Professional Staff Application

(An Equal Opportunity Employer)
mm/dd/yyyy
Are you certified or licensed in any other skill(s) or profession(s)?
__________________________________________________________________________________________________________________________________________________________________________
Have you taken the MTTC test(s)?  (required)
mm/dd/yyyy
__________________________________________________________________________________________________________________________________________________________________________
Are you currently employed?  (required)
May we contact present employer?  (required)
If currently teaching, are you under contract?
__________________________________________________________________________________________________________________________________________________________________________
Education and Professional Training
List High School, Colleges and Universities Attended
__________________________________________________________________________________________________________________________________________________________________________
Are you presently working toward a higher degree?
mm/dd/yyyy
__________________________________________________________________________________________________________________________________________________________________________
Teaching Experience
__________________________________________________________________________________________________________________________________________________________________________
Certification
__________________________________________________________________________________________________________________________________________________________________________
Work Experience other than Teaching
__________________________________________________________________________________________________________________________________________________________________________
References: Character
__________________________________________________________________________________________________________________________________________________________________________
References: Professional
__________________________________________________________________________________________________________________________________________________________________________
Have you been granted tenure in Michigan?
Have you ever been denied tenure or had a teaching contract non-renewed?
__________________________________________________________________________________________________________________________________________________________________________
College Extracurricular Activities
Hobbies and Special Interests
Experience Working with Students
__________________________________________________________________________________________________________________________________________________________________________
Have you ever been convicted of a felony or misdemeanor, including traffic violation? Failure to disclose accurate information may result in immediate termination of employment.  (required)
__________________________________________________________________________________________________________________________________________________________________________
Affidavit:
I hereby certify all statements in this application to be true and authorize Jackson Preparatory & Early College authorities to verify same, and to obtain and check references by contacting, either verbally or in writing, any former employer, any university or college attended, and any listed references. I further understand and agree that the acceptance of this application by Jackson Preparatory & Early College does not impose any obligation for placement upon the district.
mm/dd/yyyy
It is the policy of Jackson Preparatory & Early College not to discriminate on the basis of race, color, religion, national origin or ancestry, age, sex, marital status or handicap in its education programs, activities or employment as required by Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title IX of the Educational Amendment of 1972, or American Disabilities Act of 1990. Direct all inquiries to the Administration Office, 2111 Emmons Road, Jackson, Michigan. Telephone: (517) 768.7093.
Your application will be kept on file for at least (3) months. It is your responsibility to provide transcripts of college credits, evidence of certification, and confirmation of the MTTC tests (if requested) that you have passed as required by position for which you have applied.