Tannehill Public School
9283 Tannehill Road • McAlester, OK 74501 • Tel 918-423-6393 • Fax 918-423-3068
Last Name / First Name / Middle / PhoneSocial Security Number Position for which you are applying Birth Date
Current Address
Street / City / State / Zip / How Long AtThis Address
Previous Address
Street / City / State / Zip / How Long AtThis Address
EDUCATION AND TRAINING
College or University / City / State / Dates of Attendance / Degree / Date of DegreeUndergraduate Major or Area of Specialization / Minor / Total Hours of Undergraduate Credit
Graduate Major or Area of Specialization / Minor / Total Hours of Graduate Credit
Activities, Hobbies and Special Interests
High School / City / State
Practice Teaching (if entry year)
School Name / Address / Phone / Supervising TeacherProfessional Credentials
Do you hold an Oklahoma Teaching Certificate? / License Number / Expiration Date / Type of CertificateTeaching Experience
From / To / Name and Address of Employer / Position Held / Reason for LeavingWHAT WAS THE ANNUAL SALARY FOR YOUR LAST POSITION?
DO YOU HAVE A CURRENT LICENSE TO DRIVE A SCHOOL BUS?
ARE YOU CURRENTLY UNDER CONTRACT WITH ANOTHER SCHOOL?
MAY WE CONTACT YOUR CURRENT EMPLOYER?
ARE YOU ABLE TO PERFORM ALL TASKS ASSOCIATED WITH THE POSITION FOR WHICH YOU ARE APPLYING? YES NO
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
WHEN ARE YOU ABLE TO BEGIN WORKING
FOR TANNEHILL SCHOOL?
GIVEN A CHOICE, NUMBER THE GRADE LEVELS THAT YOU ARE QUALIFIED TO TEACH IN ORDER OF YOUR PERSONAL PREFERENCE.
SELF CONTAINED CLASSROOM
PRE-K KINDERGARTEN 1ST GRADE 2ND GRADE 3RD GRADE
4th GRADE 5TH GRADE 6TH GRADE 7TH GRADE 8TH GRADE
LIST ANY SUBJECT AREAS THAT YOU ARE QUALIFIED TO TEACH IN ORDER OF YOUR PERSONAL PREFERENCE.
1. / 2. / 3. / 4. / 5.PROFESSIONAL REFERENCES
NAME / ADDRESS / PHONE / POSITIONNON-TEACHING EXPERIENCE –Please include military service
DATE / NAME OF EMPLOYER / ADDRESS / POSITION/RANK / REASON FOR LEAVINGIN ADDITION TO THIS APPLICATION PLEASE SUBMIT A COPY OF YOUR:
o RESUME
o COLLEGE TRANSCRIPTS
o TEACHING CERTIFICATE
o LETTERS OF REFERENCE
Authorization:
I hereby certify that all information set forth in this employment application is true and complete to the best of my knowledge.
I hereby authorize Tannehill School District representatives to investigate my background and to contact all references given and authorize those references to disclose information. I release Tannehill School District and/or any person, organization or previous employer from any and all liability that may result from any investigation into my background. I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts is cause for dismissal without notice at any time during my employment.
I agree, if employed, to follow all rules and regulations of Tannehill School District.
I agree to promptly notify the school district personnel of any changes in my address or contact information during my employment.
I understand that if employed by the district I will be subject to reassignment as need arises. I further understand that all personnel of the school district, regardless of classification, are employed, subject to assignment, and/or reassignment by the superintendent or by his official designated representative based upon the need of the district.
I also affirm that I am not related by blood or affinity to any member now serving on the Tannehill Board of Education.
The language in this application is not intended to create, nor is it to be construed as a contract of employment. By signing this employment application, I agree to the terms stated in this authorization.
Signature______Date______