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Substitute Teacher Application
For Use in Applying for Substitute Teaching
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* Indicates required question
Email
*
Your email
Legal Name
*
Your answer
Address
*
Your answer
City/ State/ Zip Code
*
Your answer
Primary Phone
*
Your answer
Secondary Phone
Your answer
Are you available every day?
*
Yes
No
If not available every day, when are you available?
*
Your answer
Will you work at any grade level PK-12?
*
Yes
No
If not, what grade level do you want to substitute?
Your answer
Do you hold a Kansas Teaching Certificate?
*
Yes
No
If no, do you hold a valid Emergency Substitute Teaching Certificate?
Yes
No
Clear selection
Education (include High School and College(s) attended)
*
Your answer
Teaching Experience (Include District/Building/Dates/Supervisor)
*
Your answer
List Other Work Experience:
Your answer
List any other information concerning yourself which in your judgement might be helpful as we consider your application.
Your answer
References
*
Your answer
Have you ever been convicted of, or are you currently charged with, a crime for other than a minor traffic violation?
*
Yes
No
Have you ever been convicted of a crime involving dishonesty?
*
Yes
No
Have you ever been convicted of a crime involving a controlled substance?
*
Yes
No
Have you ever been convicted of a crime involving a child?
*
Yes
No
Have you ever entered into a criminal diversion agreement after being charged with any offense described in the previous five questions?
*
Yes
No
Are criminal charges pending against you in any state involving any offenses described in the same five questions above?
*
Yes
No
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