FANNINDEL INDEPENDENT SCHOOL DISTRICT
APPLICATION FOR PROFESSIONAL EMPLOYMENT
We consider applicants for all positions without regard to race, color, national origin, age, religion, sex, marital or veteran status, the presence of a medical condition, disability, or any other legally protected status.
Personal Data / Date of Application______Social Security No. ______Name______
Last First Middle
Address______
Street/PO Box City State Zip Code
Home Telephone #(_____)______Work Telephone # (_____)______
Position for which you are applying______
Are you presently under contract with another school district? Yes No
If yes, name of school district______
Are you a former Fannindel ISD Employee? Yes No
If yes, give dates of employment______
Date available for employment______
Educational Background / List in order of most recent college/university/school and degree conferred.
Name of School and Location Course of Study Diploma, Degree, Year Graduated
Major/Minor or Certificate
Fields
Certification / Type of certificate held now
None
Valid Texas
Valid other state ______
Emergency (Texas)______(field)
Texas one-year certificate
______(expiration date)
Deficiency Plan______(field) / Areas of specialization
Administrator All level art
Superintendent All level PE
Principal All level music
Mid-management Coach
Elementary Librarian
Elementary & Counselor
Kindergarten ______(Specify)
Secondary Special Education
Jr. & Sr. High ______(Specify)
Nurse Other
______(Specify)
Teaching Experience / List teaching experience beginning with the most recent experience. Total creditable years__ (Full-time teaching in college, public school, or accredited private school)
Name of School Subject Taught/ Dates Reason for Leaving
and Location Position Held Employed
From:
Mo./Yr. / To:
Mo./Yr.
Professional & Other Work Experience / Please provide a complete listing of all other jobs or administrative positions you have held in the past five years. Attach additional sheets if necessary.
Name of School Type of Dates Reason for Leaving
and Location Position/Title Employed
From:
Mo./Yr. / To:
Mo./Yr.
References / Please list references that may be contacted regarding your work history. Please include all managers/supervisors at the last two employing organizations who evaluated or supervised your performance.
Full Name of School District/ Firm Name Position/Title Area Code/Telephone #
Reference and Location
General Information / Are you aware of any reasons you would not be able to perform the duties of the position for which you are applying? Yes No If yes, please explain:______
______
Do you have relatives serving on the Fannindel ISD Board of Trustees or employed in the Fannindel ISD in any capacity? Yes No If yes, please list the name of the relative(s), your relationship, and the position held:______
______
List extracurricular activities you would sponsor______
Do you speak a foreign language? Yes No If yes, what language?______
Are you a U.S. citizen or a legal immigrant? Yes No
Have you ever been convicted of a felony or offense involving moral turpitude (including, but not limited to theft, rape, murder, swindling, and indecency with a minor)? Yes No If yes, please state where, when, and the nature of the offense:______
______
(Conviction of a felony is not an automatic bar to employment. The district will consider the nature, date, and relationship between the offense and the position for which you are applying.)
Agreement / I hereby certify that the information provided in this application and any attachments, to the best of my knowledge, is true, accurate, and complete. Any falsification of this record will be sufficient cause for disqualification or dismissal from subsequent employment.
I hereby authorize the Fannindel Independent School District to make any investigations of my background deemed necessary. I further authorize all persons, schools, companies, corporations, credit bureaus, and law enforcement agencies, firms, or individuals and the Fannindel Independent School District, its agents and employees from any and all liability or responsibility arising from furnishing such information.
Furthermore, it is understood that this application becomes the property of the Fannindel Independent School District, which reserves the right to accept or reject. This application shall be considered active for one year.
Signature of Applicant______Date______
Please send application including attachment to perform criminal background check, resume, and copies of transcripts, service records, and certifications to:
FANNINDEL INDEPENDENT SCHOOL DISTRICT
ADMINISTRATION OFFICE
601 W. MAIN ST.
LADONIA, TEXAS 75449
CRIMINAL HISTORY RECORD INFORMATION REQUEST
Confidential*
The Fannindel Independent School District is required by Texas Education Code Chapter 22, Subchapter C to review the criminal history of applicants, employees, independent contractors, student teachers, and certain volunteers. The information requested below is necessary to obtain criminal history record information.
Please print.
Name______
Last First Middle
Social Security Number ______Date of birth ______
Driver’s License______
State and Number
Mailing Address______
Street City State Zip
Sex: Male Female Ethnicity: Black White/Other
I understand that the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment but will used solely for the purpose of obtaining criminal history record information.
______
Signature
______
Date
______
*This form will be removed from the application and filed separately in the HR office.