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
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Student Athletics & School Principals: When requesting an individual to be a consultant, please complete the information requested.
________________________________________________________________________________
Assistant Principal Date
________________________________________________________________________________
Principal Signature Date
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