BPSB

Application for Employment

Professional Personnel

Beauregard Parish School Board, 202 West Third Street, DeRidder, Louisiana 70634

Personal Information

Date of Birth *

Current Contact Information

Are you a member of Teacher's Retirement System in Louisiana?

Employment Desired

Date You Can Start *

Position Desired *

Are you presently under contract?

Have you worked for Beauregard Parish School Board before?

Teaching Experience:

Education

List all degrees, starting with undergraduate.

Undergraduate Degree

Master's Degree

Education Specialist or Plus 30 Certification Hours

Certification

Louisiana Teaching Certification

Do you hold a Louisiana Certificate?

Out of State Certification

Do you hold a Certificate from another state?

Student Teaching

Former Employers

List your last four employers starting with the most recent.

Employer 1

Employer 2

Employer 3

Employer 4

References

List three persons not related to you whom you have known at least one year.

Reference 1

Reference 2

Reference 3

Additional Questions

Are you related to any board member/superintendent defined as children, spouses of children, brothers, sisters, parents, spouse, and the parents of spouse?

Are you active military in Louisiana?

Are you the spouse of an active military member in Louisiana?

Have you ever been convicted of any crime?

Have you ever been accused of a testing irregularity or cheating on any state or national assessment/exam?

Required Documentation

Please send an email with the following documentation to kslatten@beau.k12.la.us AND tcrain@beau.k12.la.us

SUBJECT LINE: Application for (insert your first and last name)
Copy of your resume'
Copy of your teaching certificate (If certified)
Copy of your most recent college transcript

Certification

Please read each statement carefully and check the box to certify your agreement.

I certify that all statements, information and documentation contained herein and attached hereto are true and accurate to the best of my knowledge. I understand that the information on this application may be subject to investigation and verification and that any false information, misrepresentation or material omission may cause my application to be rejected, refused for further consideration, and/or if hired, may subject me to immediate dismissal from employment. I give my permission for the beauregard parish school board to request performance evaluation results, any and all reference, background and previous employment information and to receive copies of any such documantation from a current or previous employer. I authorize the disclosure and release of all information from any current or previous employer relative to all instances of sexual misconduct with students committed by me, if any. I give consent for the release of such information from any school employee and/or teacher personnel file maintained with respect to me. I release my current and previous employer and any employee acting on behalf of such employer from any liability for providing any information relative to all instances of sexual misconduct with students committed by me, if any.

Signature *

Date *

BPSB

Application for Employment

Professional Personnel

Beauregard Parish School Board, 202 West Third Street, DeRidder, Louisiana 70634

Personal Information

Date of Birth *

Current Contact Information

Are you a member of Teacher's Retirement System in Louisiana?

Employment Desired

Date You Can Start *

Position Desired *

Are you presently under contract?

Have you worked for Beauregard Parish School Board before?

Teaching Experience:

Education

List all degrees, starting with undergraduate.

Undergraduate Degree

Master's Degree

Education Specialist or Plus 30 Certification Hours

Certification

Louisiana Teaching Certification

Do you hold a Louisiana Certificate?

Out of State Certification

Do you hold a Certificate from another state?

Student Teaching

Former Employers

List your last four employers starting with the most recent.

Employer 1

Employer 2

Employer 3

Employer 4

References

List three persons not related to you whom you have known at least one year.

Reference 1

Reference 2

Reference 3

Additional Questions

Are you related to any board member/superintendent defined as children, spouses of children, brothers, sisters, parents, spouse, and the parents of spouse?

Are you active military in Louisiana?

Are you the spouse of an active military member in Louisiana?

Have you ever been convicted of any crime?

Have you ever been accused of a testing irregularity or cheating on any state or national assessment/exam?

Required Documentation

Please send an email with the following documentation to kslatten@beau.k12.la.us AND tcrain@beau.k12.la.us

SUBJECT LINE: Application for (insert your first and last name)
Copy of your resume'
Copy of your teaching certificate (If certified)
Copy of your most recent college transcript

Certification

Please read each statement carefully and check the box to certify your agreement.

Signature *

Date *

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Elementary Schools

Alternative Education

Professional Application - Online

Application for Employment

Personal Information

Current Contact Information

Employment Desired

Education

Undergraduate Degree

Master's Degree

Education Specialist or Plus 30 Certification Hours

Certification

Louisiana Teaching Certification

Out of State Certification

Student Teaching

Former Employers

Employer 1

Employer 2

Employer 3

Employer 4

References

Reference 1

Reference 2

Reference 3

Additional Questions

Required Documentation

Certification

Application for Employment

Personal Information

Current Contact Information

Employment Desired

Education

Undergraduate Degree

Master's Degree

Education Specialist or Plus 30 Certification Hours

Certification

Louisiana Teaching Certification

Out of State Certification

Student Teaching

Former Employers

Employer 1

Employer 2

Employer 3

Employer 4

References

Reference 1

Reference 2

Reference 3

Additional Questions

Required Documentation

Certification