NOTUS SCHOOL DISTRICT #135 Certificated Employment Application

NOTUS SCHOOL DISTRICT #135 Certificated Employment Application

Educating the Communities of Tomorrow
25257 Notus Road, Caldwell, ID 83607 (Phone) 208-459-7442 (Fax) 208-453-1027 www.notusschools.org “An Equal Opportunity/Affirmative Action Employer”
Application Instructions:

Complete the application in your own handwriting. Please be sure that your name is on all pages of the application. Since the completed application will be part of your personnel folder, please do not fold. Your application will be considered for all positions for which you are qualified. In order for your application to be considered "complete", you are required to include all the items listed below.
Completed Certified ApplicationResumeCopy of current Idaho CredentialTranscript(s) with degree(s) posted (unofficial copies accepted with application only; official transcripts required upon hire)Three (3) current letters of recommendationTwo (2) Professional Reference forms which can be downloaded from the Notus website
How to apply for a Certified Position:

Step 1: Complete the Certified Application

Step 2: Mail remaining documents to:

Attn: Human Resources Notus School District #135

25257 Notus Road Caldwell, ID 83607

or remaining documents can be emailed to colesr@notusschools.org

The Selection Process:

When your application packet is complete and turned in you will be considered for all positions for which you are qualified. After applying, if you become aware of a specific opening for which you would like to apply, please send a letter stating your interest in that position.

Preliminary screening of applicant will be based on the ability to meet job description requirements as evidenced by a completed application and additional required items. Candidates selected for an interview will be notified by telephone or email. During an interview, you will be asked questions about your skills and experience and how they are related to the current job opening.

Final selection is made based on the application information received, the interview and the reference checks. The candidate selected for the position will be notified by telephone.
NOTUS SCHOOL DISTRICT #135
25257 Notus Road, Caldwell, ID 83607

(P) 208.459.7442 (F) 208.453.1027

"An Equal Opportunity/Affirmative Action Employer"

Certificated Employment Application

Educating the Communities of Tomorrow
Last
First
Middle
Date

MonthDayYear
Date
Home Address

Street address

Street Address Line 2

CityState

Zip Code
ApartmentUnit
Mailing Address

Mailing address

Street Address Line 2

CityState

Zip Code
ApartmentUnit
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Social Security #: (optional)
1st Choice (Grade Level or Subject)
2nd Choice (Grade Level or Subject)
3rd Choice (Grade Level or Subject)
Teaching K-3Teaching 4-6Teaching 7-12CounselorFull TimePart Time
Please indicate your expected hourly/annual salary for this/these positions
ACTIVITIES

Non-Athletic: Activities you would be willing to sponsor (ie. Yearbook, cheerleader, student council, honor society).

Athletic: Activities you would be willing to coach (ie. Head coach, assistant coach, player)

I have experience in the following - Non-Athletic:

Rows	I have experience in the following	No Experience, but interested in assisting in the following
1
2
3

Notus School District #135 Certificated Application (Page 2 of 7)

I have experience in the following - Athletic:

Rows	I have experience in the following	No Experience, but interested in assisting in the following
1
2
3

PROFESSIONAL INTEREST
YesNo
If yes, when
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If yes, list relatives name and relationship
YesNo
What state
Title of Certificate
Date certificate issued

MonthDayYear
Date
Initial certification year
Endorsements
If no please explain when you plan to obtain your certificate
Credits earned "after initial teaching certificate" will be used in determining placement on salary schedule.
Additional credits earned after certification
Notus School District #135 is an equal opportunity employer/educator with a drug, alcohol and tobacco free environment. Discrimination based on race, color, religion, sex, age, disability, national origin, financial ability, parental status or marital status does not exist in the District. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodations to the application and/or interview process should notify a representative of the organization. Questions or complaints should be addressed Human Resources.
Notus School District #135

Certificated Application (Page 3 of 7)

Education

Rows	Colleges and Universities/City and State	Dates Attended From - To	Degree Earned	Major Subject	Minor Subject
1
2
3
4

Employment Experience - List all positions held six (6) months or more. Begin with last position.

Rows	Date: From - To	Position - Grade andSubject	District and School	Street Address, City, State, Zip	Principal and work phone	Full or Part Time	Substitute Yes or No	Private School Yes or No
1

Reason for leaving

Rows	Date: From - To	Position - Grade andSubject	District and School	Street Address, City, State, Zip	Principal and work phone	Full or Part Time	Substitute Yes or No	Private School Yes or No
2

Reason for leaving

Rows	Date: From - To	Position - Grade andSubject	District and School	Street Address, City, State, Zip	Principal and work phone	Full or Part Time	Substitute Yes or No	Private School Yes or No
3

Reason for leaving

Rows	Date: From - To	Position - Grade andSubject	District and School	Street Address, City, State, Zip	Principal and work phone	Full or Part Time	Substitute Yes or No	Private School Yes or No
4

Reason for leaving
YesNo
Date Available

MonthDayYear
Date

Professional References - (List at least 3 current references capable of assessing your ability to perform the work for which you are applying. Include the names of Superintendents or Administrators with whom you have worked)

Rows	Name	Title	Address	City, State, Zip	Accessible Phone #
1
2
3
4

Certificated Application (Page 4 of 7)

List professional growth activities, staff development, workshops, classes, and computer expertise you've taken in the past 3 years.
1
2
3
List the professional committees and task forces and the role in which you served.
1
2
3
Please Note: All applicants must sign below

I hereby certify that this application contains no misrepresentation or falsifications and that the information given is true and complete to the best of my knowledge and belief. I understand that misrepresentation or omission of facts called for in this application is cause for cancellation of the application and/or dismissal from employment.

I understand that I will be required to possess a current valid Idaho driver's license if the position applied for requires driving in the course of work. I understand that I will also be required to provide a copy of my official driving record and proof of insurance and that any offer of employment is contingent upon my ability to be covered by Notus School District auto insurance, if required for position applied for.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for a reasonable accommodation as required by the ADA.

The Immigration and Reform Act of 1986 requires the District to verify that all new employees are eligible to work in the United States. Upon employment with the District an individual will be required to provide appropriate documentation of both employment authorization and individual identity within the first three days of employment. This verification is a condition of employment.

I understand that fingerprinting and a criminal record check are required by law for any successful applicant of the Notus School District. The cost of the fingerprinting is considered an expense to the applicant upon hire and will not be reimbursed by the Notus School District. The current processing fee for fingerprinting is $40.00. Any offer of employment is contingent upon clearance for continued employment by the State Department of Education.

As part of my application for employment, I hereby consent to and authorize the release of any and all information to Notus School District, which may be considered in evaluating my qualifications for employment. I therefore release all parties and persons connected with any request for information from all claims, liability and/or damages for whatever reasons arising out of furnishing such information.
Date

MonthDayYear
Date
Signature of Applicant

Clear
Certificated Application (Page 5 of 7)

NARRATIVE

Please answer the following questions in accordance with your personal philosophy of education.
1 Why do you want to teach in the Notus School District?
2 What do you think is the single most important issue facing education today?
3 How do you assess and facilitate the climate in your work setting?( e.g. classroom, school district)
Certificated Application (Page 6 of 7)

Please answer the following questions in accordance with your personal philosophy of education.
4 What are the essential aspects of effective reading instruction and why? (Elementary only)
5 Please write a note to students and/or parents which explains your grading procedure. (Secondary only)
6 How will you demonstrate flexibility and responsiveness in meeting the needs and accelerate the learning of a diverse student body (e.g. special education students, ESL students, underachieving students, gifted and talented students)?
Local NewspaperDistrict Office PostingsNSD #135 WebsiteUniversity Career FairOther
Certificated Application (Page 7 of 7)
CRIMINAL HISTORY BACKGROUND STATEMENT
Applicants Note: Answer all questions on this form. Incomplete information may cause your application to be delayed or rejected.
PLEASE PRINT THE FOLLOWING IN THE APPROPRIATE BOXES
State
Driver License Number
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Sex
Social Security Number
Address

Address

Street Address Line 2

CityState

Zip
Telephone
Format: (000) 000-0000.
List maiden/other names previously used
List other states where you have resided as an adult above 18 yrs of age
YOU MUST CHECK YES OR NO TO EACH QUESTION BELOW.
YesNo
If the answer is no, please explain:
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If you have answered yes to any of questions 2-20, please explain:
Notus School District No. 135

Hiring Process and Criteria

5100F1

AUTHORIZATION FOR RELEASE OF INFORMATION ON PAST EMPLOYMENT WITH SCHOOL EMPLOYERS IDAHO CODE 33-1210

Idaho Law requires applicants for any position at any Idaho Public School to allow the hiring school district employer to obtain a copy of past public school employer personnel file materials and other documentation relating to the performance of the applicant when such applicant was employed by any other public school, whether in Idaho or any other state. Before hiring an applicant for any position, the District must request the applicant to sign this form. Should the applicant refuse or fail to sign this form, the District is not permitted to hire the applicant for any position. This authorization does not limit any employer from seeking additional information or disclosures from any applicant.

This form: 1.Authorizes current and past public school employers of the applicant/undersigned on this form, including applicants outside the State of Idaho, to

release to the hiring school district all information relating to the job performance and/or job related conduct of the applicant and make available to the hiring school district copies of all documents in the previous employer's personnel file, investigative file or other files relating to the job performance of the applicant; and Releases the applicant's/undersigned's current and past employers, and employees acting on behalf of the employer, from any liability for providing the above-mentioned

33-1210 RELEASE I understand that the above requirements are a condition of my obtaining employment with the District and I consent to my current and former employers, both inside and outside the State of Idaho, upon receipt of this signed authorization, to comply with Idaho law. I further consent that such authorization may be provided to the hiring District via electronic
Signature of Applicant

Clear
Date

MonthDayYear
Date
Printed Name of Applicant
Identifying Employee NumberName of Applicant or other Identifying Information for Past Employer
Information obtained through the use of this release will be used only for the purpose of evaluating the qualifications of the applicant for employment. This information will not be disclosed in any manner other than as provided by Statute.
- A copy of this release and all other information obtained through use of this release will be placed into the applicant's personnel file with the District upon employment of the applicant, if any.
- An applicant's failure to disclose any former school district employer, whether within or outside of the State of Idaho, will serve as the basis for immediate termination and, for certificated personnel, may also result in the District's reporting of the individual to the Idaho Professional Standards Commission for a potential violation of the Code of Ethics for Professional Educators.
- By accepting an executed copy of this form, the hiring school district makes no guarantee or promise of employment to the applicant. Further, the hiring school district may employ the applicant on a conditional basis pending review of information gathered pursuant to this release. Such conditional employment is not a guarantee or promise of continued employment with the hiring school district for any length of time or pursuant to any additional conditions.
Should be Empty:

NOTUS SCHOOL DISTRICT #135 Certificated Employment Application

25257 Notus Road, Caldwell, ID 83607 (Phone) 208-459-7442 (Fax) 208-453-1027 www.notusschools.org “An Equal Opportunity/Affirmative Action Employer”

NOTUS SCHOOL DISTRICT #135

Notus School District #135 Certificated Application (Page 2 of 7)

CRIMINAL HISTORY BACKGROUND STATEMENT

PLEASE PRINT THE FOLLOWING IN THE APPROPRIATE BOXES

YOU MUST CHECK YES OR NO TO EACH QUESTION BELOW.