Application for an Instructional Position
in the Jamesville-DeWitt Central School District
Your applicant file will be considered complete when we have received this completed application form, a cover letter with a current resume and a copy of your New York State certification (or verification of eligibility).
How to apply:
(Preferred method) Complete and submit the online application directly from the web site, you can upload your resume, cover letter, and certification right here.
- OR -
If you can't fill the application out online, you may print and complete the online application, enclose it with your cover letter, resume and copy of your certification (or verification of eligibility) and mail it via U.S. Post Office to:
Mr. Jeffrey Gordon, Assistant Superintendent for Educational Services
Jamesville-DeWitt Central School District
P.O. Box 606
DeWitt, New York 13214
The Jamesville-DeWitt Central School District is an Equal Opportunity Employer.
First name:
Last name:
Home Address
City
State
Zip
Home Phone
Work Address
City
State
Zip
Present Employer
Title
Current Salary
Education and Professional Preparation
Graduate Institution
Address
Degree
Total Semester
Credit Hours
Major Subject/
Semester Credit Hours
Minor Subject/
Semester Credit Hours
Graduate Institution
Address
Degree
Total Semester
Credit Hours
Major Subject/
Semester Credit Hours
Minor Subject/
Semester Credit Hours
Undergraduate Institution
Address
Degree
Total Semester
Credit Hours
Major Subject/
Semester Credit Hours
Minor Subject/
Semester Credit Hours
High School
Address
Type of Program
Certification
You must include a copy of your certification.
Area of Certification
Date(s) Issued
Type
University Placement
Credentials on file at
Second Certification (if applicable)
Date(s) Issued
Type
University Placement
Credentials on file at
Employment History
(Include student teaching if it is your most recent experience.)
School
Location
Grade or Subject
Length of Service
School
Location
Grade or Subject
Length of Service
School
Location
Grade or Subject
Length of Service
Other
Academic Awards
or Honors
Professional Memberships
Professional Subscriptions
Professional Training
or Workshops
Conducted or Attended
Professional Writing Published
Are you a United States Citizen?
Yes
No
Have you ever been convicted of a crime?
Yes
No
Have you ever been dismissed or asked to resign from any position or job?
Yes
No
If you answered "yes" to either of the last two questions, please provide an explanation below.
References
Please provide three references who are familiar with your work history. You may list superintendents, principals, and supervisors under whom you have taught or worked, and others who may have firsthand knowledge of your abilities, skills, knowledge, and character as a teacher or administrator.
Name
Title
Address
City
State, Zip
Phone
Name
Title
Address
City
State, Zip
Phone
Name
Title
Address
City
State, Zip
Phone
I hereby declare the information provided by me on this application is true and complete to the best of my knowledge. I understand that, if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal. I hereby authorize any individual, company, or institution listed above with whom I have been associated to furnish the Jamesville-DeWitt Central School District with any information concerning my employment.
Name
Date
All application materials will be kept on file for one year from date of receipt.
The Jamesville-DeWitt Central School District is in compliance with the Educational Amendments of 1972; Title IX specifically disallowing any practice of discrimination.
