District Use Only

Date Completed Application Received ______

     App. Ltr ___  Resume ___  Transcripts ___  Certificate ___  Plcmt File ___ Statement ___  Other _______

Background Check:   Form received ___                   Date requested ___               Date received ___

Hiring personnel review record -- please initial and date when reviewed:

Initial ___  Date ___ Initial ___  Date ___ Initial ___  Date ___ Initial ___  Date ___ Initial ___  Date ___
Initial ___  Date ___ Initial ___  Date ___ Initial ___  Date ___

[THIS IS A DEMONSTRATION APPLICATION]

To Whom It May Concern:
 
Following this letter is my application for employment as an elementary teacher in the Sunnydale School District.  As you can see from my application, I hold a Class II license and have 3 years of successful classroom teaching experience in the Chugwater Schools. 
 
I find teaching the most fulfilling work I could possibly do.  It is a challenge to find the right keys to unlock the imaginations and curiosity of an entire roomful of students – and sometimes it is frustrating and takes many tries – but it is endlessly fascinating to witness the unfolding of growing minds.  I believe in meeting the child at the level I find her and guiding, instructing and leading her to achieve at capacity.  
 
On a personal note, I recently moved to Sunnydale with my family to be nearer my elderly parents who settled in East Sunnydale when they retired a few years ago.  One of our three children will attend school in the Sunnydale system and he is very excited and a bit intimidated by the prospect of new schools and new friends.  My wife will be working part-time for Dr. Judy Harris as a dental hygienist.
 
I am available for interviews at your convenience.  Thank you for considering my application for employment in the Sunnydale schools.  I look forward to hearing from you soon.
 
Best regards,
 
Bill Demo

EMPLOYMENT PREFERENCE FORM

To claim preference under the Montana Veterans’ Employment Preference Act, complete the following. Providing the following information is voluntary but must be included with the application in order to claim employment preference.

1. Veterans’ Employment Preference provides the addition of 5% points or 10% points to the applicant’s score when a numerically scored selection procedure is used. To claim Veterans’ Employment Preference you must be a U.S. Citizen and (check one of the boxes below):

A Veteran, if

1. you have been separated under honorable conditions,
   AND
2. you have served more than 180 consecutive days of active duty other than for training in the Army, Air Force, Navy, Marines, or Coast Guard (not including National Guard or Reserves) or a member of the reserves who served on active duty during a period of war or in a campaign or expedition for which a campaign badge is authorized.

A Disabled Veteran, if

1. you have been separated under honorable conditions from active duty,
   AND
2. you have an established Armed Forces service-connected disability OR are receiving compensation, disability retirement benefits, or pension from the U.S. Department of Veterans Affairs or military department, OR you have received a Purple Heart.

The spouse of a disabled veteran if the veteran’s disability prevents him/her from working.

The unremarried surviving spouse of a veteran or disabled veteran.

The mother of a veteran, if

1. THE VETERAN died under honorable conditions while serving in the Armed Forces, OR THE VETERAN has a service-connected, permanent, and total disability,
   AND
2. YOUR SPOUSE is totally and permanently disabled, OR YOU are the unremarried widow of the father of the veteran.

3. In the boxes below, check the attachment you must present at interview in order to document the preference request.

DD-214 Other

I understand that no offer of benefits, such as, but not limited to, a pension plan, insurance, vacation, or salary rate, is final until it has been reviewed by the Personnel/Human Resources Department, and fully approved by the (superintendent/board) or designated authorized representative.

Applicant

_____________________________________    Date ___________

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *

STATE OF

______________________

COUNTY OF:

____________________________

On this _____ day of _____________, _________, before me, a notary public of the State of ___________________, personally appeared ______________________________, known to me to be the person named in the foregoing release, and acknowledge to me that _________________________________ executed the same as ___________________________ free act and deed, for the uses and purposes therein mentioned.

IN WITNESS THEREOF, I hereunto set my hand and affixed my notorial seal the day and year in this certificate first above written.

Notary Public Signature

__________________________________

State of

____________________________

County of

__________________________

My commission expires

________________

Affirmative Action Information

Providing this information is strictly on a voluntary basis. State law requires that employers keep records on the race and sex of applicants and employees to facilitate the enforcement of equal employment opportunity laws. This statement will be filed separately from all of your other employment records. As required by state law, it will be available only to the school district personnel department and federal/state employment enforcement officers.

Complete the following information and return it with your completed application to the applicable school district office/s.

Date: 03/23/01

Sex: Female Male

Age:

Check one of the following:

ALASKA NATIVE - A person having origins in any of the original peoples of North America and who maintains cultural identification through tribal affiliation or community recognition.

AMERICAN INDIAN - A person having origins in any of the original peoples of North America and who maintains cultural identification through tribal affiliation or community recognition.

ASIAN AMERICAN - A person having origins in any of the original people of the Indian Subcontinent, the Pacific Islands, or the Far East: For example, China, Japan, Korea.

BLACK - (not of Hispanic origin) - A person having origins in any of the black racial groups of Africa.

FILIPINO - A person having origins in any of the original peoples of the Philippine Islands.

SPANISH AMERICAN - A person of Mexican, Puerto Rican, Cuban, Central or South America or any other Spanish culture or origin regardless of race.

WHITE - (not of Hispanic origin) - A person having origins in any of the original peoples of Europe, North America, or the Middle East.

OTHER - Please specify: