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ALLEN PARISH SCHOOL BOARD

ACADEMIC PATHWAYS to SUCCESSFUL BEGINNINGS ACADEMIC PATHWAYS to SUCCESSFUL BEGINNINGS

Online Teacher Application

ALLEN PARISH SCHOOL BOARD
P. O. DRAWER C
1111 WEST 7TH AVENUE
OBERLIN, LOUISIANA 70655
PHONE (337) 639-4311 – FAX (337) 639-2346

APPLICATION FOR EMPLOYMENT
(Teacher)

Please Fill Out The Online Teacher Application Below

Personal Information

Name

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Phone Number(s)

Social Security #

Educational Information

High School Name

High School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Year Graduated

Type of Degree

Major/Minor

Undergraduate College/University Name

Undergraduate College/University Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Year Graduated

Type of Degree

Major/Minor

Graduate College/University Name

Graduate College/University Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Year Graduated

Type of Degree

Major/Minor

Is your degree in education? If your answer is no, please specify.

Certification

Do you hold a Louisiana Teaching Certificate

Yes

Applied For

Certificate #

List all areas of certification on your certificate:

Do you hold an Out-of-State Certificate?

Yes

Certificate # & Issuing State

Are you currently on a TAT (Temporary Authority to Teach Certificate)?

Yes

Are you currently on an OFAT? (Out of Field Authorization to Teach)?

Yes

List area(s)

Were you ever on an OFAT?

Yes

List parish(s)

Area(s)

Are you currently on a PL (Practitioner License)?

Yes

List type and area

NTE/Praxis

Have you taken all parts of the NTE/Praxis?

Yes

List Scores NTE

Communication Skills

Professional Knowledge

General Knowledge

List Scores Praxis

Pre-Professional Skills Test: R

Pre-Professional Skills Test: W

Pre-Professional Skills Test: M

Certification Area & Score

Principles of Learning & Teaching: K-6

Principles of Learning & Teaching: 5-9

Principles of Learning & Teaching: 7-12

Teaching Experience

Indicate total number years of experience:

Allen Parish

Other Louisiana Public Schools

Private Schools

Out-of-State

Number of Years

Dates

If retired, list year:

If retired, list type:

Service

DROP

Disability

Out-of-State

Employment History (Please list all teaching experience. Official verification will be required for payroll.)

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From...To)

Total Years

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From…To)

Total Years

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From...To)

Total Years

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From...To)

Total Years

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From...To)

Total Years

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From...To)

Total Years

School System

School Name

School Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Position Held Grade/Subject Taught

Dates (From...To)

Total Years

Reporting Information

Answers to the following questions are voluntary at this time and will not be used to make employment decisions. Answers will be required upon job offer and will be used for reporting purposes.

Date of Birth

Sex

Race

Child Protection Act Information

Have you ever been convicted of a felony?

Yes

If yes, give offense, date, and outcome.

Professional References

Name

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Business

Phone #

Name

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Business

Phone #

Name

Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Business

Phone #

Certification of Accuracy

I hereby certify that the information and documentation contained herein and attached hereto are true and accurate to the best of my information, knowledge, and belief. I understand that any false or inaccurate information will result in my application being refused for further consideration and, if hired, will result in my immediate dismissal from employment.

Signature

Date

Please attach a copy of your current teaching certificate and transcript.

The Allen Parish School Board is an equal opportunity employer, we are dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion, or national origin, or physical defects.

Email a copy to

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