north harrison r-iii school district

8/14/2019 North Harrison R-III School District

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High School, college, or professional honors or recognition:

Experience with youth organizations or working with children:

Total years teaching experience in elementary: Middle: High School:

If currently employed, state reason for leaving presentposition:

Present annual salary: Expected salary:

Are you willing to complete your share of extra-classroom duties? YES NO

List duties or obligations that would interfere with your accepting any assignment, attending meetings, or participating inactivities outside regular school hours:

Elementary candidates List school clubs or after school activities you could supervise:

Secondary candidates Check the activities you can direct, coach, or supervise:

Debate Student Council Track Volleyball

Public Speaking Pep Club Wrestling School Plays

Cheerleaders Softball School Newspaper Football

Golf Yearbook Basketball Other

List experience or training with the following:

Cooperative Learning:

Inquiry-Based Instruction:

GLE Based Curriculum Development:

eMINTS Professional Development:

Technology Based Instruction:

Reading Correction:

SmartBoards:

Classroom Management Strategies:


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Why did you choose education as your profession? (Please limit to 250 words or less.)

Applicants Statement

Applicant Statement portion of the district application must contain an original signature andshould be mailed or faxed to the district office.

Please read this statement carefully before signing.

It is the policy of the North Harrison R-III School District to provide equal employmentopportunity regardless of race, religious creed, national origin, disability, sex, or age.

1. I hereby authorize my current and former employers to furnish any information aboutme and my work experience.2. I understand and consent to having a criminal and arrest records checks as well asbackground checks as a condition and consideration of my application for employment.In accordance with Missouri law, this background check will include a complete fingerprintcriminal records check.3. I certify that the answers given in my application packet are true and complete to thebest of my knowledge. I also understand that, even if employed, falsified statements onmy application or during interviews shall be grounds for termination of employment.4. I acknowledge that my employment is contingent upon the Districts receipt of a cleancriminal background check and child abuse/neglect report, each of which must besatisfactory to the District.

_____________________________ _________________Applicants signature Date

north harrison r-iii school district

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