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Employment Application Employment at Solvay
Employment Application
Position applying for:
Your email address:
Choose a resume:
Choose a cover letter:
Copy of certification:

*** NOTE - Please DO NOT type messages in this area. This area is for upload of documents ONLY. Typing messages here will cause your submission to not be received! You MUST use the "Browse" button to upload your document. ***

*** Note: Uploaded files must be in Microsoft Word format ***

Personal Information
First Name:
Last Name:
Home Address
City
State
Zip
Home Phone
Work Address
City
State
Zip
Present Employer
Title
Current Salary

Education and Professional Preparation
Graduate Institution
Address
Degree
Total Semester
Credit Hours
Major Subject/
Semester Credit Hours
Minor Subject/
Semester Credit Hours
Graduate Institution
Address
Degree
Total Semester
Credit Hours
Major Subject/
Semester Credit Hours
Minor Subject/
Semester Credit Hours
Undergraduate Institution
Address
Degree
Total Semester
Credit Hours
Major Subject/
Semester Credit Hours
Minor Subject/
Semester Credit Hours
High School
Address
Type of Program

Certification

You must include a copy of your certification.
Area of Certification
Date(s) Issued
Type
University Placement
Credentials on file at
Second Certification (if applicable)
Date(s) Issued
Type
University Placement
Credentials on file at

Employment History

(Include student teaching if it is your most recent experience.)
School
Location
Grade or Subject
Length of Service
School
Location
Grade or Subject
Length of Service
School
Location
Grade or Subject
Length of Service

Other

Academic Awards
or Honors
Professional Memberships
Professional Subscriptions
Professional Training
or Workshops
Conducted or Attended
Professional Writing Published
Are you a United States Citizen?
 Yes No
Have you ever been convicted of a crime?
 Yes No
Have you ever been dismissed or asked to resign from any position or job? Yes No
If you answered "yes" to either of the last two questions, please provide an explanation below.

References

Please provide three references who are familiar with your work history. You may list superintendents, principals, and supervisors under whom you have taught or worked, and others who may have firsthand knowledge of your abilities, skills, knowledge, and character as a teacher or administrator.
Name
Title
Address
City
State, Zip
Phone
Name
Title
Address
City
State, Zip
Phone
Name
Title
Address
City
State, Zip
Phone
I hereby declare the information provided by me on this application is true and complete to the best of my knowledge. I understand that, if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal. I hereby authorize any individual, company, or institution listed above with whom I have been associated to furnish the Solvay School District with any information concerning my employment.
Name
Date
All application materials will be kept on file for six months from date of receipt.

The Solvay School District is in compliance with the Educational Amendments of 1972; Title IX specifically disallowing any practice of discrimination.