Central Noble
Jr/Sr High School

Application for Certified Staff Position

Conditions of employment are stated at the end of this form. Please read carefully before you sign this application. Application must be completed in full even if attaching a resume.

PERSONAL INFORMATION

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Street, City, State, Zip Code

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LICENSURE

Type(s) of Licenses Held:
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Expiration Date:

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State in Which License is Held:
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STUDENT TEACHING EXPERIENCE

School Name and Address:
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Grade/Subject:
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Name of Supervisor:
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Dates:
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EDUCATION AND ADDITIONAL EXPERIENCE

HIGH SCHOOL

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BUISNESS/TRADE/OTHER

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COLLEGE

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GRADUATE SCHOOL

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PLEASE ATTACH A COPY OF YOUR COLLEGE TRANSCRIPTS AND RESUME AT THE END OF THIS FORM.

ADDITIONAL EXPERIENCE OR QUALIFICATIONS

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EMPLOYMENT HISTORY

Begin with your most recent employment:

Employer 1

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Leave blank if still currently working for this employer.

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Employer 2

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Employer 3

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IF YOU HAVE MORE THAN 3 EMPLOYERS, PLEASE ATTACH A RESUME AT THE END OF THIS FORM.

SCHOOL INVOLVEMENT

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EDUCATIONAL ORGANIZATIONS

List the educational organizations that you have been or are currently a member of.

ORGANIZATIONS

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NUMBER OF YEARS

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OFFICE(S) HELD

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PROFESSIONAL DEVELOPMENT

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COMMUNITY INVOLVEMENT

List the community organizations that you have been or are currently a member of.

ORGANIZATIONS

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NUMBER OF YEARS

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OFFICE(S) HELD

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PARENT INVOLVEMENT

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INSTRUCTION

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DISCIPLINE

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CANDIDATE'S STATEMENT

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ATTENDANCE AND PUNCTUALITY INFORMATION

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REFERENCES

Please list 3 References - no relatives.

Reference 1

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Reference 2

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Reference 3

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EMPLOYABILITY VERIFICATION

Only US Citizens or Aliens who have a legal right to work in the US are eligible for employment.
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A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account.

A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of viloation, and rehabilitation will be taken into account.
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NOTIFICATION AND AGREEMENT

PLEASE READ BEFORE SIGNING:

I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE, AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION, OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ENCLOSED OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED.

Questions regarding this statement should be directed to any employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed.

It is the policy of the Corporation to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, any and other characteristic protected by Federal, State or Local Law.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I release the employer from all liability that might result from making an investigation.

Indiana is an “At-Will” State. If hired, I agree to abide by all of the School rules and regulation, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the Corporation or me, I further understand that no representation, whether oral or written by any representative or agent of the Corporation, at any time, can constitute a contract of employment. I understand that the Corporation and all Plan Administrators shall have the maximum discretion permitted by law to administer, interpret, modify, discontinue, enhance, or otherwise change all policies, procedures, benefits or other terms or conditions of employment. No representative or agent of the Corporation, has the authority to enter into any agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit or other term or condition of employment other than in a document signed by the Superintendent and/or Board, or to make any agreement contrary to the foregoing.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

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You may upload relevant documents like certifications, licenses, reference letters, or a resume.

Central Noble encourages acceptance, tolerance, and respect for all students. When you feel hurt or bullied, visit our CN Cares Hotline page.

Corporation Office

  • 260-636-2175
  • 260-636-7918

Jr/Sr High

  • 260-636-2117
  • 260-636-2461

Elementary

  • 260-636-7538
  • 260-636-7740

Primary

  • 260-635-2432
  • 260-635-2372

Central Noble encourages acceptance, tolerance, and respect for all students. When you feel hurt or bullied, visit our CN Cares Hotline page.