Buna Professional Application

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***SCHOOL NAME**** INDEPENDENT SCHOOL DISTRICT
AN EQUAL OPPORTUNITY EMPLOYER
TEACHER APPLICATION

DATE OF APPLICATION: *
DATE AVAILABLE: *
SOCIAL SECURITY NUMBER: *
PERSONAL DATA
NAME: (LAST, FIRST, MIDDLE) *
PRESENT ADDRESS: *
PERMANENT ADDRESS: *
POSITION DESIRED: INDICATE SCHOOL LEVELS AND SUBJECT AREAS IN WHICH YOU ARE PREPARED TO TEACH. GIVE PREFERENCE BY RANKING IN THE APPROPRIATE LEVEL OR SUBJECT AREA.
HIGH SCHOOL: INCLUDE SEMESTER HOURS
1.
2.
3.
MIDDLE SCHOOL: INCLUDE SEMESTER HOURS
1.
2.
3.
ELEMENTARY SCHOOL: GRADE LEVEL
1.
2.
3.
LIST HOURS IN SPECIAL FIELDS:
ART
HEALTH
MATHEMATICS
SCIENCES
READING
SOCIAL STUDIES
PE
MUSIC
LANGUAGE ARTS
SPECIAL EDUCATION
OTHERS
NAME FIELDS OF SPECIAL EDUCATION IN WHICH YOU ARE QUALIFIED:
TOTAL HOURS IN ELEMENTARY EDUCATION:

EDUCATIONAL AND PROFESSIONAL PREPARATION
WHAT IS YOUR OVERALL COLLEGE GRADE-POINT AVERAGE? EXAMPLES:(2.8/4.0; 2/8/3.0)
STUDENT TEACHING:
YES
NO
GRADE EARNED
GRADE OR SUBJECT IN WHICH YOU DID STUDENT TEACHING
SCHOOL
CITY, STATE
YEAR
PLEASE GIVE ALL INFORMATION CONCERNING TEXAS TEACHER CERTIFICATION HELD:
TYPE
NO. OF CERTIFICATE
DATE ISSUED
FIRST AREA CODE
SECOND AREA CODE
THIRD AREA CODE
ENDORSEMENT
ENDORSEMENT
ENDORSEMENT
WILL NEED AN EMERGENCY OR SPECIAL PERMIT TO TEACH IN TEXAS?
YES
NO
WILL YOU NEED A RENEWAL FOR EMERGENCY OR SPECIAL PERMIT?
YES
NO
HAVE YOU TAKEN THE NECESSARY HOURS FOR A RENEWAL OF YOUR EMERGENCY PERMIT?
YES
NO
IF CERTIFIED IN ANOTHER STATE, INDICATE WHICH ONE AND TYPE OF CERTIFICATE
(IT WILL BE THE RESPONSIBILITY OF THE APPLICANT TO SECURE A STATE TEACHING CERTIFICATE FROM THE STATE EDUCATION AGENCY)

LAST ELEMENTARY ATTENDED
CITY, STATE
DATES ATTENDED
LAST HIGH SCHOOL ATTENDED
CITY, STATE
DATES ATTENDED
DIPLOMA OR DEGREE
COLLEGE OR UNIVERSITY
CITY, STATE
DATES ATTENDED
DIPLOMA OR DEGREE
COLLEGE OR UNIVERSITY
CITY, STATE
DATES ATTENDED
DIPLOMA OR DEGREE

TEACHING EXPERIENCE
YEAR
NAME OF SCHOOL, CITY, STATE
GRADES & SUBJECTS TAUGHT
NO. OF MONTHS EMPLOYED
REASON FOR LEAVING
YEAR
NAME OF SCHOOL, CITY, STATE
GRADES & SUBJECT TAUGHT
NO. OF MONTHS EMPLOYED
REASON FOR LEAVING
YEAR
NAME OF SCHOOL, CITY, STATE
GRADES & SUBJECTS TAUGHT
NO. OF MONTHS EMPLOYED
REASON FOR LEAVING
ARE YOU EMPLOYED IN A SCHOOL DISTRICT NOW?
YES
NO
IF YES, WHY DO YOU WISH TO CHANGE?
WHY DO YOU WANT TO WORK IN THIS DISTRICT?

ADDITIONAL DATA
ARE YOU PHYSICALLY ABLE TO DO THE JOB FOR WHICH YOU ARE APPLYING?
YES
NO
HAVE YOU EVER BEEN TREATED FOR ANY MENTAL DISORDER?
YES
NO
HOW MUCH TIME HAVE YOU LOST FROM WORK DUE TO PERSONAL ILLNESS DURING THE LAST TWO YEARS?
IS THERE ANY REASON THAT WILL PREVENT YOU FROM ACCEPTING ANY SCHOOL ASSIGNMENT OR ATTENDING MEETINGS OR OTHER SCHOOL ACTIVIITES HELD AFTER REGULAR SCHOOL HOURS?
YES
NO
IF YES, EXPLAIN.
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 NEEDS OF THE DISTRICT. DO YOU UNDERSTAND IF EMPLOYED YOU ARE SUBJECT TO REASSIGNMENT AS NEED ARISES?
YES
NO
THIS APPLICATION, IF PROPERLY COMPLETED, WILL BE KEPT ON FILE FOR TWO YEARS. IF THE APPLICANT IS NOT APPOINTED, AND HE/SHE WISHES FOR THE APPLICATION TO REMAIN CURRENT, THEN RENEWAL MUST BE MADE IN WRITING. IF REQUEST FOR RENEWAL IS NOT RECEIVED, THE APPLICATION WILL BE DESTROYED.
DO YOU HAVE A RELATIVE WHO IS A MEMBER OF THE BUNA BOARD OF EDUCATION?
YES
NO
DO YOU HAVE A RELATIVE WHO IS EMPLOYED IN ANY CAPACITY BUNA ISD?
YES
NO
NAME OF RELATIVE
RELATIONSHIP
POSITION HELD
IF
IF

REFERENCES (GIVE NAME OF SUPERINTENDENTS, PRINCIPALS, MAJOR PROFESSORS, SUPERVISORS OF STUDENT TEACHING, COOPERATING TEACHER, AND ANY OTHERS WHO HAVE OBSERVED AND KNOWN YOUR WORK AS A STUDENT OR TEACHER.) OUR OFFICE WILL WRITE FOR RECOMMENDATIONS.
NAME
TELEPHONE NUMBER
POSITION
ADDRESS, CITY, STATE, ZIP
NAME
TELEPHONE NUMBER
POSITION
ADDRESS, CITY, STATE, ZIP
NAME
TELEPHONE NUMBER
POSITION
ADDRESS, CITY, STATE, ZIP

HAVE YOU EVER BEEN CONVICTED OF A FELONY OR OFFENSE INVOLVING MORAL TURPITUDE AND/OR RECEIVED PROBATION OR DEFERRED ADJUDICATION?
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.

PLEASE STATE YOUR PERSONAL PHILOSOPHY OF EDUCATION AS IT RELATES TO YOUR FIELD OF PREPARATION.
DO YOU HAVE ANY ADDITIONAL INFORMATION YOU FEEL WILL HELP US MAKE A BETTER DECISION IN OUR CONSIDERATION OF YOU FOR A POSITION.

SIGNATURE OF APPLICANT
REMINDERS TO APPLICANTS: ATTACH COMPLETE COPY OF TRANSCRIPT, ATTACH COPY OF TEACHER CERTIFICATE
Email a copy to (optional).
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