76 Melrose Avenue
Jamestown, Rhode Island 02835
(401) 423-7020
Name: _________________________________________________________________________
For a position as: _________________________________________________________________
Mailing address:______________________________ Business address:_____________________
_________________________________________ _____________________
Telephone: (_____)__________________ Business Telephone: (_____)_____________
Social Security No: ____-____-______
The following is required BEFORE an application will be considered:
• This application form must be completed.
• Transcripts of all undergraduate and all graduate credits must be submitted before the application will be considered.
• A typewritten three hundred-word statement concerning an issue in education, which the applicant deems to be of critical and current importance, must be submitted. This statement will be reviewed by the screening committee on the basis of both form and content. No application will be considered without this statement.
• A copy of the applicant's Rhode Island Teacher Certificate or a written, signed statement from the Rhode Island Office of Teacher Certification attesting to the certifiability of the applicant must be submitted.
• 3 Current Letters of Reference.
Date of application: _________________ Signature: _______________________________________________
Return all application requirements to: Office of the Superintendent
Jamestown School Department
76 Melrose Avenue
Jamestown, 02835
NOTE: All applications are kept on file for two years. During this two-year period, similar teaching opportunities may arise. Jamestown School Department reserves the right to fill these positions from this pool of candidates.
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The Jamestown School Department is an affirmative action/equal opportunity employer.
The Jamestown School Department participates in Workers' Compensation System.
DO YOU POSSESS A TEACHING CERTIFICATE FROM THE STATE OF RHODE ISLAND?
If so, specify type _________________________________ Expiration Date ______________________
Include a copy of your certificate with this application.
If you do not presently possess a certificate, include a statement from the Rhode Island Office of Teacher Certification regarding your certification status.
Are you currently under contract? _____________ Date of expiration of current contract?__________
When would you be available to commence service in Jamestown? ______________________
Would you be willing to visit Jamestown for an interview at your own expense? _______________
Are you related to any member of the Jamestown School Committee or School Administration?_________
If so, please explain _________________________________________________________________________________
Are you related to any member of the Jamestown School faculty or staff? ___________
If so, please explain ___________________________________________________________________________________
High School, Colleges,
Universities Attended Location Dates Attended Degree
______________________________________________________________________________________________________
School,
Town, State Nature of Position From To
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
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STUDENT TEACHING EXPERIENCE
(Complete only if applying for a teaching position when you have had fewer than five years of teaching experience)
School(s) _________________________________________________________________________________
Location(s) ________________________________________________________________________________
Dates (From – To - ) ________________________________________________________________________________
Subjects Taught (be specific): _________________________________________________________________________________
_________________________________________________________________________________
Name(s) of Critic Teacher: ___________________________________________________________________________________
Please give as references, persons who have personal experience and knowledge regarding you character, personality, scholarship, and teaching ability or potential in a public school. If you are experienced in teaching or administration, please include the names and current addresses of Superintendents, Principals or Supervisors with whom you have served. Please attach 3 current letters of reference.
Please be aware that the persons named as references, as well as others who might attest to your qualifications to serve in Jamestown, will be contacted during this process. If you prefer that one or more of your references not be contacted until you have achieved finalist status, please indicate such request in writing.
APPENDED TO THIS APPLICATION, YOU MUST SUBMIT AN ORIGINAL THREE HUNDRED (300) WORD TYPEWRITTEN STATEMENT CONCERNING AN ISSUE IN EDUCATION, WHICH YOU DEEM TO BE OF CURRENT AND CRITICAL IMPORT. THIS STATEMENT WILL BE EVALUATED ON THE BASIS OF BOTH FORM AND CONTENT.
NO APPLICATION WILL BE CONSIDERED WITHOUT THIS STATEMENT.