Cole County R-V School District Certified Application

The School District considers applicants for all positions without regard to race, color, religion, sex, national origin or disability. If you have a disability or handicap which may require accommodation for you to participate in our application process (including filling out this form, interviewing or any other pre-employment procedure or requirement), please make us aware of any accommodation you feel is necessary. If you have any inquires, complaints or concern about any pre-employment procedure or requirement, including completing this application, or about the District policy of non-discrimination, you may contact the Superintendent at (573) 498-4007.

 All applicants are expected to answer all questions on this application. Answer “none” or “not applicable” where necessary.

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First Name *
Middle Name *
Last Name *
Other Names that may appear on your transcript *
Social Security Number *
Current Address *
Permanent Address *
Current Phone Number *
Permanent Phone Number *
Email *
Date Available to Start *
MM
/
DD
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YYYY
Certification Type (Life, PC1, etc) *
State(s) *
Subject(s) *
Grade Level(s) *
Certification Expiration Date *
MM
/
DD
/
YYYY
Please provide any other necessary information regarding your certification and/or certification status. *
Which position(s) are you interested in? *
Are you available for substitute teaching? *
Paraprofessional? *
Extra duty positions you may be interested in sponsoring or coaching? *
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