East Baton Rouge Parish School Board
Human Resources Department
P. O. Box 2950
Baton Rouge, Louisiana 70821
High School Summer School
Application for Teachers
Please print, sign, and secure your principal’s signature. Submit via pony to
the Office of Human Resources no later than 4/24/09 by 4:30 p.m. No faxes will be accepted.
Employee ID Number: __________________ Teaching Certificate Number:_____________ Date: _____________
______________________________________________ ____________________________________________ __________________________
Last Name First Name Middle Name
Home Address: __________________________________________________________________________________________
City _______________________________________ State ___________ Zip Code_______________
Work Phone ___________________________ Cell Phone ______________ E-Mail Address_________________________
Name of High School Where Presently Employed:_________________________________________________________________
Number of years employed in East Baton Rouge Parish School System: __________________________________________
Principal’s Signature (required):______________________________________________________ Date____________________
|
I would like to teach: |
I would prefer teaching: |
Areas of Certification: |
Current Teaching Assignment (Grades & Subject): |
|
o 1st Semester Only
o 2nd Semester Only
o Both 1st & 2nd Semesters
|
o New Work
o Repeat Work
|
1. ____________________
2. ____________________
3. ____________________
4. ____________________
5. ____________________
6. ____________________ |
1. ____________________ ____________________
2. ____________________ ____________________
3. ____________________ ____________________
4. ____________________ ____________________ |
If selected for the summer school staff, you agree to:
1. Teach the entire 4-week session you are applying for. No leave will be granted. No substitutes, unless documented emergency.
(Session 1: May 26 to June 25, 2009)
(Session 2: June 29 to July 30, 2009)
2. Attend all staff meetings and in-services
I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT:
Applicant’s Signature (required):_________________________________________________________________ Date________________________
Please attach a copy of your teaching certificate.
