Fillable HOME TUTOR APPLICATION City School District of Albany (City School District of Albany)

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HOME TUTOR APPLICATION City School District of Albany (City School District of Albany)

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  • 8 check-boxes
  • 28 other fields

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File type: PDF

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HOME TUTOR
APPLICATION
City School District of Albany
Office of Human Resources | 1 Academy Park | Albany, NY 12207
(518) 475-6055 | humanresources@albany.k12.ny.us
Date
Personal information
Please print.
Last name
First name
Middle initial
Present address
State
Zip
Social Security number
Phone number
Email
Certification information
Do you presently hold a valid New York State certificate for the position for which you are applying?
Certification area:
Education and work experience
Highest degree earned
Present employer
Present position
Have you had fingerprint clearance for the NYS Department of Education?
Yes
No
Type Date issued/expired Certification number
Initial
/
Professional
/
Provisional
/
Permanent
/
Yes
No
Signature of applicant
Date
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HOME TUTOR APPLICATION City School District of Albany (City School District of Albany)

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Completed 14 June 2021

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