Tattnall County Board of Education AWS
Tattnall County Board of Education Gina G. Williams, Ed.D., Superintendent P.O. Box 157 – Reidsville, Georgia 30453 Phone: (912) 557-4726 FAX: (912) 557-3036
BOARD MEMBERS
Richard Bland, Chairman Ronnie Oliver DuAnn Cowart Davis Marilyn Carter Mary Ruth Ray Donna K. Tootle
The mission of the Tattnall County School System is Educating and Nurturing Tomorrow’s Leaders Dear Certified Position Applicant: Thank you for your interest in Tattnall County Schools. We are delighted that you wish to become a part of our school system. We believe you will find Tattnall County to be a wonderful place to work and educate children. In order for your application to be processed in a timely manner, it is essential that you follow these guidelines:
Complete all of the areas on the application. Applications without references will not be reviewed.
Attach a copy of your college transcript and your teaching certificate to the application.
Your application is kept on file for one year. You must provide Name, Address, and/or Telephone number changes in writing to our office. We will not be able to reach you for an interview if we do not have your current contact information.
Your application file will be made available to principals once it is complete; therefore, it is not necessary for you to call or visit schools. Principals will select and contact applicants of their choice. Your application is not complete until we have received all three reference forms. You may call the Central Office to check the completion status of your application file. If you have any questions regarding the application procedures, please do not hesitate to call.
Sincerely,
Gina G. Williams Gina G. Williams, Ed.D. Superintendent
Revised 1/10/17
“Whatever It Takes”
TATTNALL COUNTY PUBLIC SCHOOLS P.O. Box 157 • Reidsville, GA 30453 Telephone (912) 557-4726 • (912) 557-3036 Fax APPLICATION FOR EMPLOYMENT CERTIFIED PERSONNEL
Do Not Write In This Space Date Received Acknowledged Interviewed References Recommended Employed
Date of Application
PERSONAL
Last Name
First Name
Middle Name
Date
Present Street Address
Home Telephone ( )
City, State, ZIP
Business Telephone ( )
Permanent Street Address
Social Security #
City, State, ZIP
Telephone ( )
Personal Email Address
**Birth Date (optional)
Names, positions, and relationships of relatives working for the Tattnall County Board of Education Are you a citizen of the United States? Yes No If you are not a citizen of the United States of America, you must furnish a copy of your Permanent Residency Permit or other document allowing you to legally work in this country. When will you be available for employment?
The Civil Rights Act of 1964 prohibits discrimination in employment practices because of race, color, religion, sex, or national origin. PL 90-202 prohibits discrimination because of age. Section 504 of the Rehabilitation Act of 1973 (PL 93-112 prohibits discrimination on the basis of handicap). The Americans with Disabilities Act of 1990 prohibits discrimination based on the presence of a disability.
**The Board of Education will use this date for statistical purposes only.
CERTIFICATION
Indicate the position for which you are applying: EARLY MIDDLE CHILDHOOD GRADES (P-5) (4-8)
SECONDARY (7-12) Subject
Do you presently hold a valid Georgia Teaching Certificate? Yes No: Type: Validity Period: If not have you applied for a certificate? Yes Date applied?
No
Have you taken the Georgia Teacher Certification Test? Yes If yes, please enclose a copy of test results Have you previously held a Georgia teaching certificate? Yes If yes, please enclose a copy. Do you presently hold an out-of-state teaching certificate? Yes If yes, please enclose a copy.
No No No
Have you ever had a teaching certificate suspended or revoked? Yes If yes, please explain.
No
SPECIAL EDUCATION (Indicate Exceptionality)
ADMINISTRATION/ SUPERVISION
MILITARY REFERENCES
Branch of Service
Mos./Yrs. Of Service
Type of Discharge
Please give names, addresses, and telephone numbers of at least three individuals qualified to show your fitness for the position you seek. Experienced teachers must list former principals, supervisors, etc. Three references must be in writing (see attached recommendation forms). Only beginning teachers who have completed student teaching should list their college supervisor and supervising teachers as references. Beginning teachers may have their college placement file sent to the personnel office in lieu of recommendation forms. Name of Individual
Official Position
Have you acquired tenure in any Georgia public school system? Yes If yes, give system name.
BACKGROUND DATA
Highest Rank
Mailing Address
Telephone Number (
)
(
)
(
)
(
)
No
List special honors won college and in previous teaching assignments:
List clubs organizations of which a member (past or present):
List special interest or hobbies:
Are you presently under a teaching contract? Yes
Have you ever failed to have a contract renewed? Yes
No
If so, what school system? Date contract expires: No
If yes, please attach an explanation.
Have you ever had a teaching credential denied, revoked, or suspended in any state? Yes
Have you ever received a PDP or unsatisfactory rating on any evaluation? Yes
No
No
If yes, please attach an explanation
If yes, please attach a copy.
EDUCATION
Schools/Colleges Attended
Beginning/Ending Date
Diploma/Degrees Earned
Major
Minor
STUDENT TEACHING: Name & Location of School
Dates
Grades or Subject
Supervising Teacher & Principal
**Please include a copy of your transcript.
EMPLOYMENT
TEACHING: Report in chronological order all teaching experience. Do not include substitute teaching. Continuous experience in system should be reported on the same line. Please add a page if necessary. County/ From To Grades or Subjects Reason for School Total Years State Mo. Yr. Mo. Yr. Taught Leaving
OTHER EMPLOYMENT: List all full-time non-teaching employment as well as any special training which you believe will contribute to your success as a teacher. Do not list summer jobs unless they are significant to your application. Position
Firm or Agency
Address
From Date
To Date
Provide, in your own handwriting, reason(s) for your choice of education as a profession.
I understand that in the event I am offered a position with this school system, I will be required to be fingerprinted and have a criminal background check in accordance with the Official Code of Georgia Annotated 20-2-211 (e) (1). I further understand that the information obtained from the criminal background check will be used in employment decisions. I agree and consent for such background check and investigations to be conducted and agree to hold the school system and all officials, representatives, and employees of the foregoing harmless from all claims for libel, slander, defamation of character, invasion of privacy, intentional infliction of emotional distress, negligence and similar claims. CRIMINAL CONDUCT: Have you ever been arrested, charged with, or convicted of a crime, felony, or misdemeanor, entered a plea of guilty, nolo contendere, suffered first offender adjudication, any similar criminal, quasi-criminal determination, or adjudications, other than minor traffic violations? Yes No If yes, state the name and address of the court, the date of the alleged offense, a description of the charges, and an explanation of the final action taken, including any fines, probation, imprisonment, first offender adjudication or similar disposition.
Have you ever been charged with, pled guilty to, or been convicted of any offense relating to the possession or distribution of illegal drugs? Yes No If yes, provide a complete explanation including date of plea or conviction, county and state of plea or conviction, and disposition of plea or conviction.
(Signature) (Date) ***NOTE: APPLICATIONS WILL BE KEPT ON FILE ONE YEAR FROM THE INITIAL FILING DATE. IT IS THE RESPONSIBILITY OF THE APPLICANT TO MAINTAIN A CURRENT APPLICATION ON FILE FOR FUTURE EMPLOYMENT OPPORTUNITIES. SIGNATURE: If employed with the Tattnall County School System, I agree to abide by all the policies set forth by the Tattnall County Board of Education. By signing and submitting my application with the Tattnall County School System, I grant a release of information and permission for the TCBOE to request evaluation documentation from previous school systems in which I have been employed. I authorize full investigation of the information given in this application and consent to the representatives of the Tattnall County Board of Education to contact my references, previous employers, schools attended, court officials and law enforcement authorities. I ALSO UNDERSTAND THAT ANY MISSTATEMENT OR OMISSION OF ANY INFORMATION REQUESTED MAY BE A REASON FOR NON-EMPLOYMENT OR DISMISSAL FROM EMPLOYMENT. The application, references, and other data will become the property of the Tattnall County Board of Education and will not be returned to the applicant. APPLICANT’S SIGNATURE:
DATE:
Your application will not be processed without your signature. We appreciate your interest in the Tattnall County School System. Please mail this application to the following address: Tattnall County Board of Education P.O. Box 157 Reidsville, GA 30453 EQUAL OPPORTUNITY EMPLOYER
BOARD MEMBERS
Richard Bland, Chairman Ronnie Oliver DuAnn Cowart Davis Marilyn Carter Mary Ruth Ray Donna K. Tootle
The mission of the Tattnall County School System is Educating and Nurturing Tomorrow’s Leaders Dear Certified Position Applicant: Thank you for your interest in Tattnall County Schools. We are delighted that you wish to become a part of our school system. We believe you will find Tattnall County to be a wonderful place to work and educate children. In order for your application to be processed in a timely manner, it is essential that you follow these guidelines:
Complete all of the areas on the application. Applications without references will not be reviewed.
Attach a copy of your college transcript and your teaching certificate to the application.
Your application is kept on file for one year. You must provide Name, Address, and/or Telephone number changes in writing to our office. We will not be able to reach you for an interview if we do not have your current contact information.
Your application file will be made available to principals once it is complete; therefore, it is not necessary for you to call or visit schools. Principals will select and contact applicants of their choice. Your application is not complete until we have received all three reference forms. You may call the Central Office to check the completion status of your application file. If you have any questions regarding the application procedures, please do not hesitate to call.
Sincerely,
Gina G. Williams Gina G. Williams, Ed.D. Superintendent
Revised 1/10/17
“Whatever It Takes”
TATTNALL COUNTY PUBLIC SCHOOLS P.O. Box 157 • Reidsville, GA 30453 Telephone (912) 557-4726 • (912) 557-3036 Fax APPLICATION FOR EMPLOYMENT CERTIFIED PERSONNEL
Do Not Write In This Space Date Received Acknowledged Interviewed References Recommended Employed
Date of Application
PERSONAL
Last Name
First Name
Middle Name
Date
Present Street Address
Home Telephone ( )
City, State, ZIP
Business Telephone ( )
Permanent Street Address
Social Security #
City, State, ZIP
Telephone ( )
Personal Email Address
**Birth Date (optional)
Names, positions, and relationships of relatives working for the Tattnall County Board of Education Are you a citizen of the United States? Yes No If you are not a citizen of the United States of America, you must furnish a copy of your Permanent Residency Permit or other document allowing you to legally work in this country. When will you be available for employment?
The Civil Rights Act of 1964 prohibits discrimination in employment practices because of race, color, religion, sex, or national origin. PL 90-202 prohibits discrimination because of age. Section 504 of the Rehabilitation Act of 1973 (PL 93-112 prohibits discrimination on the basis of handicap). The Americans with Disabilities Act of 1990 prohibits discrimination based on the presence of a disability.
**The Board of Education will use this date for statistical purposes only.
CERTIFICATION
Indicate the position for which you are applying: EARLY MIDDLE CHILDHOOD GRADES (P-5) (4-8)
SECONDARY (7-12) Subject
Do you presently hold a valid Georgia Teaching Certificate? Yes No: Type: Validity Period: If not have you applied for a certificate? Yes Date applied?
No
Have you taken the Georgia Teacher Certification Test? Yes If yes, please enclose a copy of test results Have you previously held a Georgia teaching certificate? Yes If yes, please enclose a copy. Do you presently hold an out-of-state teaching certificate? Yes If yes, please enclose a copy.
No No No
Have you ever had a teaching certificate suspended or revoked? Yes If yes, please explain.
No
SPECIAL EDUCATION (Indicate Exceptionality)
ADMINISTRATION/ SUPERVISION
MILITARY REFERENCES
Branch of Service
Mos./Yrs. Of Service
Type of Discharge
Please give names, addresses, and telephone numbers of at least three individuals qualified to show your fitness for the position you seek. Experienced teachers must list former principals, supervisors, etc. Three references must be in writing (see attached recommendation forms). Only beginning teachers who have completed student teaching should list their college supervisor and supervising teachers as references. Beginning teachers may have their college placement file sent to the personnel office in lieu of recommendation forms. Name of Individual
Official Position
Have you acquired tenure in any Georgia public school system? Yes If yes, give system name.
BACKGROUND DATA
Highest Rank
Mailing Address
Telephone Number (
)
(
)
(
)
(
)
No
List special honors won college and in previous teaching assignments:
List clubs organizations of which a member (past or present):
List special interest or hobbies:
Are you presently under a teaching contract? Yes
Have you ever failed to have a contract renewed? Yes
No
If so, what school system? Date contract expires: No
If yes, please attach an explanation.
Have you ever had a teaching credential denied, revoked, or suspended in any state? Yes
Have you ever received a PDP or unsatisfactory rating on any evaluation? Yes
No
No
If yes, please attach an explanation
If yes, please attach a copy.
EDUCATION
Schools/Colleges Attended
Beginning/Ending Date
Diploma/Degrees Earned
Major
Minor
STUDENT TEACHING: Name & Location of School
Dates
Grades or Subject
Supervising Teacher & Principal
**Please include a copy of your transcript.
EMPLOYMENT
TEACHING: Report in chronological order all teaching experience. Do not include substitute teaching. Continuous experience in system should be reported on the same line. Please add a page if necessary. County/ From To Grades or Subjects Reason for School Total Years State Mo. Yr. Mo. Yr. Taught Leaving
OTHER EMPLOYMENT: List all full-time non-teaching employment as well as any special training which you believe will contribute to your success as a teacher. Do not list summer jobs unless they are significant to your application. Position
Firm or Agency
Address
From Date
To Date
Provide, in your own handwriting, reason(s) for your choice of education as a profession.
I understand that in the event I am offered a position with this school system, I will be required to be fingerprinted and have a criminal background check in accordance with the Official Code of Georgia Annotated 20-2-211 (e) (1). I further understand that the information obtained from the criminal background check will be used in employment decisions. I agree and consent for such background check and investigations to be conducted and agree to hold the school system and all officials, representatives, and employees of the foregoing harmless from all claims for libel, slander, defamation of character, invasion of privacy, intentional infliction of emotional distress, negligence and similar claims. CRIMINAL CONDUCT: Have you ever been arrested, charged with, or convicted of a crime, felony, or misdemeanor, entered a plea of guilty, nolo contendere, suffered first offender adjudication, any similar criminal, quasi-criminal determination, or adjudications, other than minor traffic violations? Yes No If yes, state the name and address of the court, the date of the alleged offense, a description of the charges, and an explanation of the final action taken, including any fines, probation, imprisonment, first offender adjudication or similar disposition.
Have you ever been charged with, pled guilty to, or been convicted of any offense relating to the possession or distribution of illegal drugs? Yes No If yes, provide a complete explanation including date of plea or conviction, county and state of plea or conviction, and disposition of plea or conviction.
(Signature) (Date) ***NOTE: APPLICATIONS WILL BE KEPT ON FILE ONE YEAR FROM THE INITIAL FILING DATE. IT IS THE RESPONSIBILITY OF THE APPLICANT TO MAINTAIN A CURRENT APPLICATION ON FILE FOR FUTURE EMPLOYMENT OPPORTUNITIES. SIGNATURE: If employed with the Tattnall County School System, I agree to abide by all the policies set forth by the Tattnall County Board of Education. By signing and submitting my application with the Tattnall County School System, I grant a release of information and permission for the TCBOE to request evaluation documentation from previous school systems in which I have been employed. I authorize full investigation of the information given in this application and consent to the representatives of the Tattnall County Board of Education to contact my references, previous employers, schools attended, court officials and law enforcement authorities. I ALSO UNDERSTAND THAT ANY MISSTATEMENT OR OMISSION OF ANY INFORMATION REQUESTED MAY BE A REASON FOR NON-EMPLOYMENT OR DISMISSAL FROM EMPLOYMENT. The application, references, and other data will become the property of the Tattnall County Board of Education and will not be returned to the applicant. APPLICANT’S SIGNATURE:
DATE:
Your application will not be processed without your signature. We appreciate your interest in the Tattnall County School System. Please mail this application to the following address: Tattnall County Board of Education P.O. Box 157 Reidsville, GA 30453 EQUAL OPPORTUNITY EMPLOYER
