Bosqueville ISD

We consider applicants for all positions without regard to race, color, national origin, age, religion, sex, marital status, veteran or military status, the presence of a medical condition, disability, or any other legally protected status.

DATE OF APPLICATION:

DATE AVAILBLE:

SOCIAL SECURITY NUMBER:

LAST NAME:

FIRST

PRESENT ADDRESS:

OTHER ADDRESS:

POSITION DESIRED: INDICATE SCHOOL LEVELS AND SUBJECT AREAS IN WHICH YOU ARE PREPARED TO TEACH. GIVE PREFERENCE BY RANKING IN THE APPROPRIATE LEVEL OR SUBJECT AREA.

LIST THE POSITION(S) FOR WHICH YOU ARE APPLYING

FORMER BOSQUEVILLE EMPLOYEE

YES

IF YES , WHEN AND NAME AT EMPLOYEMENT

REASON FOR LEAVING

COLLEGE/LOCATION

MAJOR/MINOR FIELD

DEGREE EARNED

COLLEGE/LOCATION

MAJOR/MINOR FIELD

DEGREE EARNED

COLLEGE/LOCATION

MAJOR/MINOR FIELD

DEGREE EARNED

Valid Texas Certificate

Valid other state

Other

Completing certification program

College/University and Completion Date

Alternative certification program

List areas of certifications

WILL NEED AN EMERGENCY OR SPECIAL PERMIT TO TEACH IN TEXAS?

YES

WILL YOU NEED A RENEWAL FOR EMERGENCY OR SPECIAL PERMIT?

YES

HAVE YOU TAKEN THE NECESSARY HOURS FOR A RENEWAL OF YOUR EMERGENCY PERMIT?

YES

(IT WILL BE THE RESPONSIBILITY OF THE APPLICANT TO SECURE A STATE TEACHING CERTIFICATE FROM THE STATE EDUCATION AGENCY)

NAME OF SCHOOL, CITY, STATE

SUPERVISOR/PHONE

GRADES & SUBJECTS TAUGHT

DATE OF EMPLOYMENT

REASON FOR LEAVING

NAME OF SCHOOL, CITY, STATE

SUPERVISOR/PHONE

GRADES & SUBJECT TAUGHT

DATE OF EMPLOYMENT

REASON FOR LEAVING

NAME OF SCHOOL, CITY, STATE

SUPERVISOR/PHONE

GRADES & SUBJECTS TAUGHT

DATE OF EMPLOYMENT

REASON FOR LEAVING

SCHOOL/FIRM NAME

SUPERVISOR/PHONE

DATES EMPLOYED

REASON FOR LEAVING

SCHOOL/FIRM NAME

SUPERVISOR/PHONE

DATES EMPLOYED

REASON FOR LEAVING

SCHOOL/FIRM NAME

SUPERVISOR/PHONE

DATES EMPLOYED

REASON FOR LEAVING

SCHOOL/FIRM NAME

SUPERVISOR/PHONE

DATES EMPLOYED

REASON FOR LEAVING

Do you have a relative who serves on Bosqueville ISD Board of Trustees

YES

If Yes please provide name and relationship below:

Other

Please list any languages (other than English) that you can speak, read or write fluently.

List any special/technical skills or knowledge you can contribute to our district

ALL PERSONNEL OF THE SCHOOL DISTRICT, REGARDLESS OF CLASSIFICATION, ARE EMPLOYED, SUBJECT TO ASSIGNMENT, AND/OR REASSIGNMENT BY THE SUPERINTENDENT OR BY HIS OFFICIAL DESIGNATED REPRESENTATIVE BASED UPON THE NEEDS OF THE DISTRICT. DO YOU UNDERSTAND IF EMPLOYED YOU ARE SUBJECT TO REASSIGNMENT AS NEED ARISES?

YES

HAVE YOU EVER BEEN CONVICTED OF, PLEAD GUILTY OR NOT CONTEST (NOLO CONTENDRE) TO, OR RECEIVED PROBATION, SUSPENSION, OR DEFERRED ADJUDICATION FOR A FELONY OR OFFENSE INVOLVING MORAL TURPITUDE (INCLUDING, BUT NOT LIMITED TO , THEFT, RAPE, MURDER, SWINDLING, AND INDECENCY WITH A MINOR)?

YES

IF YES, PLEASE STATE WHERE, WHEN, AND THE NATURE OF THE OFFENSE:

CONVICTION OF A FELONY IS NOT AN AUTOMATIC BAR TO EMPLOYMENT. THE DISTRICT WILL CONSIDER THE NATURE, DATE, AND RELATIONSHIP BETWEEN THE OFFENSE AND THE POSITION FOR WHICH YOU ARE APPLYING.

REFERENCES (GIVE NAME OF SUPERINTENDENTS, PRINCIPALS, MAJOR PROFESSORS, SUPERVISORS OF STUDENT TEACHING, COOPERATING TEACHER, AND ANY OTHERS WHO HAVE OBSERVED AND KNOWN YOUR WORK AS A STUDENT OR TEACHER.) OUR OFFICE MAY CONTACT REGARDING YOUR PROFESSIONAL WORK.

SCHOOL/ORGANIZATION

TELEPHONE NUMBER

SCHOOL/ORGANIZATION

TELEPHONE NUMBER

SCHOOL/ORGANIZATION

TELEPHONE NUMBER

PLEASE DESCRIBE YOUR PHILOSOPHY OF EDUCATION:

The Bosqueville Independent School District is required by Texas Education Code Chapter 22 Subchapter C to review the criminal history of applicants, employees, independent contractors, student teachers, and certain volunteers. The information requested below is necessary to obtain criminal history record information.

SOCIAL SECURITY NUMBER

Date of Birth

DRIVER'S LICENSE (STATE AND NUMBER)

MAILING ADDRESS (STREET, CITY, STATE AND ZIP)

SEX

MALE

FEMALE

ETHNICITY

BLACK

WHITE/OTHER

HISPANIC

AM INDIAN/ALASKAN NATIVE

ASIAN/PACIFIC ISLANDER

I understand that the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment but will be used solely for the purpose of obtaining criminal history record information.

I understand

I acknowledge that Bosqueville ISD has the right to obtain a Criminal History Record.

Agree

Signature allowing Bosqueville ISD to obtain Criminal History Record

I have been notified that a Computerized Criminal History verification check will be preformed. (Please type your name as acknowledgment)

I have been notified that a Computerized Criminal History (CCH) verification check will be performed by accessing the Texas Department of Public Safety Secure WEbsite and will be based on name and DOB identifiers I supply. Because the anem-based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization conducting the criminal history record information obtained using the NAME AND DOB method. Therefore, the agency may request that I have a fingerprint search performed to clear any misidentification based on the result of the NAME AND DOB search. For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (Automated Fingerprint Identification System). I have been made aware that in order to complete this process I must make an appointment with L1 Enrollment Services, submit a full and complete set of my fingerprints, request a copy to be sent to the agency listed below, and pay a fee of $47.50 to the fingerprinting services company, L1 Enrollment Services. Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal history record may be discussed with me.

I authorize Bosqueville ISD to access the Texas Deparmtent of Public Safety Secure Website and run a verification check

agree

Signature of Applicant

Agency Representative Name (office use only)

Signature of Agency Representative ( office use only)

Date (office use only)

This application becomes the property of the District. The District reserves the right to accept or reject the application. Applications will be retained and updated for a one-year period, after which the applicant must notify the Personnel Office of his.her desire to remain in an active status. It is the applicant's responsibility to advise the Personnel Office of any change of name, address, or other status while his/her application is active.

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 on my application or dismissal from subsequent employment. I authorize the references listed on the previous page to provide Bosqueville ISD any and all information concerning my pervious employement and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to the District. I understand that the District is authorized by Texas Education Code 22.083 to obtain criminal history record information on all applicants the District intends to employ.

I UNDERSTAND THAT BY SUBMITTING THIS APPLICATION THAT I AM ALLOWING BISD TO RUN ALL NECESSARY REPORTS.

AGREE

SIGNATURE OF APPLICANT

RESUME UPLOAD

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TRANSCRIPTS UPLOAD

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REMINDERS TO APPLICANTS: ATTACH COMPLETE COPY OF TRANSCRIPT, ATTACH COPY OF TEACHER CERTIFICATE

Professional Personnel Application