COLLINSVILLE I.S.D. ONLINE APPLICATION

FOR EMPLOYMENT

Name (First Middle Last)
Address: 
City State & Zip: 
Phone: 
E-Mail: 

Number of Years Of Experience

Position Applying For

Do You Hold A Valid State Of Texas Teaching Certificate?

List You Current Certifications & State Of Issue

ESL Endorsement: YESNO 

Bilingual Endorsement:YES NO 

Gifted Talented Endorsement:YES NO 

Date Available for Employment 

 
Have you ever had your teaching certificate suspended or revoked? YES NO
 
If yes, what action was taken: 
deniedsuspended revoked not applicable
What State? 

 

References

(List people who have firsthand knowledge of your experience in Education Include Address & Phone)

Name Title Phone Number School Name

 

 

Education

Major Minor University Graduated
Associates
Bachelors
Masters
Doctorate

 

Teaching Assignments (List Most Recent First)

 
Date Grade/Subject Location School Name

 

Other Work Experience (List Most Recent First)

 
Dates Type Of Work Location Position

 

Applicants Statement of Educational Philosophy

Please use the space below to explain your views on education, as well to amplify any information concerning training, experience, and professional qualifications.

 

Attach Your Resume (ReName Your Resume File YourName_Resume.doc before you attach & upload)

Electronic Signature

    I hereby certify that the information presented in this application to the best of my knowledge is true, accurate, and complete.  Any false statements in this application will be sufficient reason for dismissal from, or refusal of employment.  I hereby authorize the Collinsville Independent School District to contact the references listed on this application.  I agree that all information obtained from the references contained herein shall be confidential and shall not be made available to me.  I also authorize CISD to obtain any criminal history record information relevant to this application for employment from any pertinent source in accordance with the Texas Education Code 21.917, and I further authorize any law enforcement agency, including, but not limited to, any police department of the Department of Public Safety as well as the Texas Department Of Corrections to furnish CISD with any such record.

Date Completed

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