Certified Staff Applications
by Faith Bessire
January 11, 2008
MISSOURI VALLEY COMMUNITY SCHOOL DISTRICT
109 EAST MICHIGAN STREET
MISSOURI VALLEY, IOWA 51555
SELECTION & EMPLOYMENT OF PROFESSIONAL STAFF
APPLICATIONS: The first step in this process is to complete an official application form and return it to the address listed below. A letter of application should accompany the completed form. This letter will become part of the candidate’s file. Application forms may be obtained from:
District Office
Missouri Valley Community School
109 East Michigan Street
Missouri Valley, Iowa 51555
CREDENTIALS & REFERENCES: A candidate’s file is usually not considered complete until the following documents are received. Furthermore, the Missouri Valley Community School District places full responsibility for generation of these materials upon the applicant.
Letter of Application
Completed Application
Credentials
Official Transcripts
Iowa Teaching License
CERTIFICATION: A candidate must possess an Iowa teaching and/or administrative endorsement or must be able to demonstrate that he/she is certifiable for a professional position in Iowa. Please direct any questions about certification to:
Iowa Department of Education
Licensure Office
Grimes State Office Building
Des Moines, Iowa 50319
REVIEW: As vacancies occur in the system, the Superintendent and/or administrators will review completed files, a decision will be made to interview one or more applicants. Ordinarily, an interview will not be conducted until the application file is completed.
PHYSICAL EXAMINATION: Consistent with local and state requirements, once a candidate has been employed, he/she must undergo a physical examination. The Board of Education will reimburse the employee up to twenty-five dollars toward the cost of such physical examination.
It is the policy of the Missouri Valley Community School District not to illegally discriminate on the basis of race, color, national origin, gender, disability, religion, creed, age, or marital status in its educational programs activities, and its employment/personnel practices. If you have any questions or grievances related to this policy, please contact the district’s Educational Equity Coordinator at (712)642-2706.
AN EQUAL OPPORTUNITY EMPLOYER
MISSOURI VALLEY COMMUNITY SCHOOL
DISTRICT
SUPERINTENDENT'S OFFICE
109 EAST MICHIGAN STREET
MISSOURI VALLEY, IOWA 51555
CERTIFIED PERSONNEL APPLICATION
Date__________________,20_____
I. PERSONAL DATA:
1. Full Name__________________________________________________
(Last) (First) (Middle)
2. Present Address______________________________________________
Telephone
3. Zip Code____________ Number (
)_______________________
4. Permanent Address____________________________________________
II. EDUCATION:
Name & Location Degree
High School _____________________________________________
College/University_____________________________________________
Graduate _____________________________________________
Related College Major_________________Minor___________
Areas________
Exact title of your Iowa License ________________________Folder #____________
List college extra-curricular
activities and honors
_____________________________________________
III. GENERAL INFORMATION
Have you been employed here before?______If so,
position:__________________
Date______________________
Position Applied for______________________________________________
Earnings expected $___________________.
When are you available to begin work?_________________________________.
Have you been convicted of a felony at any time?________. If
yes, please explain:
____________________________________________________________
____________________________________________________________.
(Note: Conviction will not necessarily disqualify applicant from
employment).
Is there any reason you could not perform the duties listed as essential functions for that job? If yes, please explain and indicate what accommodations, if any, would you
suggest_______________________________________________________
____________________________________________________________
____________________________________________________________
IV. MILITARY:
Active Duty:
Branch:___________________________________
Period of duty:______________________________
Rank at discharge:____________________________
Reserve Duty:
Branch:___________________________________
Period of Obligation:__________________________
V. RECORD OF TEACHING/ADMINISTRATIVE EXPERIENCE:
Have you successfully completed a probationary teaching experience in the State of Iowa?_____________________________________
NAME OF SCHOOL AND LOCATION GRADE OR SUBJECT DATES
______________________ _____________________ __________
______________________ _____________________ __________
______________________ _____________________ __________
______________________ _____________________ __________
Total Years of Full-Time Paid Experience:_____________
VI. REFERENCES: (Include last teaching position)
NAME POSITION/AGENCY ADDRESS TELEPHONE
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Your College Placement Office______________________________________________
Name under which your Credentials/References are filed___________________________
VII. CERTIFICATION AND RELEASE:
I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any false information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.
I authorize a thorough investigation into my past employment and activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information. I recognize that, when considering my application, the school cooperation may contact the employers I listed in this application. I hereby authorize a representative from each such employer to discuss all aspects of my employment with the school cooperation and to disclose any and all documents regarding employment.
I understand that according to federal law all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and U.S. citizen status or, if aliens, their legal authorization to work in the U.S. I understand that any offer of employment will, therefore, be contingent on my ability to produce the required documentation within the time period required by law.
The Missouri Valley Community School District will provide equal opportunity to all employees and applicants for employment in accordance with all applicable equal employment opportunity and affirmative action laws, directives and regulations of federal, state and local governing bodies and agencies. In employing District Personnel, consideration shall be given to qualifications, credentials, records of the applicants, and veteran status without regard to race, color, creed, sex, martial status, national origin, religion, age or disability.
Applicant Signature____________________________ Date________________
It is the policy of the Missouri Valley Community School District not to illegally discriminate on the basis of race, color, national origin, gender, disability, religion, creed, age, or marital status in its educational programs, activities, and its employment/personnel practices. If you have questions or grievances related to this policy, please contact the district’s Educational Equity Coordinator at (712) 642-2706.
AN EQUAL OPPORTUNITY EMPLOYER
