Position desired: Full Name Full Address (including city, state, and zip) Phone Number Email
Are you 18 years or older?
Do you hold a valid Indiana Teaching License?
If yes, Expiration Date List subjects and grade levels your license(s) covers. Teaching or Work Experience Professional Training, College, University, Certificates, High School, etc. What date can you begin? Previous salary or dollars per hour
Are you prevented from lawfully becoming employed in the US?
Are you currently employeed?
If so may we inquire of your present employer?
Reason for leaving?
Have you ever worked for Perry Central?
Name of last supervisor at this company? If yes, when? How did you learn about this position? References (List three references, include their full name, position, and contact information) List any professional organizations you belong to. In the space below, please briefly introduce yourself. Be sure to include your reasons for entering the profession.
Have you been convicted of a felony within the last five years?
Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer, or if you offered resignation, to your previous employer?
Have you ever been reprimanded, disciplined, discharged, or asked to resign from a prior position?
Have you ever been charged with, pleaded guilty or "no contest" to, or been convicted of any crime involving sexual abuse or any person or any other crime of moral turpitude?
If yes, explain (will not necessarily exclude you from consideration)
Have you ever resigned from a position without being asked, but under circumstances involving your employer's investigation of sexual misconduct, mishandling of funds, or of criminal conduct?
Have you ever been charged with or investigated for sexual abuse of another person?
Have you ever been convicted of a crime, other than a minor traffic offense; or entered a plea guilty or a plea of no contest and put on probation, for any crime other than a minor traffic offense?
If you answered yes to any of the questions above, please explain, in detail, including the date of the charge, court action, the offense in question, and the address of the court involved. Apply Now