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<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="GENERATOR" content="Mozilla/4.61 [en] (WinNT; I) [Netscape]">
<title>Online Application for Teaching Positions</title>
</head>
<body>
<form METHOD=POST ACTION=http://www.sfps.k12.nm.us/scripts/wsendmail.exe><input TYPE=HIDDEN NAME=RCPT VALUE=jroybal>
<input TYPE=HIDDEN NAME=SUBJECT VALUE="Teaching Application from Website">
<center><img SRC="sfpsfb02.gif" ></center>
<center>
<h2>
Application for Teaching Positions</h2></center>
<center><i>Before filling out the application please read this <a href="http://www.sfps.k12.nm.us/teachapp.html">letter</a>
that is generally sent with each application</i></center>
<hr>
<br>&nbsp;
<p>e-mail address:<input name="email" SIZE=40 MAXLENGTH=40>
<p>Application for 19<input type="text" name="start_date" size=3> to 19<input type="text" name="finish_date" size=3>
School Year
<br>&nbsp;
<p>Name (Last, First, Mid)&nbsp;<input SIZE=32 maxlength=32 name="applicant_name">Soc
Sec #:&nbsp;<input maxlength=15 size=15 name="Soc_Sec_Number">
<p>Address<input maxlength=40 SIZE=40 name="address1">
<br>City/State/Zip&nbsp;<input maxlength=40 SIZE=40 name="city_state_zip">
<p>Phone Numbers:
<br>Work&nbsp;<input maxlength=16 SIZE=16 name="work_phone">Home&nbsp;<input maxlength=16 SIZE=16 name="home_phone">Message&nbsp;<input maxlength=16 SIZE=16 name="message_phone">
<p>Grade or Subjects preferred to teach within licensure area:&nbsp;<input maxlength=32 size=32 name="grade_subject">
<p>Are you fluent in languages other than English, please specify?<input type="text" name="language" size="40">
<br>&nbsp;
<p>
<hr>
<center><b><i>Certification Information</i></b></center>
Are you certified in New Mexico?yes<input type="radio" name="certification_in_NM">no<input type="radio" name="certification_in_NM">
<br>Certification Number<input type="text" name="certification_number" size=70>
<br>Certification Type<input type="text" name="certification_type" size=70>
<br>Endorsements<input type="text" name="endorsements" size=40>Expiration
date<input type="text" name="exp_date" size=8>
<br>Have you taken the National Teachers Exam (NTE)? yes<input type=radio name="NTE_Exam_ans">
no<input type=radio name="NTE_Exam_ans">
<br>When<input type=text name="NTE_Exam_date" size=10>Scores<input type="text" name="NTE_score" size=10>
<p>If not licensed in New Mexico, write or call the Professional Licensure
Unit for an application. (State Department of Education, Education Building,
West De Vargas and Don Gaspar, Santa Fe, New Mexico, 87501-2786, 505-827-6581)
<p>Are you Certified in other states?yes:<input type=radio name="out_of _state_certification" value=yes>no:<input type=radio name="out_of_state" value=no>
<p>
<hr>
<center>
<p><b><i>Education</i></b></center>
<br>&nbsp;
<table>
<tr>
<td>School</td>
<td>Name</td>
<td>Major/Minor</td>
<td>Graduated?</td>
</tr>
<tr>
<td>High Sch.</td>
<td><input SIZE=25 maxlength=25 name=HIgh_School></td>
<td><input SIZE=35 MAXLENGTH=35 name=HS_major></td>
<td><input TYPE="RADIO" NAME=High_School_grad value=yes>Y<input TYPE="RADIO" NAME=HS_grad value=no>N</td>
</tr>
<tr>
<td>College</td>
<td><input SIZE=25 maxlength=25 name=college1></td>
<td><input SIZE=35 MAXLENGTH=35 name=college1_major></td>
<td><input TYPE="RADIO" NAME=college1_grad value=yes>Y<input TYPE="RADIO" NAME=college1_grad value=no>N</td>
</tr>
<tr>
<td>College</td>
<td><input SIZE=25 maxlength=25 name=college2></td>
<td><input SIZE=35 MAXLENGTH=35 name=college2_major></td>
<td><input TYPE="RADIO" NAME=college2_grad value=yes>Y<input TYPE="RADIO" NAME=college2_grad value=no>N</td>
</tr>
<tr>
<td>Graduate</td>
<td><input SIZE=25 maxlength=25 name=Graduate1></td>
<td><input SIZE=35 MAXLENGTH=35 name=Graduate1_major></td>
<td><input TYPE="RADIO" NAME=Graduate1_grad value=yes>Y<input TYPE="RADIO" NAME=Graduate1_grad value=no>N</td>
</tr>
<tr>
<td>Graduate</td>
<td><input SIZE=25 maxlength=25 name=Graduate2></td>
<td><input SIZE=35 MAXLENGTH=35 Graduate2_major></td>
<td><input TYPE="RADIO" NAME=Graduate2_grad value=yes>Y&nbsp;<input TYPE="RADIO" NAME=Graduate2_grad value=no>N</td>
</tr>
<tr>
<td>Business</td>
<td><input SIZE=25 maxlength=25 name=Business></td>
<td><input SIZE=35 MAXLENGTH=35 name=Business_major></td>
<td><input TYPE="RADIO" NAME=Business_grad value=yes>Y<input TYPE="RADIO" NAME=Business_grad value=no>N</td>
</tr>
<tr>
<td>Other</td>
<td><input SIZE=25 maxlength=25 name=other_edu></td>
<td><input SIZE=35 MAXLENGTH=35 name=other_edu_major></td>
<td><input TYPE="RADIO" NAME=other_edu_grad value=yes>Y<input TYPE="RADIO" NAME=other_edu_grad value=no>N</td>
</tr>
</table>
<p>
<hr>
<center>
<p><b><i>Employement Experience</i></b>
<br><i>(list all teaching and administrative experience)</i></center>
School:&nbsp;<input SIZE=30 MAXLENGTH=30 name=job1>
<br>Grade or Subject:<input SIZE=30 maxlength=30 name=job1_title>
<br>Location:<input SIZE=30 MAXLENGTH=30 name=job1_address>
<br>Worked from:<input SIZE=8 maxlength=8 name=job1_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job1_finish>
<br>Total Years:<input size=10 name=job1_years>
<hr width=60%>School:&nbsp;<input SIZE=30 MAXLENGTH=30 name=job2>
<br>Grade or Subject:<input SIZE=30 maxlength=30 name=job2_title>
<br>Location:<input SIZE=30 MAXLENGTH=30 name=job2_address>
<br>Worked from:<input SIZE=8 maxlength=8 name=job2_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job2_finish>
<br>Total Years:<input size=10 name=job2_years>
<hr width=60%>School:&nbsp;<input SIZE=30 MAXLENGTH=30 name=job3>
<br>Grade or Subject:<input SIZE=30 maxlength=30 name=job3_title>
<br>Location:<input SIZE=30 MAXLENGTH=30 name=job3_address>
<br>Worked from:<input SIZE=8 maxlength=8 name=job3_start> To:&nbsp;<input SIZE=8 maxlength=8 name=j3_finish>
<br>Total Years:<input size=10 name=job3_years>
<hr width=60%>School:&nbsp;<input SIZE=30 MAXLENGTH=30 name=job3.5>
<br>Grade or Subject:<input SIZE=30 maxlength=30 name=job3.5_title>
<br>Location:<input SIZE=30 MAXLENGTH=30 name=job3.5_address>
<br>Worked from:<input SIZE=8 maxlength=8 name=job3.5_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job3.5_finish>
<br>Total Years:<input size=10 name=job3.5_years>
<hr>
<center>
<p><b><i>Non-Teaching Experience</i></b>
<br><i>(list all non-teaching or substitute teaching experience during
the past five years)</i></center>
<p>Business:<input SIZE=30 maxlength=30 name=job4_business>
<br>Address:<input SIZE=30 MAXLENGTH=30 name=job4_address>
<br>Position:<input size=30 maxlenghth=30 name=job4_title>
<br>Worked from:<input SIZE=8 maxlength=8 name=job4_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job4_finish>
<br>Supervisor's name:<input SIZE=30 maxlength=30 name=job4_boss>
<hr width=60%>
<br>Business:<input SIZE=30 maxlength=30 name=job5_business>
<br>Address:<input SIZE=30 MAXLENGTH=30 name=job5_address>
<br>Position:<input size=30 maxlenghth=30 name=job5_title>
<br>Worked from:<input SIZE=8 maxlength=8 name=job5_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job5_finish>
<br>Supervisor's name:<input SIZE=30 maxlength=30 name=job5_boss>
<hr width=60%>
<br>Business:<input SIZE=30 maxlength=30 name=job6_business>
<br>Address:<input SIZE=30 MAXLENGTH=30 name=job6_address>
<br>Position:<input size=30 maxlenghth=30 name=job6_title>
<br>Worked from:<input SIZE=8 maxlength=8 name=job6_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job5_finish>
<br>Supervisor's name:<input SIZE=30 maxlength=30 name=job6_boss>
<hr width=60%>
<br>Business:<input SIZE=30 maxlength=30 name=job7_business>
<br>Address:<input SIZE=30 MAXLENGTH=30 name=job7_address>
<br>Position:<input size=30 maxlenghth=30 name=job7_title>
<br>Worked from:<input SIZE=8 maxlength=8 name=job7_start> To:&nbsp;<input SIZE=8 maxlength=8 name=job5_finish>
<br>Supervisor's name:<input SIZE=30 maxlength=30 name=job7_boss>
<p>
<hr>
<center>
<p><b><i>References</i></b>
<br><i>(The office of Human Resources will not request references on your
behalf.)</i></center>
Please indicate below how you will provide reference information:
<br><input type=radio name=college_placement_reference value=no>College
Placement file has been requested
<br><input type=radio name="letter_references" value=yes>Letters of reference
sent separately
<p>I Do&nbsp;<input type=radio name=waive_reference_rights value=yes>/Do
Not<input type=radio name=waive_reference_rights value=no>, Waive my right
to review my references.
<p>By pushing the SUBMIT button I hereby authorize the Santa Fe Public
Schools to solicit references from the individuals and /or organizations
listed and to make inquiries into my previous employment record. I give
permission to you and all such individuals, organizations and employers
to release any information, confidential or otherwise, regarding my past
employment, or my suitablility for future employment, and hereby release
you and all such individuals, organizations, and employers from all claims
or actions resulting from furnishing the information.
<p>In the event the Santa Fe Public Schools wish to follow up on additional
references, please list:
<p>Name:<input SIZE=25 MAXLENGTH=25 name=ref1_name>
<br>Address(complete)&nbsp;<input SIZE=50 name=ref1_address>
<br>Phone #&nbsp;<input SIZE=15 MAXLENGTH=15 name=ref1_phone>
<br>Official Position:<input SIZE=30 name=ref1_position >
<hr width=60%>Name:<input SIZE=25 MAXLENGTH=25 name=ref2_name>
<br>Address(complete)&nbsp;<input SIZE=50 name=ref2_address>
<br>Phone #&nbsp;<input SIZE=15 MAXLENGTH=15 name=ref2_phone>
<br>Official Position:<input SIZE=30 name=ref2_position >
<hr width=60%>Name:<input SIZE=25 MAXLENGTH=25 name=ref3_name>
<br>Address(complete)&nbsp;<input SIZE=50 name=ref3_address>
<br>Phone #&nbsp;<input SIZE=15 MAXLENGTH=15 name=ref3_phone>
<br>Official Position:<input SIZE=30 name=ref3_position >
<hr width=60%>Name:<input SIZE=25 MAXLENGTH=25 name=ref4_name>
<br>Address(complete)&nbsp;<input SIZE=50 name=ref4_address>
<br>Phone #&nbsp;<input SIZE=15 MAXLENGTH=15 name=ref4_phone>
<br>Official Position:<input SIZE=30 name=ref4_position >
<br>&nbsp;
<p>
<hr>
<br>1. Have you ever failed to fulfill a teaching or adminsitrative contract?YES<input type=radio name=Failed_to_Fulfill_Teaching value=yes>NO<input type=radio name=Failed_to_Fulfill_Teaching value=no>
<br>2. Has disciplinary action ever been taken against you by any board
of education?YES<input type=radio name=disciplinary_action_taken value=yes>NO<input type=radio name=disciplinary_action_taken value=no>
<br>3. Have you ever been convicted of a felony or of a misdemeanor of
moral turpitude?YES<input type=radio name=convicted_felony value=yes>NO<input type=radio name=convicted_felony value=no>
<br>4. Are charges pending against you alleging commission of a felongy
or of a misdemeanor of moral turpitude?YES<input type=radio name=charges_pending value=yes>NO<input type=radio name=charges_pending value=no>
<p>If you have answered yes to any of the four questions above write an
explanation (including dates, offenses, disposition, charges and current
status) (Hit enter at the end of each line. All text must appear on the
screen):
<br><textarea rows=8 cols=70 name=explain_questions></textarea>
<hr>
<br><b><i>Statement of Educational Philosophy</i></b>
<br>State in your own words, what you consider to be your strenghts. Include
statements about discipline, classroom management, student asessment, parental
involvement and general philosophy of Education. (Hit enter at the end
of each line. All text must appear on the screen.)
<br><textarea ROWS=10 COLS=70 name=philosophy></textarea>
<p>
<hr><b><i>Additional Information</i></b>
<br><textarea rows=10 cols=70 name=additional_information></textarea>
<p>
<hr>A personal interview is not mandatory but desirable. If you expect
to be in the Santa Fe area, you may contact the Office of Human Resources
of the Santa Fe Public Schools to arrange for an appointment.
<p>You are encouraged to attach (either in this form or send by another
means) a resume, transcripts or any other pertinent information which you
feel will be helpful to us in considering your application. Your application
will remain active for 1 year. If you wish to remain active after 1 year,
you must submit a letter stating you continued interest. Please notify
us of any change of address or telephone number.
<p>Failure to answer any questions truthfully and fully may result in rejection
of your application or result in termnation of your contract according
to procedures established by law.
<br>&nbsp;
<br>&nbsp;
<br>&nbsp;
<p><input TYPE=SUBMIT VALUE=Submit><input TYPE=RESET VALUE=Reset>
<center>
<p><a href="employ.html"><img SRC="back.gif" BORDER=0 ></a><a href="index.html"><img SRC="home.gif" BORDER=0 ></a>
<p>Copyright &copy; 1997 Santa Fe Public Schools
<br>Last revised: July 9 1998 by <a href="MAILTO:webteam@mis.sfps.k12.nm.us">TheWebteam</a>
<br></form></center>
</body>
</html>