OCEAN SPRINGS SCHOOL DISTRICT
APPLICATION FOR CERTIFIED PERSONNEL



About Your Application:   This application will be considered active for (1) year. This application can be reactivated for an additional (1) year upon request.
       
     
APPLICATION DATE:      
       
FIRST NAME MIDDLE NAME LAST NAME EMAIL ADDRESS
       
ADDRESS CITY STATE ZIP CODE
       
TELEPHONE NUMBER CELLPHONE NUMBER
       
   
DATE OF BIRTH (MTH/DAY/YEAR)   SOCIAL SECURITY #  
       
NAME/PHONE # NEXT OF KIN:
       
APPLYING FOR POSITION OF:
       
CONSIDER ME ALSO FOR:
       

CERTIFICATION:  
   
UNIVERSITY ATTENDED:   DEGREE:  
   
MAJOR(S) MINOR  

NATIONAL BOARD CERTIFIED      YES NO IF YES, PLEASE UPLOAD OR ATTACH A COPY     
       
PRAXIS       PRAXIS II       CMEE       NTE
 
PLEASE CHECK TESTS TAKEN FOR LICENSURE AND UPLOAD OR ATTACH A COPY OF SCORES

TYPE OF LICENSE: (ENDORSEMENT)
   
 
Expiration Date

THE OCEAN SPRINGS SCHOOL DISTRICT EMPLOYS QUALIFIED APPLICANTS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, MARITAL OR VETERAN STATUS, OR THE PRESENCE OF NON-JOB RELATED MEDICAL CONDITION OR HANDICAPS


PERSONAL DATA
  ARE YOU ABLE TO PERFORM THESE TASKS WITHOUT ACCOMMODATION(S) YES NO
IF AN ACCOMMODATION IS REQUIRED, HOW WOULD YOU PERFORM THE TASKS AND WITH WHAT ACCOMMODATION(S)?
 
  DO YOU HAVE ANY RESPONSIBILITIES WHICH WOULD INTERFERE WITH YOUR ABILITY TO BE A PROMPT, REGULAR EMPLOYEE? YES NO
   
  LIST ANY SPECIAL TALENTS YOU HAVE THAT MAY BE BENEFICIAL TO YOU IN THE POSITION FOR WHICH YOU HAVE APPLIED.
 
 
  LIST ANY COLLEGE AND/OR COMMUNITY ACTIVITIES ENGAGED IN OR ANY HONORS RECEIVED THAT YOU CONSIDER RELEVANT TO THE POSITION FOR WHICH YOU HAVE APPLIED.
 
 
  ARE YOU A VETERAN? YES NO
  DO YOU CONSIDER THAT YOU ARE ENTITLED TO PREFERENTIAL HIRING TREATMENT BECAUSE YOU ARE A VETERAN? IF YES, WHY? YES NO
  IF YES, WHY?
 
 
  IF YOU HAVE A RELATIVE WHO WORKS FOR THIS SCHOOL DISTRICT OR WHO SERVES AS A MEMBER OF THE BOARD OF TRUSTEES, PLEASE GIVE THE NAME, ADDRESS AND RELATIONSHIP:
 
 
  WHY DO YOU DESIRE TO LEAVE YOUR PRESENT POSITION, OR WHY DID YOU LEAVE YOUR LAST POSITION?
 
 
  HAVE YOU EVER BEEN INVOLUNTARILY TERMINATED FROM THE EMPLOYMENT OF ANOTHER SCHOOL DISTRICT? YES NO
   
  IF YES, PLEASE GIVE THE NAME OF THE DISTRICT, THE DATE, AND THE REASONS FOR THE TERMINATION.
 
 

TEACHING EXPERIENCE
   
NAME OF SCHOOL & MAILING ADDRESS
(COMPLETE WITH ZIP CODES)
(LIST STUDENT TEACHING FIRST)
NO. OF MONTHS
NATURE OF WORK
LIST SUBJECT / GRADE
 
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
   
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
 
Name of School:
Address:  
City /State
 
     
TOTAL NUMBER OF YEARS OF EXPERIENCE
 

REFERENCES: THESE SHOULD BE PERSONS QUALIFIED TO GIVE ANY INFORMATION TO SHOW YOUR FITNESS FOR THE POSITION YOU SEEK. PLEASE INCLUDE THE SUPERINTENDANTS AND PRINCIPALS UNDER WHOM YOU HAVE TAUGHT
 
FULL NAME
MAILING ADDRESS
PHONE #
OCCUPATION
EMAIL
 
(COMPLETE WITH ZIP CODES)
     
1.
2.
3.
4.
5.
           
Note:        
If you do not have an email address for your reference, make sure and include the phone number
           

PLEASE NOTE: BEFORE AN APPLICATION IS CONSIDERED AND YOU CAN BE RECOMMENDED TO THE SCHOOL BOARD FOR EMPLOYMENT YOU HAVE TO OF FURNISHED TO US:
AN EMPLOYMENT APPLICATION WITH ALL BLANKS FILLED-IN.
OFFICIAL, SEALED TRANSCRIPTS OF ALL COLLEGE WORK.
FIVE (5) COMPLETED REFERENCE FORMS.

COPIES OF ALL TEST SCORES REQUIRED FOR LICENSURE.

MISSISSIPPI TEACHING LICENSE OR PERMIT ENDORSED IN THE TEACHING AREA FOR WHICH YOU HAVE APPLIED *
SIGNED RELEASE FOR BACKGROUND CHECK
   
  * IF YOU MEET ALL REQUIREMENTS FOR LICENSURE OR EMERGENCY LICENSURE AND HAVE NOT YET RECEIVED YOUR CERTIFICATE YOU MAY BE RECOMMENDED TO THE SCHOOL BOARD FOR EMPLOYMENT "PENDING LICENSURE."

EDUCATION AND TRAINING
LIST NAME OF SCHOOLS AND LOCATIONS IN ORDER OR ATTENDANCE
NAME OF SCHOOL & LOCATION
DATES
ATTENDED
DEGREE OR DIPLOMA






       

WHAT IS YOUR PHILOSOPHY OF EDUCATION ?

READ CAREFULLY AND SIGN THE FOLLOWING STATEMENT:
     BY MY SIGNATURE, I ATTEST THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND REPRESENTS ME ACCURATELY. I AUTHORIZE INVESTIGATION ALL STATEMENTS CONTAINED HEREIN AS MAY BE NECESSARY IN ARRIVING AT AN EMPLOYMENT DECISION.
     I HEREBY GIVE MY CONSENT TO ANY PREVIOUS OR CURRENT EMPLOYER, EDUCATIONAL INSTITUTION, LAW ENFORCEMENT AGENCY OR OTHER AGENCY TO RELEASE TO THE OCEAN SPRINGS SCHOOL DISTRICT ANY INFORMATION REQUESTED IN CONNECTION WITH A BACKGROUND INVESTIGATION CONCERNING MY POSSIBLE EMPLOYMENT WITH THE DISTRICT. I FURTHER RELEASE, HOLD HARMLESS, AND AGREE NOT TO SUE EMPLOYER, EDUCATIONAL INSTITUTION, AGENCY OR THE OCEAN SPRINGS SCHOOL DISTRICT THAT FURNISHES WRITTEN OR ORAL INFORMATION REQUESTED AS PART OF THE BACKGROUND INVESTIGATION.
     I UNDERSTAND AND AGREE THAT (1) IF ANY INFORMATION IS OMITTED FROM OR NOT FILLED IN ON THIS APPLICATION, OR ANY FALSE INFORMATION IS FURNISHED, THE DISTRICT WILL REJECT MY APPLICATION; (2) IF FALSE INFORMATION IS FURNISHED, I WILL BE INELIGIBLE FOR FUTURE CONSIDERATION OF 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 CERTIFICATE MAY BE REVOKED IF IS LATER DISCOVERED THAT I HAVE FURNISHED FALSE INFORMATION.
     I UNDERSTAND THAT THE APPLICATION WILL REMAIN IN THE PERSONNEL FILES OF THE OCEAN SPRINGS SCHOOL DISTRICT AS SPECIFIED ABOVE. I HAVE RECEIVED A COPY OF THE DISTRICT’S POLICY REGARDING CRIMINAL BACKGROUND SEARCHES AND I DO HEREBY CONSENT TO SAID SEARCH.
 
APPLICANT'S SIGNATURE     
DATE 

RESUME UPLOAD
     
 
ADDITIONAL DOCUMENTS
     
      Type of Doc. (ex: Praxis Scores)

     
      Type of Doc. (ex: Praxis Scores)

     
      Type of Doc. (ex: Praxis Scores)

     
      Type of Doc. (ex: Praxis Scores)

     
      Type of Doc. (ex: Praxis Scores)

     
      Type of Doc. (ex: Praxis Scores)

     
      Type of Doc. (ex: Praxis Scores)

 

Note: If you do have a resume or additional documents available, you may email them to Nancy Hayden at nhayden@ossdms.org or mail them to her at:

Ocean Springs School District
P.O. Box 7002
Ocean Springs MS 39566-7002