Joseph City: Classified Application

In order for your employment application to be complete, you must copy the Conviction Report page of the application (below). Fill it out, sign it, and mail it to:

Joseph City Unified School District #2
P.O. Box 8
Joseph City, AZ 86032

Conviction Report

Application
Conviction Report (must submit hard copy to district office)
Copy of Official College Transcripts
Arizona Certificates
Three (3) Letters of Reference
Resumé (if desired)

Date:

Title

Last Name:

First Name:

SSN (optional):

Home Phone#:

E-mail Address:

Mailing Address (Street):

Mailing Address (City):

Mailing Address (State):

Mailing Address (Zip Code):

Position(s) Desired:

Full-time Part-time Substitute

Subkects/Grades K-12 (List in order of preference):

Submission of resume recommended, not required. This application must be completed without reference to resume. Applications will be retained for 2 years.

Professional and Other Work Experience

Provide information below for employer(s) for at least the last ten years with most recent experience first. (List employer's phone number). "See Resume" is not responsive. If you have not had three years teaching experience, provide student teaching information below.

Employer's Name(s) (Including address/phone):

From:

To:

Supervisor:

Position Held:

Reason for Leaving:

Employer's Name(s) (Including address/phone):

From:

To:

Supervisor:

Position Held:

Reason for Leaving:

Employer's Name(s) (Including address/phone):

From:

To:

Supervisor:

Position Held:

Reason for Leaving:

Employer's Name(s) (Including address/phone):

From:

To:

Supervisor:

Position Held:

Reason for Leaving:

You are required to provide the month and year for each date required. If you are being considered for employment, the district will contact your current and past employers. Add additional necessary information below.

Please explain any gaps in employment of over 30 days (for the past 10 years).

Have you ever been dismissed from a position?

Yes No

If yes, explain.

Have you ever been asked to resign from a position?

Yes No

If yes, explain.

Have you ever resigned from a position rather than be non-renewed, dismissed, or face disciplinary action by employer or against certificate?

Yes No

If yes, explain.

Education and Professional Preparation

List schools attended and special training received. "See Resume" is not responsive. Please mail in a copy of official college transcript(s).

High School:

Location:

Dates Attended:

Year Graduated:

GPA:

College:

Location:

Dates Attended:

Year Graduated:

GPA:

Degree:

Major/Minor:

Describe additional education not listed (i.e. graduate hours beyond highest degree earned).

List honors you have received.

List professional organizations to which you belong.

List leadership positions you have held in organizations.

Describe special abilities or talents applicable to position you are seeking.

Personal References

Give names and complete addresses of 3 references that are familiar with your personality, character, and work habits. (Do not use relatives as references.)

Name:

*Dates Known:

Occupation

Address:

Phone:

Name:

*Dates Known:

Occupation

Address:

Phone:

Name:

*Dates Known:

Occupation

Address:

Phone:

*Provide month and year.

Narrative Questions

In the space provided, answer the following questions as they relate to the positions for which you are applying (i.e. teacher, school nurse, school guidance counselor, etc).

At the end of your first year of district employment, how will you determine whether or not you have been successful?

Why do you want to work for Joseph City USD#2?

What are your goals for future employment?

Please enter the characters exactly as you see them in the box below: