LICENSED APPLICATION
LAMAR PUBLIC SCHOOLS
SCHOOL DISTRICT NO. 39
301 Elberta Street, Lamar, AR 72846
479-885-3907
Applicants for employment with the Lamar School District are accepted without regard to sex, race, color, national origin, handicap, age, religion, or political affiliation.
The Lamar School District is a tobacco free workplace and learning environment, Smoking
and the use of tobacco products is prohibited in all school facilities.
Prior to working in the Lamar School District, an individual is responsible for being tested for tuberculosis, filing the results of that test in the central office, filing to become a member of the Arkansas Teacher Retirement System, completing federal and state tax withholding information, filling out an l-9 form, completing a criminal background check at the employee's expense, and completing the district's drug free workplace statement. The forms mentioned in this paragraph should be on file prior to or on the first day worked each school year. Checks cannot be issued until these forms are completed.
Name ________________________________ Date ______________
Social Security Number _________________ Phone __________
Present Address___________________________________ Until _____________
Permanent Address __________________________________________________
Position Desired _____________________________________________________
EDUCATION **PLEASE ATTACH COLLEGE TRANSCRIPTS)**
Name/Address of School, Include High School, College, Graduate Work, and summer session in order taken |
Dates |
Time Spent |
Semester Hours Credit |
Degree or Diploma |
Major Subject |
Minor Subject |
Give exact title and number of certificate you hold
Date issued _______________Expiration Date __________________ (Please attach copy)
Certificate entitles you to teach
List any activities or honors received relative to the position for which you are applying
Are you a current or past member of the US Military? Yes No
If Yes...Current or Past? _________
If Yes...Which branch?___________
EXPERIENCE List all experience in chronological order and account for each school year since you began teaching.
Name and Address of School (Include Student Teaching) |
Dates |
No. of Months |
No. of Teachers in System |
Salary |
Nature of Work, Specify grade level and subjects taught and any extra curricular work handled |
Reason for Leaving |
REFERENCES Please list persons who have knowledge of your qualifications for the positions you seek, including superintendents and principals under whom you have taught.
Name |
Address |
Phone Number |
Occupation |
Name Address Phone Number Occupation
When are you available for an interview? ________________
When could you begin work? ___________________
Have you ever been convicted of a felony? ________________
AGREEMENT
I AUTHORIZE INVESTIGATION OF ALL CONTAINED IN THIS APPLICATION. I UNDERSTAND MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL WITHOUT NOTICE AT ANY TIME DURING MY EMPLOYMENT.
IF EMPLOYED, I AGREE TO FOLLOW ALL POLICIES AND REGULATIONS OF THE DISTRICT. I AGREE TO PROMPTLY NOTIFY THE DISTRICT OF ANY CHANGE OF ADDRESS DURING MY EMPLOYMENT.
______________________________________ _______________
Signature Date
***Please attach a letter of application, resume, and a handwritten philosophy of education along with your teaching certificate and transcripts to this application.