BATH LOCAL SCHOOLS Administrative/Teaching Application An Equal Opportunity Employer

Return to: Superintendent
Bath Local Schools, 2650 Bible Rd., Lima, OH. 45801

Name:____________________________________________________________________________ (Last)	(First)	(Middle)

Permanent Address_________________________________________________________________

Present Address (if different from above)____________________________________________________

Phone:_________________________

Phone:_________________________

Position Applied For:________________________________________________________________________________________________

_________________________________________________________________________________ CERTIFICATION: ( i.e. PK-3, 4-9, etc.)	CHECK TYPE APPLICABLE:

State:___________________________

Certificate/License Expires:_______________________

Date of Availability:__________________________________

MOST RECENT TEACHING EXPERIENCE:

____ 5 Year License ____ 8 Year Professional ____ Provisional Special
____ Other (specify)_________________

Are you under contract?_______________

Total Years (year is a minimum of 120 days)___________________

	
	School	Dates	Grades/Subjects	Administrator

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

Military Service:_______________________________________________	Total Years________________________

MOST RECENT ADMINISTRATIVE EXPERIENCE:	Total Years____________________

	School	Dates	Administrator

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

RECENT WORKING EXPERIENCE OTHER THAN TEACHING

	Firm or Institution	Location	Dates

___________________________________

___________________________________

___________________________________

________________________________

________________________________

_________________________________

____________________

____________________

____________________

PROFESSIONAL TRAINING:

	Name and Location	Major-Minor	Dates	Degree

University/College:_________________________________________________________________________________________________

__________________________________________________________________________________________________

Graduate Work:____________________________________________________________________________________________________

____________________________________________________________________________________________________

Student Teaching School District:______________________________________________________________________________________

Grades/Subjects:_________________________________________________ Supervising Teacher_________________________________

REFERENCES:	List below persons, other than relatives, who have first hand knowledge of your character, personality, teaching ability and scholarship.

	Name	Address	Phone	Position

1.	__________________________________________________________________________________________________________

2.	__________________________________________________________________________________________________________

3.	__________________________________________________________________________________________________________

4.	__________________________________________________________________________________________________________

Address of Placement Office where current credentials may be obtained. ______________________________________________________

_________________________________________________________________________________________________________________

You may attach a separate sheet giving any information which would help evaluate you for this position.
This application will be placed on file for consideration when vacancies occur. It will be filed for one year from date received. It should be complete and accurate in every detail. Mail your application to the address on the front upper right hand corner.
If a personal interview with the School District Superintendent is required, applicants will be notified of the proper time to appear for interviews.

CERTIFICATION OF APPLICANT: I hereby authorize the Bath Local School District to obtain from my former employers all data needed to support this application. I hereby authorize the Bath Local School District to obtain from the references listed above any information needed to support this application. I certify that the information given in this application is true to the best of my knowledge, and that I am or will be certified to teach all subjects and grades listed. Furthermore, I understand any person who knowingly makes a false statement on employment applications is guilty of falsification under ORC, section 2921.13, which is a misdemeanor in the first degree.

Signature of Applicant__________________________________________________________ Date:_____________________________

I agree that any claim or lawsuit relating to my service with the Bath Local School District must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I hereby forever waive any statute of limitations to the contrary.

If you are hired, this application becomes part of your official employment record, and you will be bound by its terms.

Your signature below is your acknowledgement that you have read and understood this application, and that your responses have been truthful and complete.

Signature of Applicant__________________________________________________________ Date:_____________________________

BATH LOCAL SCHOOLS

Teacher Application Supplement
(Must be completed and returned with application)

Date_______________________

Name______________________________________________________________________ Last	First	Middle

Area(s) of Certification____________________________________________________________________________________

DIRECTIONS: Please answer each of the questions given below as best you can. The space provided should be adequate,	but if more space is needed please attach additional pages.

1.	 What do you want to accomplish as a teacher? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

2.	 How will (do) you go finding out about students’ attitudes and feeling about your class? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

3.	An experienced teacher offers you the following advice: “When you are teaching be sure to command the respect of your students immediately and all will go well.” How do you feel about this? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

4.	How do you go about deciding what it is that should be taught in your class? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

5.	A parent comes to you and complains that what you are teaching his child is irrelevant to the child’s needs. How would you respond? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

6.	What do you think will (does) provide you the greatest pleasures in teaching? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

7.	When you have some free time, what do you enjoy doing the most? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

8.	 How do you go about finding what students are good at? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

9.	Would you rather try a lot of way-out teaching strategies or would you rather try to perfect the approaches which work best for you? Explain your position. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

10.	 Do you like to teach with an overall plan in mind for the year, or would you rather just teach some interesting things and let the process determine the results? Explain your position. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

11.	A student is doing poorly in your class. You talk to her, and she tells you that she considers you to be the poorest teacher she has ever met. What would you do? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

12.	If there were absolutely no restrictions place upon you, what would you most want to do in life? _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________