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Professional Personnel Application

Professional Personnel Application

Bosqueville Independent School District

7636 Rock Creek Road - Waco, Texas 76708 254-757-3113 www.bosquevilleisd.org

AN EQUAL OPPORTUNITY EMPLOYER

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.

Professional Personnel Application




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PERSONAL DATA


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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.


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EDUCATION/TRAINING

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CERTIFICATIONS

PLEASE GIVE ALL INFORMATION CONCERNING TEXAS TEACHER CERTIFICATION HELD:





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


TEACHING EXPERIENCE

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OTHER WORK EXPERIENCE

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GENERAL INFORMATION


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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

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.


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CRIMINAL HISTORY RECORD INFORMATION

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.


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DPS Computerized Criminal History (CCH) VERIFICATION

(AGENCY COPY)


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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.

THIS COPY MUST REMAIN ON FILE BY YOUR AGENCY. REQUIRED FOR FUTURE DPS AUDITS.


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Agency Name

Bosqueville ISD


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DISPOSITION OF APPLICATION

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.

VERIFICATION

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.



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


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