Substitute Teacher Application

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SOS Personnel

Substitute Teacher Request for Consideration Form

Dear Applicant:

Thank you for your interest in becoming a substitute teacher for SOS Personnel. The requirements for becoming a substitute teacher are listed below.

• A teaching certificate (if you have one)
• Proof of a Degree
• FBI Clearance
• Child Abuse Clearance
• State Criminal Record Check
• Recent TB Test or Chest X-Ray that is less that 2 years old
• A Resume
• An SOS application form (can be found on the SOS website)
• 2 Professional letters of reference
• A valid form of ID
• A completed W-9 form

Your request will not be considered complete until all of the above requirements have been met. Please allow 2 weeks for it to be processed. If your request is approved, you willbe contacted by email or phone.

Thank you for your interest in SOS Personnel. If you have questions, please contact us at

FOR OFFICE USE ONLY

Date R’cvd______

references______

TB Test______

Cert.______

resume______

W-9Form______

ID(s) ______

Clearances______

Direct Deposit______

GENERAL INFORMATION What is the first available date you can start?

Today’s Date

Name: Social Security No______

Address:

City State Zip Code

Home Phone (w/ area code):

Work/Other Phone (w/ area code):

E-mail address:__ Date of Birth

Are you a Citizen of the United States ______Are you legally able to work in the United States? ______

EDUCATION AND TRAINING

Choose highest grade or years completed:

Formal education: 1 2 3 4 5 6 7 8 9 10 11 12

College or Other: 1 2 3 4 5 6 7

CERTIFICATION/LICENSESif any (please attach a copy to this application).

List any special skills, experience, or relevant organizational affiliations:

EMPLOYMENT RECORD or TEACHING EXPERIENCE: Please list any teaching experience or student teacher assignments. BEGIN ON THE FIRST LINE WITH YOUR PRESENT OR MOST RECENT POSITION AND WORK BACK. ATTACH AN ADDITIONAL SHEET IF NECESSARY.

PRESENT EMPLOYMENT:

Are you presently employed? YES NO If not, please explain:

REFERENCES - Please list the contact information for 2 business references, such as supervisors, co-workers, and subordinates.

NamePosition/Business relationshipOrganization Phone

In which grade levels are you willing to substitute? (Check all that apply)

PK-67-12

In addition to your major and minor fields, in what classes/courses are you willing to substitute? Please place a Y next to positions you will take, and an N next to positions you will not. If you do not mark anything it will be assumed you will not fill that position and those jobs will not be available to you.

____Art____German (Secondary)

____Band/Vocal/Orchestra (Secondary)____Home Economics/Consumer Science (Secondary)

____Business Education (Secondary)____Language Arts/English/Reading (Secondary)

____Elementary Art____Math (Secondary)

____Elementary Media____PE/Health (Secondary)

____Elementary Music____PK-3/K-6 (All General Education Classes)

____Elementary Special Education Associate____Science/Biology/Chemistry (Secondary)

____Elementary Special Education Teacher____Social Studies/History/Economics (Secondary)

____Elementary PE____Special Education Associate (Secondary)

____French (Secondary)____Special Education Teacher (Secondary)

____Spanish (Secondary)

It is the policy of SOS Personnel not to discriminate on the basis of race, creed, color, religion, national origin, gender, age, marital status, veteran status, disability, or socioeconomic status in its educational programs, activities, or employment practices.

If you believe you have been discriminated against or treated unjustly at school, please contact Tanisha Stewart, at P.O. Box 1022, New Castle, DE 19720.