Teacher Application
For Use in Applying for any teaching position.
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Email *
Legal Name *
Address *
City/ State/ Zip Code *
Primary Phone *
Secondary Phone
Position Applying For *
What Subjects Are You Certified to Teach? *
What Valid Kansas Certificate Do You Have? *
Undergraduate Major:
Undergraduate Minor:
Education (include High School and College(s) attended) *
Teaching Experience (Include District/Building/Dates/Supervisor) *
List Other Work Experience:
Did you participate in extracurricular activities in college?  If so, what activities?
Would you be interested in performing any supplemental duties?  If so, what supplemental duties?
List any honors or special recognition which you received in high school or college:
List any other information concerning yourself which in your judgement might be helpful as we consider your application.
References *
Have you ever been convicted of, or are you currently charged with, a crime for other than a minor traffic violation? *
Have you ever been convicted of a crime involving dishonesty? *
Have you ever been convicted of a crime involving a controlled substance? *
Have you ever been convicted of a crime involving a child? *
Have you ever entered into a criminal diversion agreement after being charged with any offense described in the previous five questions? *
Are criminal charges pending against you in any state involving any offenses described in the same five questions above? *
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