SUBSTITUTE TEACHER APPLICATION PROCESS
Transcription
SUBSTITUTE TEACHER APPLICATION PROCESS
SUBSTITUTE TEACHER APPLICATION PROCESS Substitute teacher applicants may sign up at the Sanilac Intermediate School District if they want to sub in any school district in the county. The following are requirements: • Current or Expired Teaching Certificate or • Transcript (90 semester hours from an approved 4-year accredited university with a 2.0 average or better, or 135 hours if the university is on term hours) If applicant has a current Teaching Certificate (please provide a copy), follow this outline: To be eligible to sub, an individual must hold a current teaching certificate. This will allow you to sub in any area. You are allowed to substitute teach in short term assignments of 90 calendar days or less outside of the grade level and subject area validity of your teaching certificate. Please bring a copy of your teaching certificate. (We never keep the original teaching certificate in our files). Please complete or provide the listed forms below and present to the Sanilac ISD for processing. • • • • • • • Substitute Teacher Cover Sheet – Name, Address, Phone Number, etc. (Attach resume if available.) Teaching Certificate - Copy for ISD file. Authorization for Release of Fingerprint results to locals. Application Waiver Form – Criminal Record – Sign form and indicate whether or not convicted. Employer Check – Unprofessional Conduct – Sign and indicate name and address of former employer (2 pages). Livescan Fingerprint Request Form – State of Michigan and FBI – Form needs to be taken to the Sanilac ISD/Sanilac Career Center for L-1 Enrollment Services to do a personal fingerprint scan. Please call (866)226-2952 to make an appointment. A L-1 Enrollment Services staff member is only at the Sanilac ISD/Sanilac Career Center every other Tuesday. If applicant does not have a teaching certificate follow this outline: If you do not have a teaching certificate, and meet the following requirements, we will submit the application for the 150-Day permit. A $45 fee will be billed from the Michigan Department of Education for the 150-Day Permit. If the fee is not paid within 60 days, the Michigan Department of Education will rescind the permit and your name will be removed from the substitute teacher listing until the permit is paid in full. • • • • • • • Substitute Teacher Cover Sheet – Name, Address, Phone Number, etc. (Attach resume if available.) Official Transcript – An Official transcript indicating 90 semester hours from an approved 4-year accredited university with a 2.0 average or better, or 135 hours if the university is on term hours (Example: Baker College) or a copy of your current or expired teaching certificate. Authorization for Release of Fingerprint results to locals. Application Waiver Form – Criminal Record – Sign form and indicate whether or not convicted. Employer Check – Unprofessional Conduct – Sign and indicate name and address of former employer (2 pages). Livescan Fingerprint Request Form – State of Michigan and FBI – Form needs to be taken to the Sanilac ISD/Sanilac Career Center for L-1 Enrollment Services to do a personal fingerprint scan. Please call (866)226-2952 to make an appointment. A L-1 Enrollment Services staff member is only at the Sanilac ISD/Sanilac Career Center every other Tuesday. Once the 150-Day Permit is submitted and approved by the Michigan Department of Education, your name will appear on the State printout, which indicates whether you have paid the $45 fee. If not paid, "Unpaid Bill-Permit Rescinded" will appear next to your name. The ISD will check to verify this status and contact you or remove your name from the sub list, if necessary. FINGERPRINT FORM - State of Michigan and FBI: In order to complete this form, your Social Security Number and Driver's License number with picture ID is required. Once the form is complete, please call L-1 Enrollment Services 1-866-226-2952 to make an appointment (every other Tuesday) at the Sanilac Career Center. Please note that the Sanilac Intermediate School District has an I.D. Number on each form. Identix requires that you call ahead of time, to make sure they have someone available to come to the center to do the fingerprint scan for processing. The cost for the fingerprints to be processed is $49.25. There is also a $13.50 fee charged to scan in your prints. Total cost is $62.75. If you had your fingerprints done by the Livescan process at another school district, you may sign a release to have the sent to the Sanilac ISD. CAN I FORWARD MY FINGERPRINTS TO ANOTHER SCHOOL DISTRICT IN MICHIGAN? If fingerprints were done at the Sanilac Intermediate School District, you must sign a release form indicating that the prints be forwarded to the school district of your choice. ALL FORMS HAVE BEEN COMPLETED: Return all forms by mail or in person to: Sanilac Intermediate School District Julie Orchard 175 E. Aitken Road Peck, MI 48466 Once all the paper work has been returned and processed you may want to visit the local school districts and let them know that you are available. This is optional, but it gives the school a chance to become familiar with you. The Sanilac ISD distributes an updated substitute teacher listing to the local school districts on a regular basis. If you have any questions, contact the Sanilac Intermediate School district. Sanilac Intermediate School District Julie Orchard, Superintendent’s Secretary Phone: (810) 648-4700, ext. 240 FAX: (810) 648-5784 NEW SUBSTITUTE TEACHER COVER SHEET 2009-2010 NAME: ________________________________________________ DATE: ______________________ ADDRESS: __________________________________________________________________________ CITY, STATE, ZIP_____________________________________________________________________ PHONE NUMBER(S) __________________________________________________________________ DATE OF BIRTH _________________________ SOCIAL SECURITY NO. _______________________ TYPE OF TEACHING CERTIFICATE: _____________________________ EXPIRES: ______________ UNIVERSITY: ________________________________________________________________________ HIGHEST DEGREE: __________________________________________________________________ IF YOU HOLD A CURRENT OR EXPIRED TEACHING CERTIFICATE, LIST ENDORSEMENTS AND EXPIRATION DATE: (GRADES K-6, 7-8, ALL SUBJECTS, 9-12 MATH, ETC.) ____________________________________________________________________________________ ____________________________________________________________________________________ All Applicants: MAJOR: ____________________________________________________________________________ MINOR: _____________________________________________________________________________ Individuals who hold a valid Michigan Teaching Certificates are not required to have a substitute permit approval for teaching in short term assignments of 90 calendar days or less outside of the grade level and subject area validity of their teaching certificates. Substitute teachers who do not have a teaching certificate must have the 150-Day Permit. We will submit your name and information to the Michigan Department of Education and the Michigan Department of Education will send you a bill for $45.00. The 150-Day Permit is only good for the current school year. Please choose one: _____ I currently hold a valid Michigan Teaching Certificate. (Please enclose a copy of your Michigan Teaching Certificate for our files.) _____ I ask the ISD to apply for a substitute teaching permit for me. I understand that such permit is valid for 150 days of teaching per academic year. I also understand that upon approval of this permit the Michigan Department of Education will bill me $45 annually for this permit. (If the fee is not paid within 60 days, the Michigan Department of Education will rescind the permit and my name will be removed from the substitute teacher listing until the permit is paid in full.) I AM AVAILABLE TO SUB AT THE FOLLOWING SCHOOLS: _____ ALL SCHOOLS _____ BROWN CITY _____ CARSONVILLE-PORT SANILAC _____ CROSWELL-LEXINGTON (Selected candidates will be invited to attend a substitute teacher workshop held in September and January before they are asked to sub in Cros-Lex.) _____ DECKERVILLE _____ MARLETTE _____ PECK _____ SANDUSKY _____ ISD SPECIAL EDUCATION _____ SANILAC CAREER CENTER GRADE LEVEL PREFERENCE: DAYS AVAILABLE: MON. K-6 TUES. 7-8 WED. 9-12 THURS. STARTING DATE: ____________________________ ALL GRADES FRI. ALL DAYS NEW SUBSTITUTE TEACHER COVER SHEET 2009-2010 NAME: ________________________________________________ DATE: ______________________ ADDRESS: __________________________________________________________________________ CITY, STATE, ZIP_____________________________________________________________________ PHONE NUMBER(S) __________________________________________________________________ (FOR OFFICE USE ONLY) FINGERPRINT RESULTS AS OF: ____________________________________________________ (State/FBI) Fingerprint Results Sent to Local School Districts in which individual is available to substitute at: _____________________ CURRENT TEACHING CERTIFICATE ON FILE: _________________________________________ TRANSCRIPTS: ____________________________ EMPLOYER CHECK: __________ YES __________ NO TEACHING CERTIFICATE: _______________________________ EXPIRATION DATE: _____________________________________ FOR OFFICE USE ONLY: Added to Sub List ________________ Added to Data Base _______________ Billed Permit _____________________ Application Number _______________ Rescinded ______________________ Remove _________________________ TO: 175 East Aitken Road Peck, MI 48466 Phone: (810) 648-4700 Fax: (810) 648-5784 (Supt.) Fax: (810) 648-4834 Central Office Duane Lange Superintendent ext. 241 [email protected] Career-Technical Preparation Deborah Wild ext. 229 Director/ Sanilac Career Center Principal [email protected] Sanilac Intermediate School District 175 East Aitken Road Peck, MI 48466 CRIMINAL RECORDS CHECK: Release Authorization: I, _________________________________, understand and agree that school districts are allowed to share criminal records checks required to hire new personnel and hereby authorize the Sanilac Intermediate School District to share any criminal records check report from the Michigan State Police and/or F.B.I. with other Michigan school districts and non-public schools. Request Verification: I, _________________________________, was previously fingerprinted on _________________________ and authorize release of my criminal history records from _________________________________ School District to Sanilac Intermediate School District. __________________________________________ Signature 46 North Jackson Street Sandusky, MI 48471 Phone: (810) 648-2200 Fax: (810) 648-2275 __________________________________________ Date Special Education Barbara Leveille ext. 123 Director [email protected] Board of Education John Tanton, President Paul Muxlow, Vice-President Brian Mellstead, Treasurer Cynthia Nunn, Secretary Louise Blasius Debi Dhooghe Les King “Recognizing the value and needs of each person, the Mission of the Sanilac Intermediate School District is to provide leadership and deliver quality educational programs and services to local school districts resulting in improved learning for all." SISD Web Site: www.sanilac.k12.mi.us It is the policy of the Sanilac Intermediate School District that no person shall, on the basis of religion, race, color, national origin, gender, handicap, age, height, weight, marital status or disability, be excluded from participation in, be denied the benefits of, or be subject to discrimination during programs, activities, and employment. Inquiries regarding this policy should be directed to Barb Leveille, Special Education Director, 46 North Jackson Street, Sandusky, MI 48471 (810) 648-2200. SANILAC COUNTY SCHOOLS (BROWN CITY, CARSONVILLE-PORT SANILAC, CROSWELL-LEXINGTON, DECKERVILLE, MARLETTE, PECK, SANDUSKY AND SANILAC ISD) SUBSTITUTE TEACHERS' APPLICATION BLANK Name in Full _____________________________________________________ Home Address____________________________________________________________________ Street City State Zip Telephone No.________________ Present Address__________________________________________________________________ Street City State Zip (If different than home address) Telephone No.________________ Are you a citizen of this country or do you have legal rights to remain permanently in this country? Yes_______________ No________________ Academic and Professional Training Name of School Location Years Attended Degree or Diploma Majors Minors High School College What certificate do you hold to teach in the Public Schools of this State?___________________________________ Date Certificate was issued_________________________ Date Certificate Expires___________________________ Name under which Certificate was granted_____________________________________________________________ Name of School/Employer Employment/Teaching Experience Location/ Supervisor Grade or Subject Taught/Work Performed Time Period Taught/Worked (over) Have you ever been dismissed, asked to resign or refused re-employment as a teacher or substitute? Yes__________ No__________If yes, explain___________________________________________________ ________________________________________________________________________________________ Have you ever been convicted of a felony or misdemeanor other than a minor traffic violation? Yes__________ No__________If yes, give details_______________________________________________ _____________________________________________________________________________________ Are you presently under arrest for a pending felon charge? Yes__________ No__________If yes, give details_______________________________________________ ________________________________________________________________________________________ State grade and subject area you are interested in substitute teaching in_____________________________ ________________________________________________________________________________________ Are you willing to go outside of your certification for substitute teaching? Yes__________ No__________If yes, please state subject areas you are willing to substitute in____________ ________________________________________________________________________________________ ________________________________________________________________________________________ Do you currently hold a substitute teaching permit? Yes__________ No__________If yes, who applied for the permit___________________________________ ________________________________________________________________________________________ I HEREBY AUTHORIZE THE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. PERMISSION IS GIVEN TO CONTACT REFERENCES AND EMPLOYERS. I UNDERSTAND THAT THIS APPLICATION WILL BECOME PART OF MY PERMANENT SUBSTITUTE TEACHER FILE AND THAT ANY MISREPRESENTATION, MISLEADING OR UNTRUTHFUL STATEMENT OR OMISSION IS CAUSE FOR DISMISSAL AS A SUBSTITUTE TEACHER WITH THE SANILAC COUNTY SCHOOLS (BROWN CITY, CARSONVILLE, CROSWELL-LEXINGTON, DECKERVILLE, MARLETTE, PECK, SANDUSKY AND SANILAC ISD). _____________________ Date ______________________________________ Applicant's Signature It is the policy of the Sanilac Intermediate School District and the Sanilac County Schools (Brown City, Carsonville-Port Sanilac, Croswell-Lexington, Deckerville, Marlette, Peck and Sandusky) that no person shall, on the basis of religion, race, color, national orgin, gender, handicap, age, height, weight, martial status or disability, be excluded from participation in, be denied the benefit of, or be suject to discriminiation during programs, activities, and employment. Inquiries regarding this policy should be directed to Barb Leveille, Special Education Director, 46 North Jackson Street, Sandusky, MI 48471 (810) 648-2200. Sanilac County Schools Brown City Community Schools Carsonville-Port Sanilac Schools Croswell-Lexington Community Schools Deckerville Community Schools Marlette Community Schools Peck Community Schools Sandusky Community Schools Sanilac ISD/Sanilac Career Center _______________________________________________________________________ 175 East Aitken Road Peck, MI 48466 Phone: (810) 648-4700 Fax: (810) 648-5784 (Supt.) Fax: (810) 648-4834 CONDITIONAL EMPLOYEE STATEMENT: Pursuant to Public Act 138 of 2005, I, ______________________, represent that (check all that apply): Central Office ____ 1. Duane Lange Superintendent ext. 241 [email protected] I have not been convicted of, or pled guilty or nolo contendere (no contest) or is the subject of a finding of guilt by a judge or jury of any crime. ____ 2. I have been convicted of or pled guilty or nolo contendere (no contest) or am the subject of a finding of guilt by a judge or jury for the following crimes (use separate sheet to explain nature of conviction, date and court). _____ Felony _____Misdemeanor Career-Technical Preparation Deborah Wild ext. 229 Director/ Sanilac Career Center Principal [email protected] _____________________________________ ___________________________________________________________________ _____ Felony _____Misdemeanor _____________________________________ ___________________________________________________________________ _____ Felony _____Misdemeanor _____________________________________ ___________________________________________________________________ In signing this form, I understand and agree that: 46 North Jackson Street Sandusky, MI 48471 Phone: (810) 648-2200 Fax: (810) 648-2275 Special Education 1.) If I have been convicted of a listed offense, my employment shall be terminated. I also understand that if I have been convicted of a felony, other than a listed offense, the superintendent, or chief administrator and the board or governing body must each approve, in writing, my employment or work assignment. 2.) Until the criminal history report is received and reviewed by the employing school/district, I am regarded as a conditional employee and if the criminal history report is not the same as my representation(s) above, my employment contract is voided at the option of the school. Barbara Leveille ext. 123 Director [email protected] ______________ Date ________________________________________ Signature Board of Education John Tanton, President Paul Muxlow, Vice-President Brian Mellstead, Treasurer Cynthia Nunn, Secretary Louise Blasius Debi Dhooghe Les King “Recognizing the value and needs of each person, the Mission of the Sanilac Intermediate School District is to provide leadership and deliver quality educational programs and services to local school districts resulting in improved learning for all." SISD Web Site: www.sanilac.k12.mi.us It is the policy of the Sanilac Intermediate School District that no person shall, on the basis of religion, race, color, national origin, gender, handicap, age, height, weight, marital status or disability, be excluded from participation in, be denied the benefits of, or be subject to discrimination during programs, activities, and employment. Inquiries regarding this policy should be directed to Barb Leveille, Special Education Director, 46 North Jackson Street, Sandusky, MI 48471 (810) 648-2200. AUTHORIZATION AND RELEASE FORM SANILAC INTERMEDIATE SCHOOL DISTRICT 175 East Aitken Road Peck, MI 48466 Phone: (810) 648-4700 Fax: (810) 648-5784 (Supt.) Fax: (810) 648-4834 Central Office Duane Lange Superintendent ext. 241 [email protected] Career-Technical Preparation Deborah Wild ext. 229 Director/ Sanilac Career Center Principal [email protected] I, _______________________________, the undersigned applicant for employment with the Sanilac Intermediate School District, authorize my current and former employer(s) to disclose to the Sanilac Intermediate School District any information relating to any discipline and/or unlawful, unprofessional, insubordinate or inappropriate conduct by me and to make available and/or provide copies of all documents maintained by my current of former employer(s) in my personnel or other file(s) which relate to such discipline or conduct. I further agree that I will not take any form of legal action against my current and former employer(s) and any employee(s) or agent(s) action on their behalf and hereby release said employer(s) and persons from any liability whatsoever for disclosing and/or releasing any information or documentation to the Sanilac Intermediate School District pursuant to this form. Furthermore, I hereby waive the right to receive any notice, including that required by Section 6 of the BullardPlawecki Employee Right To Know Act, being MCL ≈ 423.506, from my current or former employer(s) for the disclosure and/or release of information and/or documentation described in this form. I understand that Section 1230b of the Michigan Revised School Code, being MCL ≈ 380.1230b, requires the Sanilac Intermediate School District to request information related to "unprofessional conduct", meaning acts of misconduct; acts of immorality, moral turpitude or inappropriate behavior involving a minor; or commission of a crime involving a minor, prior to hiring any applicant and that this information is covered by this form. 46 North Jackson Street Sandusky, MI 48471 Phone: (810) 648-2200 Fax: (810) 648-2275 Name and Address of Previous Employer: Special Education __________________________________________ Barbara Leveille ext. 123 Director [email protected] __________________________________________ __________________________________________ Board of Education John Tanton, President Paul Muxlow, Vice-President Brian Mellstead, Treasurer __________________________________________ Signature ______________ Date Cynthia Nunn, Secretary Louise Blasius Debi Dhooghe Les King “Recognizing the value and needs of each person, the Mission of the Sanilac Intermediate School District is to provide leadership and deliver quality educational programs and services to local school districts resulting in improved learning for all." SISD Web Site: www.sanilac.k12.mi.us It is the policy of the Sanilac Intermediate School District that no person shall, on the basis of religion, race, color, national origin, gender, handicap, age, height, weight, marital status or disability, be excluded from participation in, be denied the benefits of, or be subject to discrimination during programs, activities, and employment. Inquiries regarding this policy should be directed to Barb Leveille, Special Education Director, 46 North Jackson Street, Sandusky, MI 48471 (810) 648-2200. SANILAC INTERMEDIATE SCHOOL DISTRICT 175 EAST AITKEN ROAD PECK, MICHIGAN 48466 810-648-4700 PREVIOUS EMPLOYER CHECK Name of Candidate: _________________________________________________ Address: _________________________________________________ _________________________________________________ Name & Address Previous Employer: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ Date of Previous Employment: ___________________________________ (FOR OFFICE USE ONLY) Is there documented evidence in the candidates' personnel file that may relate to unprofessional conduct. __Yes __No If yes, please forward any documentation to the attention of: Sanilac Intermediate School District Attention: Superintendent 175 East Aitken Road Peck, Michigan 48466 ______________________________ Signature Previous Employer Thank you for your cooperation in this matter! ___________ Date PHONE: 1-866-226-2952 LIVESCAN FINGERPRINT REQUEST Date fingerprinted: ____________ Type of picture ID presented: __________ APPLICANT INFORMATION Must provide a picture ID to be printed Applicant Name ____________________________________________________ Last First Date of Birth _______________ Middle Race _______________ Sex _____________ Applicant Address ___________________________________________________ City, State __________________________________________ Zip ____________ Applicant Phone Number ______________________________________________ REQUESTING AGENCY INFORMATION Agency ID: 3242P Agency Name: Sanilac Intermediate School District (RQID) Reason fingerprinted: (select only one) SE - School Employment, mcl 380.1230 $49.25 + $13.50 = $62.75 CPE - National Child Protection Act, NCPA employee $49.25 CPV - National Child Protection Act, NCPA volunteer $45.25 **Disclaimer: Any and all fingerprints processed with incorrect fingerprint codes/reasons, etc are the responsibility of the REQUESTING AGENCY. MSP will charge for second requests due to incorrect fingerprint reason. ** Total Fee for fingerprinting is $62.75. ($30.00 for MSP, $19.25 for FBI prints and $13.50 Processing Fee) Payment must be made by certified check or money order made payable to L-1 Enrollment Services. You may schedule your appointment by calling (866) 226-2952 or by going to their website at www.l1enrollment.com. Substitute Teacher Quick Reference CONTACT PERSON SCHOOL PHONE NUMBER Robin Kennedy Joe Sutherland Tammy Wagester Brigette Reifert Lisa Fritch Anne Redman Sandy Schneidewind Shelly Bullis Barb Kohn Carolyn Pardy Kellie Paehlig Brown City CPS Elementary CPS MS/HS Cros-Lex Deckerville Marlette Peck Elementary Peck High School Sandusky Sanilac Career Center Sanilac ISD Special Ed. 810-346-2781 ext. 5102 810-657-9393 ext. 201 810-657-9394 ext. 100 810-679-1024 810-376-3875 ext. 306 989-635-7427 810-378-5200 ext. 3100 810-378-5200 ext. 3200 810-648-3400 or 810-648-3040 810-648-4700 ext. 234 810-648-9020 ext. 403 DISTRICT Brown City ARRIVAL 8:05 a.m. 8:15 a.m. K-6 7-12 DISMISSAL 3:10 p.m. 3:05 p.m. Carsonville-Port Sanilac 8:10 a.m. 8:10 a.m. 8:10 a.m. Elementary Middle School High School 3:10 p.m. 3:00 p.m. 3:00 p.m. Croswell-Lexington 8:30 a.m. 8:30 a.m. 8:30 a.m. 8:10 a.m. 8:10 a.m. Meyer Frostick Geiger Early Childhood Center Middle School High School 3:20 p.m. 3:20 p.m. 3:20 p.m. 3:00 p.m. 3:00 p.m. Deckerville 8:20 a.m. 8:25 a.m. Elementary High School 3:12 p.m. 3:12 p.m. Marlette 8:15 a.m. 8:10 a.m. Elementary Junior / Senior High School 3:10 p.m. 3:14 p.m. Peck 8:00 a.m. 8:10 a.m. Elementary High School 3:05 p.m. 3:05 p.m. Sandusky 7:55 a.m. 7:50 a.m. 7:50 a.m. Elementary Middle School High School 3:25 p.m. 3:20 p.m. 3:20 p.m. Sanilac Career Center 8:00 a.m. Special Education 8:10 a.m. 8:05 a.m. 3:00 p.m. Elementary Middle School Please arrive 15 minutes early! 3:20 p.m. 3:05 p.m.