SOS Personnel, LLC Substitute Teacher Application Form Dear Applicant: Thank you for your interest in becoming a substitute teacher for SOS Personnel. The requirements for becoming a substitute teacher are listed below. o A teaching certificate or Masters Degree Please send in which o A Bachelor’s Degree ever applies to you o A High School Diploma or Associates Degree o If you are in NJ proof of 60 college credits o FBI Criminal Record Check result that is less than 1 yr old. Contact your State police and ask for fingerprinting. If you are in: Delaware, the number to call is 1-800-464-4357 Pennsylvania, the number to call is New Jersey, the number to call is o Recent TB Test or Chest X-Ray that is less that 2 years old o A Resume o An SOS application form o 2 Professional letters of reference o A valid form of ID o A completed W-9 form o Direct Deposit Form Your application will not be considered complete until all of the above requirements have been met. After your application is received, please allow 2 weeks for it to be processed. If your application is approved, you will be contacted by mail or phone. Thank you for your interest in SOS Personnel. Completed applications can be sent to: SOS Personnel, LLC 48 Augustine Place Bear, DE. 19701 Thank you again for your interest in SOS Personnel, LLC. If you have questions, please contact us @ email@example.com SOS Personnel, LLC Substitute Teacher Application FOR OFFICE USE ONLY Date R’cvd_____________ SOS Substitute Services references_____________ 48 Augustine Place TB Test______________ Bear, DE 19701 Cert.____________ (302) 276-2739 resume____________ W-9Form______________ ID(s) ________________ FBI_______________ Direct Deposit_________ GENERAL INFORMATION What is the first available date you can start? Today’s Date Name: Social Security No Address: City State Zip Code Home Phone (w/ area code): Work Address: City State Zip Code Work/Other Phone (w/ area code): E-mail address: Date of Birth EDUCATION AND TRAINING Choose highest grade or years completed: Formal education: 1 2 3 4 5 6 7 8 9 10 11 12 College or Other: 1 2 3 4 5 6 7 School Name From To Receive GPA Major Minor/Special and Location Diploma? Courses High School or GED College or University (Undergrad) Graduate School Other Education CERTIFICATION/LICENSES if any (please attach a copy to this application). State Type Endorsement Certificate/Folder # Issue Date` Expiration Date List any special skills, experience, or relevant organizational affiliations: EMPLOYMENT RECORD or TEACHING EXPERIENCE: Please list any teaching experience or student teacher assignments. BEGIN ON THE FIRST LINE WITH YOUR PRESENT OR MOST RECENT POSITION AND WORK BACK. ATTACH AN ADDITIONAL SHEET IF NECESSARY. PRESENT EMPLOYMENT: Are you presently employed? YES NO If not, please explain: REFERENCES - Please list the contact information for 2 business references, such as supervisors, co-workers, and subordinates. Name Position/Business relationship Organization Phone In which grade levels are you willing to substitute? (Check all that apply) PK-6 7-12 In addition to your major and minor fields, in what classes/courses are you willing to substitute? Please place a Y next to positions you will take, and an N next to positions you will not. If you do not mark anything it will be assumed you will not fill that position and those jobs will not be available to you. ____Art ____German (Secondary) ____Band/Vocal/Orchestra (Secondary) ____Home Economics/Consumer Science (Secondary) ____Business Education (Secondary) ____Language Arts/English/Reading (Secondary) ____Elementary Art ____Math (Secondary) ____Elementary Media ____PE/Health (Secondary) ____Elementary Music ____PK-3/K-6 (All General Education Classes) ____Elementary Special Education Associate ____Science/Biology/Chemistry (Secondary) ____Elementary Special Education Teacher ____Social Studies/History/Economics (Secondary) ____Elementary PE ____Special Education Associate (Secondary) ____French (Secondary) ____Special Education Teacher (Secondary) ____Spanish (Secondary) It is the policy of SOS Personnel not to discriminate on the basis of race, creed, color, religion, national origin, gender, age, marital status, sexual orientation, gender identity, veteran status, disability, or socioeconomic status in its educational programs, activities, or employment practices. If you believe you have been discriminated against or treated unjustly at school, please contact the Equity Director, Tanisha Wilson, at 48 Augustine Place, Bear, DE 19701.