Substitute Teaching Applicants:

Please fill out the attached application pages, W-4s and I-9. Please bring with your completed substitute application, W-4s and I-9 (along with acceptable I-9 documentation) your background check and sub certificate. All information should be brought to:

Michelle LaFollette

Strafford R-VI Schools

201 W. McCabe

Strafford, MO 65757

To Potential Substitute Teachers:

As a substitute in the StraffordR-VISchool District, you are eligible to participate in the District's 403(b) Plan through CPI and Boehne Financial Group. If you are interested in learning details about the plan, please call Boehne Financial Group at 417-881-0009.

Cordially,

Michelle LaFollette

Application Process is "On-Line!"

1. 3M/Cogent captures your fingerprints.

Call for appointment @ 1-877-862-2425

or go to

2. Applicant applies for substitute

certificate on-line

under Web Applications (bottom left)

3. Mail original transcripts to DESE

(write in educator ID or SS number and "SUB CERT")

mail to DESE, Attn: Certification, PO Box 480,

Jefferson City, MO 65109

4. Certificate will be "issued" - not mailed.

Applicant can print a copy on your computer.

Background Check Procedures

Contact 3M/Cogent to schedule an appointment. You may telephone toll free 1-877-862-2425 or use the web application at

Information you will need when making your appointment.

Registration Number:

Certified Teacher #0744

Substitute Teacher#0745

Uncertified Staff#0746

Bus Driver#0747

The school district pays for full and part time employees to obtain a background check. Please see Michelle in the Central Office for a check.

Sorry, but we no longer reimburse substitutes for the cost of the background check.

Springfield Area Fingerprint Locations*

UPS #2459

334 E. Kearney

Springfield, MO65803

UPS #2605

1325 W. Sunshine

Springfield, MO 65807

* There are other area locations available.

SUBSTITUTE TEACHER APPLICATION

STRAFFORDR-VISCHOOL DISTRICT

201 W. McCABE ST

STRAFFORD, MO 65757

NAME______

LastFirstMiddle

PHONE NUMBER______

Home numberCell number

BIRTHDATE______SOCIAL SECURITY NUMBER______

ADDRESS______CITY______

STATE______ZIP CODE______

DO YOU HAVE A MISSOURI TEACHING CERTIFICATE? ______

IF YES, IS IT A LIFETIME CERTIFICATE?______

DO YOU HAVE A MISSOURI SUBSTITUTE CERTIFICATE?______

EXPERIENCE______
______

PLEASE LIST PREFERENCES IN REGARD TO SUBJECT AND GRADE LEVEL

______

______

REFERENCES: PLEASE LIST THREE

NAMEPHONE NUMBEROCCUPATION

______

______

______

DAYS YOU ARE AVAILABLE TO SUB:______

DATE______SIGNATURE______

STRAFFORD R-VI SCHOOL

EMPLOYEE PERSONAL INFORMATION

Name: ______Circle one: Mr.

(First) (Middle) (Last) Mrs.

Miss

Address: ______or Ms.

City: ______Zip Code: ______

Phone #: (_____) - ______Cell Phone # (_____) - ______

Social Security # ______- _____ - ______Email: ______

Marital Status: Single _____ Married ____ Birthdate: _____ - _____ - ______

Which building do you work in? ______

Contact Person in case of Emergency: ______

Relation to you: ______

Contact Phone # (s) ______

Hospital Preference: ______