e-mail address:
Application for 19 to 19 School Year
Name (Last, First, Mid) Soc Sec #:
Address City/State/Zip
Phone Numbers: Work Home Message
Grade or Subjects preferred to teach within licensure area:
Are you fluent in languages other than English, please specify?
If not licensed in New Mexico, write or call the Professional Licensure Unit for an application. (State Department of Education, Education Building, West De Vargas and Don Gaspar, Santa Fe, New Mexico, 87501-2786, 505-827-6581)
Are you Certified in other states?yes:no:
Education
Employement Experience (list all teaching and administrative experience)
Non-Teaching Experience (list all non-teaching or substitute teaching experience during the past five years)
Business: Address: Position: Worked from: To: Supervisor's name:
References (The office of Human Resources will not request references on your behalf.)
I Do /Do Not, Waive my right to review my references.
By pushing the SUBMIT button I hereby authorize the Santa Fe Public Schools to solicit references from the individuals and /or organizations listed and to make inquiries into my previous employment record. I give permission to you and all such individuals, organizations and employers to release any information, confidential or otherwise, regarding my past employment, or my suitablility for future employment, and hereby release you and all such individuals, organizations, and employers from all claims or actions resulting from furnishing the information.
In the event the Santa Fe Public Schools wish to follow up on additional references, please list:
Name: Address(complete) Phone # Official Position:
If you have answered yes to any of the four questions above write an explanation (including dates, offenses, disposition, charges and current status) (Hit enter at the end of each line. All text must appear on the screen):
You are encouraged to attach (either in this form or send by another means) a resume, transcripts or any other pertinent information which you feel will be helpful to us in considering your application. Your application will remain active for 1 year. If you wish to remain active after 1 year, you must submit a letter stating you continued interest. Please notify us of any change of address or telephone number.
Failure to answer any questions truthfully and fully may result in rejection of your application or result in termnation of your contract according to procedures established by law.
Copyright © 1997 Santa Fe Public Schools Last revised: July 9 1998 by TheWebteam