Application for Professional Personnel

Professional Personnel

We consider applicants for all positions without regard to race, color, national origin, age, religion, sex, marital or veteran status, the presence of a medical condition or handicap that is not job related, or any other legally protected status.

Henderson ISD is an equal opportunity employer.


PERSONAL DATA

Date of application:
First name:
Middle name:
Last name:
Current address:
Current city:
State:
Zip code:
Home phone:
Work phone:
Mobile number:
Email address:
Other names:

 

 


POSITION DATA

Position for which you are applying
Date you are available:
Are you a former HISD employee? 
If yes, give dates of employment.
Are you a retiree under the Teacher Retirement System?

 

 


PROFESSIONAL DATA
Omit references to organizations that would reveal race, age, ethnic origin, or religious persuasion.

Publications/articles:
Seminars/workshops conducted:
Other related professional activities:





 


GENERAL INFORMATION
Are you aware of any reasons you would not be able to perform the duties of the position for which you are applying?
 

If yes, please explain:


Do you have a relative who is a member of the Henderson ISD Board of Trustees?
 

If yes, please provide the name of relative and relationship:

Have you been convicted of or pled guilty or no contest (no lo contendere) to a felony or an offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and/or indecency with a minor)?

If yes, please state where, when, and the nature of the offense.  Indicate whether the charges were dismissed as a condition of probation, suspension, or deferred adjudication:

Note:  Conviction of a felony is not an automatic bar to employment.  The district will consider the nature, date, and relationship between the offense and the position for which you are applying.

CERTIFICATION STATUS
None
Valid Texas
Valid other state
Passed the appropriate TExES exam(s) for certification
Currently enrolled in Alternative Certification Program 

List levels and areas of certification:


EDUCATION/TRAINING
Schools attended (list all applicable information):

Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


Name and location of school:
Course of study - major and minor fields:
Diploma/degree:
Certificate:
Year graduated (college only):

 

 


TEACHING EXPERIENCE
List teaching experience beginning with most recent years:

Name and location of school:
Type of assignment:
Dates taught:
Reason for leaving:

 

 


Name and location of school:
Type of assignment:
Dates taught:
Reason for leaving:

 

 


Name and location of school:
Type of assignment:
Dates taught:
Reason for leaving:

 

 


Name and location of school:
Type of assignment:
Dates taught:
Reason for leaving:






 


REFERENCES
Please list below references who may be contacted regarding your work/personal history.  Please include all managers/supervisors at the lst two employing organizations who evaluated or supervised your performance.

Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


Full name:
School district/firm name:
Mailing address:
Phone:
Position/title

 

 


PERSONAL STATEMENT
Please make a statement concerning your reasons for desiring a position with the Henderson ISD.

Please review and check where indicated:

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge, and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment. My signature below authorizes the school district to conduct a background investigation and authorizes release of information in connection with my application for employment. The investigation will include a criminal history record check as required by Texas Educational Code §22.083. It may also include information from previous employers and educational institutions, personal references and other appropriate sources. I waive my right of access to any such information and without limitation hereby release the school district and the reference sources from any liability in connection with its release or use. This application becomes the property of the district. The district reserves the right to accept or reject it. This application shall be considered active until December of the current year.

I have read and understand these conditions of employment.

If you would like to send a copy of your resumé to our HR personnel, click here to open a separate window.



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