Ipswich Public School District 22-6 Application

Please complete the form below. Required fields marked with an asterisk *

Today's Date*

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Position interested in: (Teaching Base is $43,000 for 23-24 school year)

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Contact Information

First Name*

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Middle Name

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Last Name*

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Email 1*

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Mobile Phone*

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Home Phone

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Position for which you are applying:*

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Educational Preparation:*

Please list course of study, degree, certificates or licenses achieved and year graduated

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Student Teaching experience:*

Please list name of school, location, grades or subjects taught, dates and cooperating teacher

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Certification*

Certificate or license currently held

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None

Valid South Dakota Teacher Certification

Valid Other State

South Dakota Emergency Certification

Other:

List extra curricular fields you have directed/coached or would be interested in directing or coaching*

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List teaching experience beginning with most recent years*

Please provide name and location of school, type of assignment, dates taught, and reason for leaving,

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In the box below, briefly describe one or more of your principle beliefs about public education, teaching or learning.*

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Resume Upload*

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Choose a file or drag it here.

Cover Letter Upload*

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Choose a file or drag it here.

Professional certificate or licenses

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Choose a file or drag it here.

Are you a Veteran or the spouse of a deceased Veteran?

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Yes

Unsure

Have you ever convicted of or pleaded guilty or no contest to a felony or offense involving moral turpitude ( including, but not limited to, theft, rape, murder, swindling, or indecency with a minor)?

Answer Required

Yes

If yes, please state where, when, and the nature of the offense: also indicate whether the charges were dismissed as a condition of probation, suspension, or deferred adjudication.

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Has your professional license ever been revoked?*

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Yes

Is disciplinary action currently pending anywhere against you or your certificate?*

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Yes

References*

Please list references that may be contacted regarding your work history. Please include direct supervisor in charge of performance evaluations at the last two employing organizations.

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Please check the boxes next to each statement as an affirmation of your understanding of the following:

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I understand that a background investigation will be conducted to verify the authenticity and completeness of the information furnished by me.

I hereby authorize the release of information by all previous employers regarding my job performance.

I certify that there are no misrepresentations, omissions, or falsifications in the foregoing statements, and that the answers and the entries made by me above are true, complete, and correct to the best of my knowledge and belief, and are made in good faith.

I further agree and consent in advance to being summarily discharged without cause or hearing if any of the above information contains any misrepresentations or falsification or if any material information has been omitted.

Thank you for expressing an interest in Ipswich Public School 22-6.

IMPORTANT NOTE: Before final consideration for employment, the candidate must have on file, with this application, a copy of teaching certification, a complete set of transcripts, and credentials or three letters of recommendation. It is the candidate’s responsibility that all of these materials are provided. All candidates must qualify for South Dakota Teacher Certification/License prior to employment.

The Ipswich Public School District 22-6 does not discriminate in its employment policies, or in its educational programs, on the basis of race, color, creed, religion, age, gender, marital status, disability, national origin, or ancestry.

Office for Civil Rights

US Department of Education

One Petticoat Lane

1010 Walnut St, 3rd Floor, Ste 320

Kansas City, MO 64106

Ph# 816-268-0550

Fx# 816-268-0599

TDD# 800-877-8339

Email: [email protected]

Please fix the highlighted areas below before submitting.

Ipswich Public School District 22-6 Application