Substitute Application
Kirksville R-III School District is an EQUAL OPPORTUNITY EMPLOYER. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

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Substitute position(s) you are applying for:
(Check all that apply)
 *
Required
Name *
Social Security # *
Birthdate *
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/
DD
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YYYY
Phone Number *
Address *
E-Mail *
Available Start Date *
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/
DD
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YYYY
Available Days and Times *
Preferred Building/Grade/Subject *
If applying to be a Substitute Teacher, would you Substitute as a Paraprofessional if needed?
*(Pay rate is the same with a Substitute Certificate)
If applying to be a Substitute Teacher, do you have any teaching experience?
Substitute Teachers- Please Check One:
Substitute Nurses- Please Check One:
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