSONAL DATA

  1. Provide title and grade of certificate you hold: ______
  1. Date you are able to begin work: ______
  1. List special interests (sports, arts, clubs, foreign language, etc.)

______

______

______

  1. List college activities engaged in, and honors received before or since graduation.

______

______

______

  1. Provide any additional information, which you believe will assist us in arriving at a true estimate of your qualifications. Copies of testimonials may be included.

______

______

______

______

Title IX
The TewksburyTownshipSchool District does not discriminate on the basis of sex in it employment practices and is required not to do so by title IX of the Educational Amendments of 1972. Inquiries may be made to the Office of the Superintendent of Schools. / Title VI
The TewksburyTownshipSchool District does hereby guarantee each child in its public schools equal educational opportunity, and all persons equal access to all categories of employment, regardless of race, color, creed, religion, sex, ancestry, national origin, or social or economic status and is required to do so by Title VI of the New Jersey Administrative code. Inquiries may be made to the Office of the Superintendent of Schools

EDUCATIONAL HISTORY

Name of School and location. Include High School, College, Graduate Work / Dates / Time Spent / Semester Hours Credit / Diploma Degree / Major Subject and Semester Hours Credit / Minor Subject and Semester Hours Credit

EXPERIENCE

(Show last or present position first)

Name of School/Service and Location / Dates
From To
Mo/Yr Mo/Yr / # of Months / Nature of Work
(Specify grades/subject)

REFERENCES

These should be persons qualified to provide any information to show your fitness for the position you seek. Please include Superintendents and Principals under whom you have taught.

Name / Address / Occupation / Phone #

ADMINISTRATIVE COMMENTS

(Mandatory for all substitute requests)

Preferred Candidate ______

Non-preferred Candidate ______

Salary entitled ______

Signature/Date:

Screened by:Superintendent ______Date: ______

Principal ______Date: ______

Other ______Date: ______

NOTE: I understand that any deliberate misstatement of fact or omission from this application can, in the event that I am hired, subject me to immediate dismissal.

______

Applicant’s Signature

MANTOUX TEST RESULTS ______

Mantoux Test Date ______