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Licensed Application (Translate)

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.