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Home Employment Educators Application

CCS Employment App for Educators
Personal Information
Application For:
Please indicate: the grades corresponding to your selection above in order of preference (Primary & Elementary), the subject(s) you prefer to teach (Middle Grades), or the subject(s) you are certified in (High School).
Full Name:
Social Security Number:
Permanent Address:
City:
State:
Zip Code:
Present Address:
City:
State:
Zip Code:
Email Address:
Georgia Certification
Now have:
or will receive before:
Type:
Expiration Date:
Number:
Teaching Fields:
Have you successfully taken Praxis in your field?
If yes, date taken:
Are you presently under contract?
If yes, date contract expires:
Date available for employment:
Education
(Undergraduate, Graduate Work, and/or Staff Development Courses)

1)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

2)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

3)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

4)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

5)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

6)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

7)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:

8)
Name of College & Location:
Dates (mm/dd/yy - mm/dd/yy):
Degree Obtained or Hours Earned:
Teaching Experience

Report in chronological order all teaching and administrative school experience. Continuous experience in one system should be reported on one line. Do not report substitute teaching. If a teacher teaches 120 or more days in a school year, credit for a year of experience can be given. List most recent employment first.
1)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:

2)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:

3)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:

4)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:

5)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:

6)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:

7)
Name and Address of System:
School:
Dates (mm/yy - mm/yy):
Total Years:
No. Days in Full Cont. Year:
Grades or Subjects Taught:
Military Experience
Branch of Service:
Dates:
No. Months:
Highest Rank:
Type Discharge:
Information Required for Less Than Five Years Experience - Practice Teaching
Name & Location of School:
Dates:
Time Spent:
Hours Credit:
Grade or Subject:
Name of Supervising Teacher:
Other Experience
List here other work experiences outside of education that you may have had.
Company/Address:
Dates (mm/yy - mm/yy):
Total Months:
Actual Job:
Supervisor:
Company/Address:
Dates (mm/yy - mm/yy):
Total Months:
Actual Job:
Supervisor:
Company/Address:
Dates (mm/yy - mm/yy):
Total Months:
Actual Job:
Supervisor:
Personal Data

List any honors won in college.
List special honors won in your profession.
List any extracurricular activities for which you have special preparation, eperience, or interest and would like to sponsor.
List an educationally related organizations to which you belong.
List any foreign language in which you are poficient.