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  • A. Personal Data:

  • Not required at this time. Only Upon Job Offer.
  • Accepted file types: doc, docx, pdf, jpg, jpeg, rtf, eps, tiff, png, Max. file size: 50 MB.
  • B. Employment Preference:

  • Please list grade levels you are certified to teach.
  • C. Academic & Professional Information:

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  • Please list in order of preference the positions for which you are certified

    (To be completed by Certified Staff Only)
  • High School

  • College or University Under Graduate

  • College or University Graduate

  • D. Record of Educational Experience

    (For certified applicants only) Begin with most recent employment. A year of teaching is at least seven months of regular full-time teaching.
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  • E. Student Teaching or Practicuum Experience

    (For certified applicants only) List all areas and cooperating teachers.
  • F. Other Experience

    (For all applicants) Begin with most recent employment and include U.S. military service.
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  • F. Other Experience (contiuned)

  • G. References

    List in the spaces provided at least three or more references (not relatives) including administrative and supervisory personnel who have first-hand knowledge of your performance and/or future potential in the area for which you are applying. Please be sure to provide both work and home numbers, since references are often not available at work numbers during certain times of the year.
  • Motor Vehicle Operator Applicants

    If you are applying for a para-educator position which may require you to transport students. Please answer the following and provide any necessary explanation.
  • Terms and Conditions

    Your application will be filed according to the type of position(s) for which you are applying. You may inquire as to your employment status after you have supplied all requested information, including credentials (for certified applicants). NOTE: This application is valid for one year only from the date of application. Please notify us if you wish to keep this application on file. Requirements for Employment: If you are offered a contract, you must have an official transcript, credentials, a Kansas teacher's certificate and a current health certificate on file with the Cooperative Office before you will receive payment under the contract. If you provide false, inaccurate or incomplete information in this application form or in any interview or if you fail to disclose informa- tion requested in this application or in any interview, you will not be eligible for employment, or, if you are hired, you will be subject to termination. I have completed this application to the best of my knowledge and do swear that all information stated herein is accurate and complete. I, the undersigned, hereby give my permission to East Central Kansas Cooperative in Education, Baldwin City, Kansas, to make job related inquiry of any and all employers and references listed in this application. Requirements for Employment: If you are offered a contract, you must have an official transcript, credentials, a Kansas teacher's certificate and a current health certificate on file with the Cooperative Office before you will receive payment under the contract. If you provide false, inaccurate or incomplete information in this application form or in any interview or if you fail to disclose informa- tion requested in this application or in any interview, you will not be eligible for employment, or, if you are hired, you will be subject to termination. I have completed this application to the best of my knowledge and do swear that all information stated herein is accurate and complete. I, the undersigned, hereby give my permission to East Central Kansas Cooperative in Education, Baldwin City, Kansas, to make job related inquiry of any and all employers and references listed in this application.
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  • Type your full name here
  • Equal Opportunity Employer

    Inter-Local #614 does not discriminate on the basis of sex, race, color, national origin, disability, or age when considering applicants for employment. Any questions regarding the Board's compli- ance with Title VI, Title IX, Americans with Disability Act, or Section 504 may be directed to the local Title IX Coordinator, who can be reached at (785) 594-2737; 715 Chapel Street; Baldwin City, KS. 66006-0041, or the Kansas Title IX Coordinator who can be contacted at (785) 296-2424, 120 S.E. 10th Avenue; Topeka, KS. 66612-1182, or to the Assistant Secretary of Civil Rights, U.S. Department of Education.
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