Magazine Schools Certified Application
The Magazine School District is an equal opportunity employer. No person shall, on the basis of race, color, creed, religion, sex, age, disability or national origin be denied the benefits of or be subjected to discrimination in regard to employment, retention, promotion, transfer or dismissal in any program or activity which is under the jurisdiction and control of the District. 
Sign in to Google to save your progress. Learn more
Name (First, Middle and Last) *
Current Address (Name and Street, City, State, Zip Code) *
Phone Number
Email
Social Security Number
In Case of Emergency, Notify (Name, Relationship, Address and Phone Number) *
Position Being Applied For (List Position and Date Available to Work if Hired) *
List The High School You Attended (Name, City/State, Dates Attended, Graduation Year) *
List All Of The Colleges/Universities/Vocational Schools Attended (Name of Institution, Location, Dates Attended, Graduation Date, Degree Received, Total Semester Hours) *
List Undergraduate Degree Area Of Specialization (Major and Minor) *
List Graduate Degree Area Of Specialization (Major and Minor) *
List College Activities In Which You Have Participated *
Hobbies/Sports/Special Interests *
Student Teaching (List Name Of School, Address, Grade and Subject Taught, Date, Name Of Principal, Name Of Supervising Teacher) *
Do You Hold An Arkansas Teaching License? (If Yes, List Type Of License -- Standard Or Provisional -- Expiration Date, Subject/Grade Level Certifications) *
List All Teaching Experience In Chronological Order Beginning With Most Recent Experience (Include School Name, Address, Subjects/Grades Taught, Fulltime/Part-Time, Other Duties, Dates of Employment, Reason For Leaving) *
List Non-Teaching Experience (Include Name Of Employer, Address, Rank/Position Held, Reason For Leaving *
References: List At Least Four References, Including Superintendent And Principals Under Whom You Have Taught, Excluding Student Teaching, Who Have First-Hand Knowledge Of Your Character, Personality, Scholarship And Teaching Ability (Include Name, Official Position, Street Address, City, State, Phone Number) *
Veterans: If you believe you may be eligible for veteran's preference consideration, complete this section. The Arkansas Veteran's Preference Act states specific requirements which must be met in order to be eligible for veterans preference. Under certain conditions, spouses, widows or widows of qualified veterans may also be eligible for veterans preference. For consideration of veterans preference, proof such as a DD214, current letter from the Veterans Administration or other official document may be required. Specific questions regarding veterans preference should be addressed to individual state agency personnel offices.

Are you a veteran under the age of 55?
 *
Are you a veteran who is over the age of fifty-five, disabled (it is not necessary that the disability is service connected) and entitled to a pension or compensation under existing laws? *
Are you the spouse of a deceased veteran and unmarried at the time of hiring? *
Are you the spouse of a veteran who suffers from a service-connected disability? *
List Branch of Service and Type of Discharge
Date of Entry (Month, Day, Year)
MM
/
DD
/
YYYY
Date of Discharge (Month, Day, Year)
MM
/
DD
/
YYYY
Please Give Your Response To The Following Question: How Would The Employment For Which You Are Applying Help You Attain Career And Life Goals And At The Same Time Contribute To The Goal Of Providing A Good Education For The Children of Magazine School District.
 *
Are You Currently On The Child Maltreatment Registry? *
Agreement: I Authorize Investigation Of All Statements Contained In This Application. I Understand Misrepresentation Or Omission Of Facts Called For Is Cause For Nonemployment Or For Dismissal. I Agree, If Employed, To Follow All Policies, Rules And Regulations Of The District And Of The School To Which I May Be Assigned. I Agree To Promptly Notify The District Of Any Change Of Address During My Employment. I Understand That As A Condition Of My Employment I Will Be Required To Apply To The Identification Bureau Of The Department of Arkansas State Police For A State And National Criminal Records Check, To Be Conducted By The Federal Bureau Of Investigation.

 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Magazine Public Schools. Report Abuse
Google Forms