SOS Personnel, LLC

Substitute Teacher Application 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 or Masters Degree
  • A Bachelor’s Degree
  • A High School Diploma or Associates Degree
  • If you are in NJ proof of 60 college credits
  • FBI Criminal Record Check result that is less than 1 yr old. Contact your State police and ask for fingerprinting. If you are in:

Delaware, the number to call is 1-800-464-4357

Pennsylvania, the number to call is

New Jersey, the number to call is

  • Recent TB Test or Chest X-Ray that is less that 2 years old
  • A Resume
  • An SOS application form
  • 2 Professional letters of reference
  • A valid form of ID
  • A completed W-9 form
  • Direct Deposit Form

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

Thank you for your interest in SOS Personnel.

Completed applications can be sent to:

SOS Personnel, LLC

48 Augustine Place,

Suite#200

Bear, DE. 19701

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

FOR OFFICE USE ONLY

Date R’cvd______

references______

TB Test______

Cert.______

resume______

W-9Form______

ID(s) ______

FBI______

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 Address:

City State Zip Code

Work/Other Phone (w/ area code):

E-mail address:

Date of Birth

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

School Name and Location / From / To / Receive Diploma? / GPA / Major / Minor/Special Courses
High School or
GED
College or University
(Undergrad)
Graduate School
Other Education

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

State / Type / Endorsement / Certificate/Folder # / Issue Date` / Expiration Date

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 the Equity Director, Tanisha Wilson, at 48 Augustine Place,Suite# 200, Bear, DE 19701.

Dear Applicant:

SOS Personnel asks that you complete and return the attached form with your application. It is a release allowing us to contact the Central Abuse Registry to checkwhether a candidate for hire is named as having abused a child. Please complete the blanks marked by an “x”.

Thanks.

Delaware Department of Human Services

REQUEST FOR CHILD ABUSE INFORMATION

Persons or agencies with authorized access to child abuse information must use this form to request information about a registered child abuse report. Complete a separate form for each family or individual.

Section I: To be completed by the person or agency requesting the information.
Requester: Last / First / or Agency Name
SOS Personnel, LLC / Telephone Number
(302) 276-2739
Street
48 Augustine Place / City
Bear / State
DE / Zip Code
19701
Relationship to the persons listed in Section II or III:
Employer
I have read and understand the legal provisions for handling child abuse information which are printed on the back of this form. I understand that this request will not be approved unless I have authorized access.
Signature of Requester / Date

Complete Section II if the purpose of this record check is employment, licensing or registration, or payment approval.

Section II: List the name and address of the person whose record is being checked.
Last / First / Middle / Birth Date / Social Security Number
Street / City / County / State / Zip Code
List maiden name, any previous married names, and any alias:

Complete Section III if the request is for a copy of the written summary of the abuse investigation or assessment.

Section III: Request for written summary.
Parent’s Name(s): Last / First / Middle / County / Birth Date / Social Security Number
Street / City / State / Zip Code
List maiden name, any previous married names, and any alias:
Children’s Name(s) (Attach additional pages if necessary):
Last / First / Middle / County / Birth Date / Social Security Number
Section IV: Registry or designee decision.
This request for information is approved.
This request for information is denied because:
Signature / Date

SOS PAYROLL REQUEST Direct Deposit Authorization Form

Name: ______Social Security Number: ______

Direct Deposit Instructions:

Direct Deposits are distributed to ONE account!! The account specified below will receive 100% of net pay.

The following account is the ONLY account to be used for direct deposit with SOS Personnel, LLC:

Account Number: ______

Routing Number: ______

Please circle one: Checking or Savings

Bank Name ______

Bank Address ______

______