M P S

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M

ADISON

P

UBLIC

S

CHOOLS

MADISON, NJ

A

PPLICATION FOR

C

ONSULTANT

P

OSITION

TO THE APPLICANT: Please complete the information requested.

Name: ________________________________________________________________

Phone/E-mail: _________________________________________________________

Current Employer or attach a resume:_____________________________________

Please attach the following:

Teaching Certificate or Current Substitute Certificate (if working with our students)

Verification of Fingerprinting – Approval Letter

Consulting Position: ____________________________________________________

School Location of Position: ______________________________________________

Duration of Position ( during the school year

): __________________________________

Cost of the Position and where funding is coming from (ie. proceeds of the event):

________________________________________________________________________

_________________________________________________________________________

Consultant Signature Date

---------------------------------------------------------------------------------------------------------------

Student Athletics & School Principals:

When requesting an individual to be a consultant, please complete the information requested.

________________________________________________________________________________

Assistant Principal Date

________________________________________________________________________________

Principal Signature Date

Return to Personnel Office

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