Excellence
While we may not be great in everything we do, we will strive to do everything great. We realize that the process of being excellent teaches us many important skills and knowledge about ourselves. Anything worth doing is worth doing well.
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#1 SACP CTE Form 07-08 | #2 Student Data Form | #3 Family Data Form 2007-08 | #4 Emergency Contact Form |
#5 Field Trip Form | #6 Media Release Form | #7 Over the Counter Permission slip | #8 Health Inventory Form |
#9 Parent/Physician’s Statement Form | #10 Re-Enrollment Form
CALIFORNIA STANDARD APPLICATION FOR CERTIFIED PUBLIC SCHOOL EMPLOYMENT
Date(s) available for interview:  
Date available for employment:  


First name:  
Middle name:  
Other name:  
Last name:  
Current address:  
Phone:  
Permanent address:  
Phone:  
Social Security no.:  
Total years of teaching:  


Position(s) for which you are applying:  
Subject(s), grade level(s), or nonteaching positions(s) (according to preference):  
First preference:  
Second preference:  
Third preference:  
Other subjects you are qualified to teach: activities to direct, or positions to fill.  
Do you speak, read, or write any language other than English  


California credentials now held:  
Type:  
Expired:  
Name of California teaching  
Credential applied for:  
Date of application:  
Are you or have you ever been a member of the California Teacher’s Retirement System?  

For each question answered yes, explaing the circumstances.

Has your credential ever been suspended or revoked:  
Have you ever been dismissed, or asked to resign, from any teaching position?  
Have you ever been convicted of anything other than a traffic violation?  

Teaching experience (List position first. If more than five years, list positions for last five years; if none, report student t e aching experience. Indicat e type - regular, substitute, or student teaching.)

TYPE DATE GRADE OR SUBJECT SCHOOL DISRICT DISTRICT ADDRESS

NOTE: Check box if you have qualifications which especially equip you to work with culturally different and/or minority groups and multiethnic programs, and include a brief explanation with your application.  
Work experience other than teaching:  

College or university education Attended Graduated Major Minor
Name and location of each institution attended From Date    
To Degree    
   
Name and location of each institution attended From Date    
To Degree    
   
Name and location of each institution attended From Date    
To Degree    
   
Name and location of each institution attended From Date    
To Degree    
   

Number of semester units of graduate work beyond BA or BS degree  
Number beyond MA or MS  
1 quarter unit = 2/3 semester unit    

My placement papers are on file with the following placement office:  
Address:  
City:  
State:  
ZIP code:  
Under the name of:  

Professional references if not registered with a placement office (Include only those who have knowledge of your teaching e x perience e.g., superintendents, principals, supervisor, and student teaching master teachers.)

NAME   POSITION   ADDRESS
   
   

I HEREBY CERTIFY that all statements made herein are true and correct to the best of my knowledge and authorize investigation of all statements herein recorded. I release from all liability persons and organizations reporting information required by this application.

Signature of Applicant*   Signature will be required on the first day of school.
Date  

Type the code displayed on the picture   CAPTCHA  

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