Substitute Teacher Application

Full Name (First, middle, last)

Date of Birth (YYYY-MM-DD)

Address

Phone Number

Gender

Are you legally entitled to work in the US?(required)

Yes No

Have you ever been convicted of a felony?(required)

Yes No

If yes, explain:

How did you hear about this position?

Education: High School (School name, location, and graduation year)

Education: College (School name, location, major, and graduation year if applicable)

Education: Other (List other educational experiences here)

Reference #1: (Reference name, phone number, email, relationship, and professional information)

Reference #2: (Reference name, phone number, email, relationship, and professional information)

Reference #3: (Reference name, phone number, email, relationship, and professional information)

Prior Work Experience #1 (Job title, Employer/Program, City/State, Dates, Reason for leaving if applicable)

Prior Work Experience #2 (Job title, Employer/Program, City/State, Dates, Reason for leaving if applicable)

Prior Work Experience #3 (Job title, Employer/Program, City/State, Dates, Reason for leaving if applicable)

Please describe your experience in working with children (paid or volunteer).

What personal and professional skills do you bring to the classroom?

How has faith changed your life over the years? What role does faith play in your daily life?

Best way to contact you (check all that apply)…especially on short notice(required)

Phone call Text Email

Campus

Edmond Tulsa

Availability (Check all that apply)(required)

Tuesdays, 9:30 am – 12:30 pm Tuesdays, 12:30 pm – 3:45 pm Thursday, 9:30 am – 12:30 pm Thursdays, 12:30 pm – 3:45 pm

Grade Levels/Classes: Check all grade levels/classes you are willing to substitute. (All lesson plans will be given to you.)(required)

All ages/grades listed below Preschool-Kindergarten 1st-3rd Grade 4th-6th Grade Middle School (7th-8th Grades) High School (9th-12th Grades) Inclusion Assistant (helping children requiring extra assistance) Lunch monitor (11:15-1:15 pm on Tuesdays or Thursdays)

Is there anything else you’d like us to know?

STATEMENT OF FAITH: I have read the Cimarron Statement of Faith as it appears on the school website and agree without reservation.

EDUCATIONAL CONVICTIONS: I have read the Cimarron Mission & Vision Statements as they appear on the school website and agree without reservation.

APPLICANT RELEASE AND ACKNOWLEDGEMENT: I understand that Cimarron School of Living Education requires certain information about me to evaluate my qualifications for employment. Therefore, I authorize Cimarron to conduct all required background checks, investigate my past employment, educational credentials, and other employment-related activities.

I understand that any false answers or statements made by me on this application may be grounds for refusal of employment, invalidate my employment or, if employed, will be sufficient grounds for immediate discharge and render me ineligible for any benefits.

Substitute Teacher Application

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