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Application for Certificated Staff
Application for Certificated Staff

Position:

Name:

Email:

Address:

Primary Phone #:

Secondary Phone #:

US Citizen?

Yes
No

New Jersey Certification (please list - include Standard, CEAS, or CE):

Certification in Other States (list State and certificates):


EDUCATION:

High School:

Location:

College/University (1):

Location:

Dates Attended:

Degree/Major:

College/University (2):

Location:

Dates Attended:

Degree/Major:


EMPLOYMENT:

Employer (1):

Location:

Dates (From-To):

Grades and Subjects (if applicable):

Salary:

Employer (2):

Location:

Dates (From-To):

Grades and Subjects (if applicable):

Salary:


Community Activities/Interests:

References:

Why do you want to leave your present position?

Salary Expectation:

When would you be available to work?

Indicate days/hours which would be convenient for an interview:

Educational Philosophy:


Acceptance of Terms:

 By checking this box, I affirm that all of the above information is correct and fully authorize an investigation to confirm the validity thereof. Furthermore, I understand that any misrepresentation or omission of facts will result in immediate dismissal.

 



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