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195843

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APPLICATION FOR LEARNER SUPPORT
School Department – City of Taunton
215 Harris Street
Taunton, Massachusetts 02780
Phone: 508-821-1100 Fax: 508-821-1177
website: www.tauntonschools.org
“Academic excellence for every student, in every classroom, in every school.”
1
rev: 10/09/2020
Personal Information
Name:
Address:
City, State, Zip:
Phone:
Cell Phone:
E-mail:
Date of Birth:
Are you a Certified Teacher? Yes No State: Certification #:
Have you completed a Student Teacher Program? Yes No
Area/Grade of Certification:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
NOTE: All applicants must submit an official transcript of all college work before assignment begins.
Signature: ___________________________
Date: ____________________________
State Grade Level and Area of Preference:
Regular Education
Special Needs Education
Elementary K-4
Middle 5-7
High School 8-12 Transitional Bilingual Education
State Subjects in Order of Preference:
Date and/or Days Available: ______________________________________________________________
Application For Substitute Teacher Posting Number ______________
Teacher Assistant Posting Number (required)_______________
Tutor Position Posting Number (required)_______________
All Substitute Applicants
MUST provide an
OFFICIAL College
Transcript.
I authorize the investigation of all statements contained within this application.
0000
click to sign
signature
click to edit
APPLICATION FOR: LEARNER SUPPORT
2
rev: 10/09/2020
Education
School Name/s:
( high and college/s)
Location:
Dates
Attended
Credits Earned
(Major and Minor)
Work and/or Educational Experience
Name of Employer
Location
Date/s
Number of Years
Nature of Work
References (3 persons)
Persons
who would be able to provide information about your qualifications / NO RELATIVES
Name Address Occupation Home Phone Work or Cell Phone
The Taunton Public School System does
not discri
minate: “No person shall be
e
xcl
ude
d from
o
r
discriminated against
o
n
t
he
basi
s
o
f race, color, sex, religion, national origin, homeless status, gender identity, or sexual orientation”. Such discrimination,
including discrimination in employment, is prohibited by Title IX of the Education Amendments of 1972 as amended, Section
504 of the Rehabilitation Act of 1973 as amended, and 45 Code of Federal Regulations Parts 84 and 86. Inquiries regarding the
application of these laws should be addressed to the Assistant Superintendent or to the Director of the Office for Civil Rights,
U.S. Department of Health, Education and Welfare (Region 1), Boston, Mass. The Taunton Public School System is subject to
the Age Discrimination in Employment Act of 1967 as amended, which prohibits discrimination on the basis of age.
Year of
Award
Degree(s)
Earned
LEARNER SUPPORT NARRATIVE
School Department – City of Taunton
215 Harris Street
Taunton, Massachusetts 02780
Phone: 508-821-1100 Fax: 508-821-1177
“Academic excellence for every student, in every classroom, in every school.”
3
rev:10/09/2020
Personal Information
Name:
Address:
City, State, Zip
Phone: Cell Phone: E-mail:
Date of Birth:
Social Security #
(optional)
Brief Candidate’s Statement
1. Include reasons as to why you are seeking this position.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
2. Write briefly your perception of the role and responsibilities of a substitute teacher and/o
r tutor.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
The Taunton Public School System does not discriminate: “No person shall be excluded from or discriminated against on the
basis of race, color, sex, religion, national origin, homeless status, gender identity, or sexual orientation”. Such discrimination,
including discrimination in employment, is prohibited by Title IX of the Education Amendments of 1972 as amended, Section
504 of the Rehabilitation Act of 1973 as amended, and 45 Code of Federal Regulations Parts 84 and 86. Inquiries regarding the
application of these laws should be addressed to the Assistant Superintendent or to the Director of the Office for Civil Rights,
U.S. Department of Health, Education and Welfare (Region 1), Boston, Mass. The Taunton Public School System is subject to
the Age Discrimination in Employment Act of 1967 as amended, which prohibits discrimination on the basis of age.
Application For Substitute Teacher
Teacher Assistant
Tutor Position
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195843

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Completed 15 June 2021

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