Certified Employment Application

(Direct application to Superintendent, Charleston Public Schools, P.O. Box 188, Charleston, AR 72933.)

 I.  Personal Data

          Name ________________________________________________________________________

            Present Address________________________________________________________________

            Permanent Address_____________________________________________________________

            Present Telephone No. ________________________ Permanent No. _____________________

            Position for which you are applying _________________________________________________

            Have you ever been convicted of a felony?  _____ Yes      _____ No

            If yes, please explain. ____________________________________________________________

            _______________________________________________________________________________

 

 

II. Certification

          Types of Certification                                               Expiration Date

  Areas of Certification____________________________________________________________________________

 III. Training                                                                          Year of                 Hours

                  Colleges/Universities              City, State                     Date        Graduation            Earned          Degree

Major(s)___________________________________________________________________________

Minor(s)___________________________________________________________________________          

IV. Professional Experience                                                         

             Grade /  Supervisor       Position      School               City, State                     Subject      Dates      and Title

             ***If no professional experience, complete the following:  

Student Teaching

School ________________________________    City, State ___________________________  

Grades and/or Subject Areas ____________________________________________________

Principal_____________________________________________________________________

Supervising Teacher___________________________________________________________  

V. General            

Have you ever failed re-election?___________________ Where? _______________________________  

If so, state reasons.___________________________________________________________________  

Why do you wish to leave your present position? ____________________________________________

 ___________________________________________________________________________________  

Why do you wish to teach in Charleston ? __________________________________________________

___________________________________________________________________________________  

Hobbies, sports, special interests?  _______________________________________________________

___________________________________________________________________________________  

Professional Membership? _____________________________________________________________

___________________________________________________________________________________  

Experience other than teaching (include community activities)?_________________________________

___________________________________________________________________________________  

Extra-curricular activities in college?_______________________________________________________

____________________________________________________________________________________  

Extra-curricular school sponsorships or duties?______________________________________________

____________________________________________________________________________________

 VI. Professional Development

1.  Have you ever been on an ALP?

2.  Have you ever taught outside your certification area?

3.  Does your license expire this December?

4.  Provide proof of 60 hours of professional development?         

    

VII. Educational Records            

            Attach all transcripts to this application form.

VIII. Military Service

 

In order for an applicant to be given preference when determining interview candidates, the applicant

 must meet the definition of a veteran or of the surviving spouse of a deceased veteran, must have indicated

 the appropriate status on the job application, must be a citizen and resident of Arkansas, and must meet

substantially similar qualification to the other applicants.

 

A veteran under the age fifty-five (55)	No
A veteran who is over the age of fifty-five (55), disable (it is not necessary that the disability is service connected), and entitle to a pension or compensation under existing laws.	No
Spouse of a deceased veteran who is unmarried at the time of hiring.	No
Spouse of a veteran who suffers from a service-connected disability.	No

 

Veterans or spouses of veterans are required to attach the following, as applicable,

documentation to the employment application:

 

Form DD-214 indicating honorable discharge;

 

A letter dated within the last six months from the applicant's command indicating years

of service in the National Guard or Reserve Forces, etc., as well as the applicants

current status;

 

Birth Certificate;

 

Marriage License;

 

Death Certificate;

 

Disability letter from the Veteran's Administration, in the case of an applicant with a

service-related disability; In the case of a veteran who is over the age of fifty-five (55),

disabled (it is not necessary that the disability is service-connected), and

entitled to a pension or compensation under existing laws, a letter from the veteran's

physician indicating a disability, dated with the last six months.

 

________________________________________________________________________________________

Act 444 of 2013, which took effect August 16, 2013, (codified at A.C.A. & 21-3-301 etc.) added public school districts and charter

schools to the list of employers required to provide a preference to veterans in the areas of applications, interviewing, hiring,

promotion and retention.  All questions must be answered and all documents supplied by the interview date in order for veteran

preference to be given.