Are you 18 years or older?
Do you hold a valid Indiana Teaching License?
Teaching or Work Experience
Professional Training, College, University, Certificates, High School, etc.
Are you prevented from lawfully becoming employed in the US?
Are you currently employeed?
If so may we inquire of your present employer?
Have you ever worked for Perry Central?
References (List three references, include their full name, position, and contact information)
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?
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.
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