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.