AINSWORTH COMMUNITY SCHOOLS
Application for Employment
Certified Staff
520 EAST 2ND STREET, PO BOX 65 (402) 387-2333AINSWORTH, NEBRASKA69210-0065
Application for position in the Ainsworth Community Schools shall be submitted on the forms provided by the District Office. A transcript, college credentials and references should be on file prior to consideration for employment. Items submitted for consideration cannot be returned.
When you have completed the application, return it to: District Office
Ainsworth Community Schools
PO Box 65
AinsworthNE 69210-0065
Applications remain on file until the start of the school year for which the position was hired. References for all applicants are thoroughly reviewed. The Ainsworth Community Schools does not discriminate on the basis of race, color, religion, sex, age, disability, marital status, or national origin in its educational programs or activities and complies with Title IX of the Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act and other applicable state and federal laws and regulations relating to equality of opportunity. Vacancies are filled by selection of the best applicants available.
YOU WILL RECEIVE NO FURTHER REPLY UNLESS EXTENDED AN INVITATION TO INTERVIEW
REQUIRED APPLICATION MATERIALS
I have enclosed the items checked below. I will arrange to have my college/university send all required credentials and transcripts as soon as possible. I understand that obtaining a Nebraska teaching certificate is my responsibility and that employment, initial and continuous, is based upon my securing such a certificate.
__ 1. Application Letter__ 4. College Transcript
__ 2. Application Form__ 5. Credential file
__ 3. Resume__ 6. Teaching certificate (copy)
I confirm that all my answers to the questions in this employment application are accurate and complete. I understand that employment consideration will be contingent upon the accuracy, completeness and acceptability of the information furnished, and that falsification of this application in any detail is grounds for disqualification from further consideration or for dismissal from employment.
I authorize any former employer, educational institution, government unit, Nebraska Child Abuse/Neglect Central Registry or other person or entity having such records or information concerning me to furnish such records or information requested by the AinsworthCommunitySchools or their duly authorized representative. I understand in executing this authorization I waive the right of such information to be privileged or private and release such person or entity from all liability in connection with such release of information.
All statements contained in this application are considered a part of the working agreement if the applicant is selected. Selection of all employees shall be by the action of the Board of Education upon recommendation of the Superintendent of Schools without regard for race, color, religion, sex, age, disability, marital status or national origin.
Have you ever received a ticket, been charged with an offense, been arrested or been convicted for a criminal
offense relating to sexual or physical abuse?Yes _____ No _____
Describe:______
Has there been any formal work related claim or work related legal proceeding filed against you? YES _____ NO _____
If yes, please attach explanation.
I have ______, have applied for______, or am able to be certified for _____, a Nebraska Teaching Certificate.
______
DateSignature of Applicant Social Security Number
Position Subject to Veterans Preference 1 of 4
PERSONAL
Indicate areas of special interest, training or experience:
Annual_____Basketball_____G _____ B _____
Cheerleader_____Cross Country_____
Classroom Sponsor_____Football_____
Drama_____Golf_____ G _____ B _____
Mock Trial_____Track_____
Destination Imagination_____Volleyball_____
Speech_____Wrestling_____
Other______
Other subject areas you may have extended hours in but not be certified. How may semester hours do you have in the following areas?
Biology_____History_____
Chemistry_____Math_____
Computer Science_____Physics_____
Elementary Education _____Physical Education _____
English_____Special Education_____
Foreign Language_____Other_____
ADDITIONAL INFORMATION
Please provide any additional information that you believe will assist us in arriving at an accurate estimate of your qualifications.
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REFERENCES
A minimum of three references are required. Include superintendents, principals, or supervisors under whom you have taught and who have firsthand knowledge of your character, personality, scholarship and teaching ability. Please complete if references are not included on your resume.
1.
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NAMEOFFICIAL POSITION
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COMPANY NAMESTREET/BOX
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CITYSTATEZIPTELEPHONE NUMBER
2.
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NAMEOFFICIAL POSITION
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COMPANY NAMESTREET/BOX
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CITYSTATEZIPTELEPHONE NUMBER
3.
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NAMEOFFICIAL POSITION
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COMPANY NAMESTREET/BOX
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CITYSTATEZIPTELEPHONE NUMBER
4.
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NAMEOFFICIAL POSITION
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COMPANY NAMESTREET/BOX
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CITYSTATEZIPTELEPHONE NUMBER
5.
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NAMEOFFICIAL POSITION
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COMPANY NAMESTREET/BOX
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CITYSTATEZIPTELEPHONE NUMBER
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