Teacher Application – Hardin County Schools Tennessee

Teaching Application

We appreciate your interest in the Hardin County School System. We know that to be successful in our mission of providing quality education to the children of Hardin County, we must employ the very best teachers available. Please help us in our efforts to do this by providing the following:

1. An up-to-date, complete resume. 2. A copy of all college and high school transcripts. 3. A recent photograph/photo ID. 4. A copy of your valid Tennessee teaching certificate(s). 5. A copy of any out of state teaching certificate(s). 6. A copy of your NTE or Praxis scores.

Drop files here or

Max. file size: 7 MB.

PERSONAL DATA

INSTRUCTIONS: Complete all sections accurately to facilitate processing your application. The following information is required before an application is considered complete: three professional references, copy of teaching license, Praxis test scores, transcripts of course work at all colleges and universities. *If out of state, provide copies of appropriate certification test

Name

First Middle Last

Date available to begin employment

Social Security Number

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

EMPLOYMENT/REFERENCES

Are you currently employed?

Yes

If YES, may current employer be contacted for verification?

Yes

If NO, state reason(s)

Posistion(s) Desired

List Grade and/or Subject Preferences:

List sports/club activities you would be willing to coach/sponsor

List languages in which you are proficient

TENNESSEE CERTIFICATION INFORMATION

Do you have a Tennessee Teaching Certificate? (Required if employed)

Yes

If YES: Certificate Number, Endorsement(s), Type

Teaching Certificate

Max. file size: 7 MB.

If NO: Application has been made?

Yes

Letter From University Attached?

Yes

Letter From University

Max. file size: 7 MB.

EDUCATION

Copy of Transcripts should be attached to application

Max. file size: 7 MB.

High School/Colleges/Universities

Dates Attended, Hours Credit, Degree Earned Major/Minor, Date Conferred

REFERENCES:

List three former supervisors or college teachers from whom you wish to use as references

Reference 1

Name Title

Reference 1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 1 Phone

Reference 2

Name Title

Reference 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 2 Phone

Reference 3

Name Title

Reference 3 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference 3 Phone

EMPLOYMENT

List all employment in chronological order, beginning with your current employment

Grade

Subject

Dates: From/To

Total Years

Telephone

School District

Organization

State

INTERNSHIPS/STUDENT TEACHING EXPERIENCE

School

Dates

# Of Weeks

Supervising Teacher

*Applicants who do not have teaching experience are required to furnish a reference from supervising teacher.

HIGHLY QUALIFIED INFORMATION

Do you have a teacher qualification assurance page from TN?

Yes

Another State?

Yes

OTHER DATA

Knowingly falsifying information required by 49-5-406 (a) (1) shall be sufficient grounds for termination of employment and shall also constitute a Class A misdemeanor which must be reported to the District Attorney for prosecution. Theaccuracy of such information may be verified by fingerj)rints and criminal history record check conducted by the TBI pursuant to 49-5-413(a). The provisions of 49-5-4O6(a)(l) .shall not be construed or implemented to compel disclosure of a parking or moving traffic violation if the maximum sanction provided by law for such violation does not include a period of confinement.

Are you presently under contract?

Yes

Date contract expires:

List special honors won in college and/or in your profession

Each of the following questions must be answered with a "yes" or "no". If any answer is "yes," please attach an explanation. Include final disposition of investigations.

Have you ever failed to have a contract renewed?

Yes

If YES:

Have you ever had a certificate or license denied, revoked, or suspended in any state?

Yes

If YES:

Have you ever been convicted of or pled nolo contendere to a felony or misdemeanor, including DUI?

Yes

If YES:

Have you ever been investigated for any act of alleged discrimination including: discrimination on account of race, color, gender, religion, age, national origin, or handicapping conditions?

Yes

If YES:

Have you ever been investigated for allegations of sexual harassment?

Yes

If YES:

Have you ever been accused and investigated for a crime of child abuse or physical abuse?

Yes

If YES:

Have you ever been dismissed from a school system for cause?

Yes

If YES:

Were you ever allowed to resign from a school job in order to avoid investigation, charges, or termination

Yes

If YES:

Have you ever been encouraged to resign from a job?

Yes

If YES:

Have you ever been suspended from your job?

Yes

If YES:

Have you ever been issued a written reprimand?

Yes

If YES:

Have you ever had a written complaint filed against you?

Yes

If YES:

Have you ever been removed from any assignment or extra-curricular activity?

Yes

If YES:

Has anyone ever reported or accused you of inappropriately using the computer or cell phone during regular school days?

Yes

If YES:

Has anyone ever reported or accused you of any inappropriate socialization with students either during or after the regular workday?

Yes

If YES:

Have you ever breached a contract with another school system

Yes

If YES:

Do you have any contagious disease which may endanger the health of school children or other

Yes

If YES:

Are you able to perform all of the essential functions of the job for which you are applying?

Yes

If YES:

Have you previously applied for a job with Hardin County Schools?

Yes

If YES:

TITLE IX COORDINATOR

Title: Ryan Miller Mailing address: 155 Guinn Street, Savannah, TN 38372 Phone number: (731) 925-3943 ext. 2240 Email: ryan.miller@hctnschools.com

Hardin County Schools does not discriminate on the basis of sex in any education program or activity. Such non-discrimination is required by Title IX and federal regulations. The requirement not to discriminate extends to admission and employment. Inquiries about the application of Title IX and its implementing regulations to the district may be referred to the Title IX Coordinator, to the Assistant Secretary of Education, or both. Hardin County Schools grievance procedures and grievance process, including: how to report or file a complaint of sex discrimination; how to report or file a formal complaint of sexual harassment, and how the district will respond can be found in Hardin County Board policy 6.3041.

I certify that I (have) (have not) been dismissed from any previous employment for improper or unprofessional conduct, inefficient service, neglect of duty, incompetence, or insubordination i!S defined In Sections 49-2-203, 49-5-501 and 49-5-511. By filing application for employment with the Hardin County Board of Education, I understand that any misrepresentation or omission of facts on the application is cause for termination. If employed, I agree to abide by all the policies as set forth by the Hardin County Board of Education.

Signature of Applicant

Date

All applicants will be subject to a background check, which will include the requirement for fingerprinting.

Teaching Application

PERSONAL DATA

EMPLOYMENT/REFERENCES

TENNESSEE CERTIFICATION INFORMATION

EDUCATION

REFERENCES:

EMPLOYMENT

HIGHLY QUALIFIED INFORMATION

OTHER DATA

TITLE IX COORDINATOR

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Contact Info

Address

Phone