Substitute Application - Stevensville Public Schools

Date *

Name *

First Middle Last

Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Phone *

Email *

Social Security Number *

Employment Reference 1 (Name, Address, Phone) *

Employment Reference 2 (Name, Address, Phone) *

Job Preference *

Grade Preference *

K-3
4-6
7-8
9-12

(If selecting Teacher or Paraprofessional, please check grade preference.)

If a certified teacher, please list endorsements/Folio No/Class

Sub Length Preference *

Long Term
Short Term
Both

Would you be interested in a Full-Time position? *

Yes
No

Are you available Monday - Friday? *

Yes
No

If no please explain

Finished?

Please click this box when your application is complete.

All Applicants Must Read and Sign

I hereby authorize Stevensville School District #2 to inquire from any of my former and current employers and references regarding my background, employment, and performance and to confirm the accuracy of the information I have provided in this application. I release and hold the District harmless from any liability arising from such inquiry. I understand that misrepresentation or omission of information requested is cause for dismissal, and I affirm that the information provided in this application in complete and accurate.

Signature