Thorndale ISD

Substitute Application

Personal Data

Full Name

Other names that may appear on records

Reaquired field: Current Mailing Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Current Physical Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Home Phone

Cell Phone

Other Phone

Above is used for certification, reference and criminal history record checks.

Assignment Preference

Please list the days you are available to substitute and your assignment preferences.

Day(s) of the week - Select all that apply

Reaquired field: Every Day

Reaquired field: Monday

Reaquired field: Tuesday

Reaquired field: Wednesday

Reaquired field: Thursday

Reaquired field: Friday

Assignment - Select all that apply

Reaquired field: Any assignment

Reaquired field: Elementary

Reaquired field: Middle

Reaquired field: High

Reaquired field: Special Education

Reaquired field: Food Service

Reaquired field: Custodial

Position Data

Credentials included with application

Reaquired field: Resume

Reaquired field: All teaching and professional certificates or licenses

Reaquired field: All transcripts showing degrees

Resume

Upload

Certificates and Licenses

Upload

Transcripts

Upload

Have you ever been employed by Thorndale ISD in the past?

Reaquired field: Yes

Reaquired field: No

If you answered yes, provide dates of employment

Education / Training

List highest level of education attained

Name and location of school attended

Course of study and major/minor

Diploma, degree, certificate, or license granted

Year graduated (College only)

Name and location of school attended

Course of study and major/minor

Diploma, degree, certificate, or license granted

Year graduated (College only)

Name and location of school attended

Course of study and major/minor

Diploma, degree, certificate, or license granted

Year graduated (College only)

Certification

Licenses and certificates granted

Certificates or Licenses Currently Held:

None

Valid Texas

Valid Other State

Texas One-Year (out of state/country)

Other

If Valid Other State please list State:

If One-Year (Out of State/Country) Please Include Expiration Date:

Category/Level(s) of Certification

Areas of Specialization/Supplemental Certificates/Endorsements (as listed on certification):

Teaching Experience

List teaching experience beginning with most recent years.

Name and location of school

Type of assignment

Dates taught

Principal's name

Principal's Phone

Reasons for leaving

Name and location of school

Type of assignment

Principal's Name

Principal's Phone

Reasons for leaving

Other Work Experience

Please provide a list of all other jobs or administrative positions you have held in the past 10 years. Attach additional sheets if necessary. Attach résumé if available.

Employer name and location

Position/Title Held

Dates Employed

Supervisor's name

Supervisor's Phone

Reasons for leaving

Employer name and location

Position/Title Held

Dates Employed

Supervisor's Name

Supervisor's Phone

Reasons for leaving

References

Please list references the district can contact regarding your work history.

General Information

Have you ever been convicted of, pled guilty or no contest (nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or any offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)?

Reaquired field: Yes

Reaquired field: No

If yes, please state where, when, and the nature of the offense:

Verification

Please type Full Legal Name to Indicate you Understand and Agree with the below statements.

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from sub sequent employment.

I authorize the references listed on the previous page to give you any and all information concerning my previous employment and any pertinent information they may have, per sonal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to you.

I understand that the district is required by Texas Education Code to review criminal history of applicants.

Electronic Signature

Date

This application becomes the property of the district. The district reserves the right to accept or reject it

Email a copy to

optional

Required Fields

THORNDALE ISD

Substitute Application

Job Postings

Professional

Paraprofessional and Support

Bus Driver

Substitute

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