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Certificated Staff Information
The information below is required for employment as per the NJDOE. This information will be submitted to the NJDOE through the NJSMART platform. Please answer the questions accurately.
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* Indicates required question
Email
*
Your email
Last Name:
*
Your answer
First Name:
*
Your answer
District Employment Start Date:
*
MM
/
DD
/
YYYY
Grade/Subject you will be teaching/Position:
*
Your answer
Will you be teaching?
*
Special Education Classes
General Education Classes
Other:
Required
Select the building(s) you will employed in:
*
Memorial High School
Memorial Middle School
Gilbert Ave School
Gantner Ave School
16th Ave School
District
Required
Current Salary:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Gender:
*
Female
Male
Prefer not to say
Other:
Social Security Number:
*
Your answer
Ethnicity:
*
Hispanic or Latino
American Indian/Alaskan
Asian
Black
Pacific Islander/Hawaiian
White
Languages you speak:
*
Your answer
Certification Type (Select one of the following):
*
Standard Certificate/License/Endorsement
Provisional
Emergency
Non-citizen
Certificate of Eligibility (CE) Only
Certificate of Eligibility with Advanced Standing (CEAS)
Other:
Highest Level of Education:
*
High School Diploma
Associates Degree
Bachelor's Degree
Graduate Certificate
Master's Degree
Doctoral Degree
Other:
Total years of prior experience:
*
Your answer
Years of prior experience in New Jersey:
*
Your answer
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