Fillable Printable Substitute Teaching Application Form

Substitute Teaching Application Form

Rev. 6/2014

DDESS SUBSTITUTE TEACHER OR TRAINING INSTRUCTOR APPLICATION FORM

Please complete all sections. Your application package must include a copy of your official transcript(s). Please include front and

back copies of transcript(s). Transcript(s) must be in English.

PERSONAL INFORMATION

Name: ___________

Last First Middle

Home Address: ___________

Street City State Zip

Current Phone Number: E-mail Address: ___________

Are you a U.S. Citizen? Yes _____ No _____

EDUCATION

Name of High School: __________________________________ Year Graduated or GED Earned: ______________

Highest Degree Received: ____________ Date of Award: __________

(Associate’s, Bachelor’s, Master’s, etc.)

If no degree was awarded, total number of semester hours earned: ________________________________________

Name of College/University: ____ ______ Location (City, State): __________

LAST EMPLOYMENT INFORMATION

Dates of Employment: Position Title: _________

Employer: Hours Worked Per Week: ________

Employer’s Address: _____________________________________________________________________________

Supervisor’s Name: __ Supervisor’s Phone: __________________________

COMPLEX PREFERENCE

Mark the complex where you are willing and able to immediately work. The location you select is where you will be assigned to

upon your appointment into the position.

GEORGIA/ALABAMA DISTRICT:

_____ Fort Benning _____ Fort Rucker ______ Maxwell AFB

KENTUCKY DISTRICT:

_____ Fort Campbell _____ Fort Knox

NORTH CAROLINA DISTRICT:

_____ Fort Bragg _____ Camp Lejeune

SOUTH CAROLINA/FORT STEWART/DODDS-CUBA DISTRICT:

_____ Fort Stewart _____ Fort Jackson _____ Laurel Bay _____ Guantanamo Bay, Cuba

VIRGINIA/NEW YORK/PUERTO RICO DISTRICT:

_____ West Point _____ Quantico _____ Dahlgren _____ Antilles, Puerto Rico _____ Ramey, Puerto Rico

I hereby certify that all statements in this application are true, complete and correct. I understand that any willful omission or

falsification of material facts in this application will constitute sufficient reason for my immediate termination from Federal service.

Applicant’s Signature: ___________________________________________ Date: ______________________________

In order for your application to be reviewed and processed, you must follow the instructions in the Substitute Teacher/Training

Instructor vacancy announcement for the district in which you are wishing to work on where to send your application package.