Applying for Mississippi Teaching Certificate by kvq20301

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									                                                                                                                            (Revise d March, 2002)
                                    PROFESSIONAL EMPLOYMENT APPLICATION
                                           Lauderdale County School System
                                         P. O. Box 5498, Meridian, MS 39302

 Name _____________________________________________________________________
        Last                 First                          Middle/Maiden                                           Please Check:

 Race _________ Sex _________
                                                                                                                    _____ Instructional
                                                                                                                    ______ Administrative
 Social Security # _____________________ Date of Birth ______________                                               ______ Substitute
 Present Address __________________________________ _______________

 City _________________________ State ________ Zip ___________                          POS ITIONS PREFERRED: In order of preference, list
                                                                                        position, grade level(s), and subject in which you will be
 Area Code ________ Telephone __________________________
                                                                                        certified in the State of M ississippi
 Permanent Address __________________________________________                           1. ______________________________________
                               Street
                                                                                        2. ______________________________________
 City _________________________ State ________ Zip ___ ________
                                                                                        3. ______________________________________

 Area Code _______ Telephone ______________________                           Date: ______________________________

 S CHOOLS             NAME AND ADDRES S OF INS TITUTION                     DATES        DEGREE         GPA       AREA OF S PECIALIZATION

 High S chool

 College

 Graduate

 Post Graduate


M ississippi Certificate #_____________________ Class _________     Type __________ Expiration Date _________________

Areas of Current Endorsement             (A)________________________________(B)________________________________

Subjects with 18 or more hours           (A)________________________________(B)________________________________

Praxis Exam Score: ______________ Subject Area Score       ________________ Common or Core Battery Scores

 List names of four employment references, including principals (present and/or last) supervisors, and superintendents. Begin ning
 teachers must have a reference from the directing teacher and principal of school where internship was completed as well a s from the
 college supervisor of student teaching. Please give correct addresses which are legible and complete.

            NAME                            ADDRESS                                    POSITION                TELEPHONE




                                        Lauderdale County School System does not discriminate on
                                           the basis of sex, race, color, national origin, age, or
                                                                  handicap
                                                               (Revise d March, 2002)
PROFESSIONAL EMPLOYMENT APPLICATION
       Lauderdale County School System
     P. O. Box 5498, Meridian, MS 39302




  Lauderdale County School System does not discriminate on
     the basis of sex, race, color, national origin, age, or
                            handicap
Past Employment Record (Start with present position include student teaching if completed within the last 5 years)
SCHO O L O R FIRM and                                 DATES           NUMBER O F      PO SITIO N, GRADE          REASO N FO R
CO MPLETE ADDRESS                                                     MO NTHS         AND SUBJECT                LEAVING




List professional activities and honors before and since graduation . _______________________________________________________
____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

What position of leadership or responsibility have you held in school, work? ________________________________________________
____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

What professional organizations are you affiliated with? __________________________________________________________________
____________________________________________________________________________________________________________________

What periodicals do you read? _________________________________________________________________________________________
____________________________________________________________________________________________________________________

Are you presently under contract with any school system? ________________
What school system? ___________________________________________ until ____________________________________________
When is the earliest you could begin work here? _______________________________________________
Have you ever been asked to resign, been discharged, or failed to be reemployed for a teaching or administrative position?
_______________ If yes, give details
__________________________________________________________________________
____________________________________________________________________________________________________________________

Have you ever been convicted of an offense other than a misdemeanor? ________________
If yes, explain ________________________________________________________________________________________________________
____________________________________________________________________________________________________________________


READ CAREFULLY
The information contained herein is true and represents me accurately. If employed, I agre e to abide by all the policies approved by the
Board of Trustees and will cooperated fully with inservice programs for professional improvement. I agree that any omissions or false
statements will constitute reasons for dismissal.


                                                                ________________________________________________________
                                                                                  Signature of Applicant
              APPLICATION INSTRUCTIONS -CERTIFIED PERSONNEL

                                         Lauderdale County School System
                                        P.O. Box 5498, Meridian, MS 39302


To be considered an official applicant to the Lauderdale County School System, the following must be completed:

1. APPLICATION FORM - Completed, dated, and signed.

2. MISSISSIPPI CERTIFICATION - Before a teaching certificate can be issued by the State Department of
      Education,
      all prospective teachers applying for a Mississippi Certificate for the first time must take the Praxis Examination
      and make a prescribed score on the commons or core battery and subject area examination; scores will vary
      depending upon the subject area. Scores on the Praxis must be reported directly to the Office of Teacher
      Certification, State Department of Education, P. O. Box 771, Jackson, MS 39205 in order to secure a teaching
      certificate. If you do not have a valid certificate, you must apply for one and be eligible to receive a certificate
      before you will be considered for employment in the Lauderdale County School System. Application forms can be
      obtained from the Personnel/Planning Office or by writing the State Department of Education at the above address
      or by calling (601) 359-3483.

3. RECOMMENDATIONS - At least three references received from those listed on the application.
      Recommendation forms will be sent directly from the Personnel Office to the persons listed. Unless otherwise
      directed in writing, these recommendations are confidential and the applicant waived the right of review.

4. TRANSCRIPTS of all college and/or university work received.

5. RESUME may be attached to your application.

6. INTERVIEWS - After all of the above information has been evaluated, the top applicants will be invited for personal
      interviews before a person or before a screening committee.

7. STATUS OF APPLICATION - Because of the large number of applications received and because of time and fiscal
      constraints, you may not be contacted unless you are invited for an interview. Your understanding would be
      appreciated. Applications will remain in the active file only for the school year for which applicant is applying and
      then they will be classified as inactive unless the applicant notifies the Personnel/Planning Office in writing to keep
      the application current.

8. IF EMPLOYED, you must furnish the Lauderdale County School System with the following:
       (a) Mississippi certification, (b) birth certificate, and (c) verification of prior teaching experience (if applicable).


Your application is greatly appreciated. Thank you for your interest in the Lauderdale County School System.




                                   Lauderdale County School System does not discriminate on the basis of
                                   sex, race, religion, color, national origin, age or handicap.
                                                               (Revise d O ctobe r, 1987)
PROFESSIONAL EMPLOYMENT APPLICATION
       Lauderdale County School System
     P. O. Box 5498, Meridian, MS 39302




  Lauderdale County School System does not discriminate on
     the basis of sex, race, color, national origin, age, or
                            handicap

								
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