teaching application - Cambridge Isanti Schools

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CAMBRIDGE-ISANTI PUBLIC SCHOOLS #911
625A Main Street North
Cambridge MN 55008
HUMAN RESOURCES
Telephone No.: 763-689-6214 Human Resources Fax No.: 763-689-6200
Thank you for your interest in a teaching position with Cambridge-Isanti School District #911, Cambridge,
Minnesota. This information is provided to assist you with the application process, screening and the selection
process.
Only complete files are considered during the screening process. In order to have a complete file; the following
items must be on file at our office:
1. A completed and signed employment application.
2. A copy of an official or unofficial transcript.
3. A copy of your placement file or credentials forwarded from your college or university. If you do not
have a current credential file open, please provide at least three recent letters of recommendation from
persons familiar with your work involving children/students/youth.
4. A copy of a Minnesota teaching license or demonstrate your ability to obtain one. Questions
concerning licensing can be addressed to the Personnel Licensing Section at the Minnesota Department
of Education at (651) 582-8691.
Completed files are screened based on the following criteria:
1. Quality of experiences working with children/students
2. References and credentials
3. Academic preparation
4. Special skills/training and experience that relate to the goals and objectives of District #911 Public
Schools
Candidates that are selected for interviews will be interviewed by a team consisting of building administrators
and other team member(s). Candidates will be recommended to fill vacancies based upon the quality of their
paperwork, the diversity of their experience, and their responses during the interviews.
References will be checked thoroughly prior to a recommendation for hire being submitted to the Board of
Education. Application materials remain in our active files one-year from the date of application.
Any questions related to District #911 hiring process should be directed to the Human Resources department.
CAMBRIDGE-ISANTI PUBLIC SCHOOLS #911
625A Main Street North
Cambridge MN 55008
TEACHING APPLICATION
Telephone No.: 763-689-6214 Human Resources Fax No.: 763-689-6200
This form must be filled out completely. All information will be treated confidentially.
PERSONAL INFORMATION
Date
Name
Phone (H)_______________(W)_______________(Cell)
(Email)
Home Address__________________________________City_______________State________Zip
Work Address__________________________________City_______________State________Zip
Position Applying for:
Do you have the legal right to work in the United States?
Yes
Have you ever been convicted of a crime? Yes
If yes, when, where, and nature of offense?
No
No
Have you ever been dismissed from employment or refused re-employment? Yes
If YES, please explain
CERTIFICATION INFORMATION
Do you have a valid Minnesota Teaching License? Yes
If NO, Have you applied for one?
Yes
No
No
No
Teaching License Number
Expiration Date
Area(s) of Certification
Undergrad Major
Graduate Major
Undergrad Minor
Undergrad GPA
Graduate Minor
EDUCATION AND PROFESSIONAL TRAINING (List most recent first.)
List High Schools, Colleges, Universities
Attended
Location
Degree/
Licensure
Majors/Minors
LIST ALL WORK HISTORY (most recent first)
Name of Institution/Address
Work Reference
Job Title/Duties
Supervisor Name/Phone
Dates of
Employment
Reason for
Leaving
PERSONAL REFERENCES (Do not list relatives)
Name/Complete Address/Daytime Phone
Occupation
How do you know
this person?
BEFORE FINAL CONSIDERATION FOR EMPLOYMENT, IT IS THE APPLICANT’S RESPONSIBILITY TO
PROVIDE TRANSCRIPTS OF COLLEGE CREDITS, PLACEMENT REFERENCES AND EVIDENCE OF/OR
ELIGIBILITY FOR CERTIFICATION AS REQUIRED FOR THE POSITION APPLIED FOR.
CERTIFICATION OF INFORMATION AND AUTHORIZATION FOR RELEASE:
READ CAREFULLY: I certify that I have read and understand the provisions of this application, and of any documents
which accompany the application. My questions, if any, have been asked and answered to my satisfaction. I hereby authorize District
#911 to inquire and verify any information contained on this application for employment, and the school district shall not be liable for
any damages which may result from such inquiry or verification.
I certify that the information furnished in or accompanying this application is true, complete and correct. I understand and
agree that any falsification, misrepresentation, distortion or omission with respect to such information, whether pertaining to this
application or other aspects of the pre-hiring process, will be sufficient reason for: (1) my not being offered employment; or (2) my
dismissal at any time if employed. I understand that any offer of employment is conditional until a Criminal Background Check has
been successfully completed (Minn. Statute 123B.03).
SIGNED
DATE
District 911 Public School is an equal opportunity/affirmative action employer.
Cambridge-Isanti School District does not discriminate in admission or access to, or treatment or
employment in, its programs and activities.
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