Loading...

Editing previous response:

Please fix the highlighted areas below before submitting.

Classified Job Application

State*
Answer Required
Have you ever worked for the Murphy Elementary School District #21 before?*
Answer Required

Please provide at least two professional references. They will be contacted via email to complete a reference form prior to employment being offered.  

“YES” answers to the following questions will not necessarily result in denial of employment. The District will consider all the circumstances, including the date and nature of events which have led to the actions described below. Your written explanation will assist the District in determining your eligibility and suitability for employment. Attach sheets if necessary.

Have you ever been convicted of, admitted committing, or are you awaiting trial for any crime (excluding only minor traffic violations not involving any allegations of drug or alcohol impairment)? You must answer “YES” even if the matter was later dismissed, deferred, vacated or expunged. If you answer “YES”, you must provide dates of the proceedings, the court where the proceedings occurred, a statement of the accusation against you and the final disposition of the case(s).*
Answer Required
Have you ever been dismissed (fired) from any job, or resigned at the request of your employer, or while charges against you or an investigation of your behavior was pending? You must answer “YES” even if the matter was resolved with any form of settlement or severance agreement, regardless of its terms. If you answer “YES” you must provide the date of termination of employment, the name, address and telephone number of the employer(s) and a statement of the alleged reason for termination.*
Answer Required
Have you ever had any license or certificate of any kind (teaching certificate or otherwise) revoked or suspended, or have you in any way been sanctioned by, or is any charge or complaint now pending against you before any licensing, certification or other regulatory agency or body, public or private? If you answer “YES”, you must provide the dates of the proceedings, name, address and telephone number of the agency or body where proceedings took place, a statement of the accusations against you and the final deposition.*
Answer Required
Are you now being investigated for any alleged misconduct or other alleged grounds for discipline by any licensing, certification or other regulatory body (teacher certification or otherwise) or by your current or any previous employer? If you answer “YES” you must provide the name, address and telephone number for the employer or licensing body and a statement of the accusations against you.*
Answer Required
Have you ever been convicted of a dangerous crime against children as defined in ARS 13-604.01?*
Answer Required
Letter of Interest and Resume*
Answer Required
or drag it here.
Letters of Reference from three individuals familiar with your qualifications. a. Beginning teachers should include a Letter of Recommendation from evaluating teacher during student teaching. b. Experienced teachers should include a Letter of Recommendation from an individual responsible for his/her evaluation. *
Answer Required
or drag it here.
Copy of Current Certificate and IVP Finger Print Clearance Card
Answer Required
or drag it here.
Copy of Transcripts -unofficial is acceptable for the application process. (NOTE: The District does NOT issue Contracts without Official Transcripts.)
Answer Required
or drag it here.

By signing this application, I authorize you to request information concerning my education, training, experience, qualifications and job performance from any former and current employer of mine (except as specifically indicated above) and I specifically waive and right I have under ARS 23-1361.B or otherwise to receive or examine a copy of any written communication regarding employment furnished by any former or current employers of mine. I understand, at the time of hire, I will be responsible for costs incurred to complete fingerprinting and background investigation fees. I authorize investigation of all statements contained in this application. I understand that misrepresentations or omission of facts called for is cause for dismissal. Further, understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time. I understand that all appointments to a position are “At Will” and may be terminated with or without cause.

READ THIS PARAGRAPH BEFORE SIGNING THIS APPLICATION

Every answer I have provided on this application is both complete and truthful. I understand and agree that (1) if any information is omitted from or not filled in on this application, or if any false information is furnished, the District will reject my application; (2) is any false information is furnished, I will be ineligible for any future consideration for employment and may be subject to criminal prosecution; and (3) if I am employed by the district, I may be dismissed from employment, criminally prosecuted, and if certified, my certification may be revoked, if it is later determined that I have furnished false information on this application.

Signature*
Signature Required

Sign this form

By pressing “Sign Form,” you are agreeing to signing this form electronically.
Signature *
Type to sign
Draw your signature
Date:
Confirmation Email