Tulsa Public Schools is an equal opportunity employer.  All employees and job applicants are guaranteed equality of employment opportunity.  This means the District will not discriminate against any employee or applicant on the basis of race, color, religion, sex, age, national origin, veteran status, or disability.  The District will make reasonable accommodations for job applicants and employees with disabilities in accordance with the requirements of the Americans with Disabilities Act of 1990.

Position Applying For:       

    MARK THE APPROPRIATE BOXES
    Former Employee of the School District
    New Application
    Previous Application on File
    Troops to Teachers Applicant
    Adult Education
          Are you a U.S. Citizen? 
            Yes             No
PERSONAL INFORMATION 
Please only enter the information requested.  Do NOT enter commentary.
First Name:  
Last Name:  
Middle Initial:
Name Suffix:   (optional)
SSN: (enter 9 numbers with no hyphens/spaces -- ex. 555228888)
Present Address:  
Apartment Number: Fill in for Apt. or Suite #'s- otherwise leave blank.
City:  
State:
Zip/Postal Code:  
Home Phone:   Enter numbers ONLY / ex. 9185551212
Work Phone:   Enter numbers ONLY / ex. 9185551212
Cell Phone: Enter numbers ONLY / ex. 9185551212
Email:
   
 
Full Time or Part Time: (check one)
Full Time         Part Time         Any Available
 
CERTIFICATION
Certificate Type:
(check one)		               License                 Standard
1-year Provisional    2-year Provisional
                                Alternative Certification
If your certificate is not in the above list, please type the name of the certificate type here:

If you chose Alternative Certification, please specify the area of education and when the application was mailed:

Certificate Status:
Certificate Endorsement:
State:
Expires (ex. 06/30/03)
Oklahoma Certificate Number:
List All Areas of Certification:

(1)
(2)
(3)
(4)
 
 		  
EDUCATION
Name of High School and Location Course of Study Number of Years Year Graduated Type of Degree / Diploma / Certificate
  
         
College Course of Study Number of Years Year Graduated Major and GPA
Use the top row for the HIGHEST degree earned.
  
  
  
  
If your college is not listed in the above drop-down lists, please type it in the box below:

 		  
STUDENT TEACHING/INTERNSHIP
College or University
List ALL schools & districts where student teaching or practicum occurred:
Subject or Grade Level
Principal
Master or Cooperating Teacher
School's Mailing Address
School's City, State, Zip
Phone Number
From Date
To Date
   
 
 		  
TEACHING INFORMATION
Do you need to complete an internship?
 Yes       No
Have you taken and/or passed all required Oklahoma Competency exams?
 Yes       No
Total number of teaching years?
List All School Activity Sponsorship Experiences:

Provide a Short Essay of Personal Teaching Ability Strengths and Improvement Opportunities. Include a Statement of Classroom Management Philosophies and Techniques:

 
 		  
SUBSTITUTE TEACHER
Would you be interested in a Substitute Teaching position?
 Yes       No
Please list all the days you are available to work:
Please check the level(s) you would be interested in Substitute Teaching:
 K-5      6-8       9-12
Please list the subjects that you are certified to teach in.
Note: An appropriate credential is required to be a certified substitute teacher.
     
 
 		  
TEACHING/WORK EXPERIENCE
Total Days Absent from Work During Last Year of Employment:
Employer:
Position/Grade/Subject:
Job Responsibilities:  
Phone:
Address:
City, State, Zip: -- --
From Date:
To Date:
Salary:
Reason for Leaving:
   
Employer:
Position:
Job Responsibilities:  
Phone:
Address:
City, State, Zip: -- --
From Date:
To Date:
Salary:
Reason for Leaving:
   
Employer:
Position:
Job Responsibilities:  
Phone:
Address:
City, State, Zip: --  --
From Date:
To Date:
Salary:
Reason for Leaving:
   
Employer:
Position:
Job Responsibilities:  
Phone:
Address:
City, State, Zip: -- --
From Date:
To Date:
Salary:
Reason for Leaving:
   
Employer:
Position:
Job Responsibilities:  
Phone:
Address:
City, State, Zip: -- --
From Date:
To Date:
Salary:
Reason for Leaving:
   
ACTIVE MILITARY EXPERIENCE
Branch of Service:
From (Date):
To_(Date):
 
 		  
REFERENCES FROM PREVIOUS EMPLOYERS

It is the applicant's responsibility to have the following information provided to the Personnel Office in order to be considered for employment:

  • The names of at least three reference sources must be provided and must include current employer if employed, or last employer.
    • Name Present Address Title School or Firm
     
    LANGUAGE PROFICIENCY:
    Languages Spoken
    Fluency Level
     
         		      
    PERSONAL BACKGROUND
    Are you currently under contract? Yes             No
    If yes, where?
    If so, date to be released from contract.
    Have you ever been refused tenure or a continuing contract? Yes             No
    Have you ever been suspended, discharged or requested to resign from a teaching position? Yes             No
    Have you had a certificate or license revoked or suspended? Yes             No
    Are you currently out on bail or on your own recognizance pending trial on any criminal charge? Yes             No
    Have you ever been convicted of any offense involving illegal sexual conduct, physical or sexual abuse, rape or illegal controlled substances? Yes             No
    If needed, please insert additional comments to explain information provided above.
        
       
    If hired, you have an ongoing obligation to notify the Superintendent of schools, in writing, of any felony charges within ten (10) days of the date the charge is filed.  Failure to do so may result in dismissal.
    Have you ever?  
    Entered a plea of guilty or no contest to a state or federal felony charge? Yes             No
    Been convicted of a state or federal felony offense? Yes             No
    Been charged with a state or federal felony offense which was reduced to a misdemeanor offense to which you entered a plea of guilty or no contest? Yes             No
    Entered a plea of guilty or nolo contendre to, or been convicted of, a state or federal misdemeanor charge involving illegai chemical substances or illegal sexual activity? Yes             No
    Been approved for or entered into a deferred prosecution agreement with any prosecuting authority? Yes             No
    If yes to any of the above questions, please explain in detail.  Include the Type of Violation / Date / Place.

        

     

    I certify that the statements in this application are true, complete, and not misleading to the best of my knowledge, and I authorize investigation of all statements contained herein.  I hereby release from all liability any persons or organizations furnishing such information.  I understand that I will be subject to disqualification or dismissal if any statement in this application is found to be untrue.

     

    Signature: