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Content Overview

The Oregon Teacher Application form serves as a crucial document for individuals seeking teaching positions within the state. It collects essential personal information, including the applicant's name, contact details, and social security number. The form also requires applicants to disclose their current teaching license status, including the type of license and any endorsements held. A section on personal history allows candidates to provide information regarding past employment issues, such as dismissals or criminal convictions, which may impact their eligibility. Furthermore, applicants must indicate their position preferences across various educational levels and specialties, ensuring that their skills align with the needs of the school districts. The form also includes sections for educational and professional backgrounds, teaching experience, and references, which help to present a comprehensive picture of the candidate's qualifications. Additionally, the application emphasizes the importance of accurate and complete information, as any omissions or misrepresentations can adversely affect the application process. Understanding the various components of this form is vital for prospective teachers to navigate the application process effectively and to enhance their chances of securing a teaching position in Oregon.

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Preview - Oregon Teacher Application Form

OFFICE USE ONLY

Expiration Date:_______________________

Applicant’s Name: ____________________________________________________

OREGON

 

OFFICE USE ONLY

STATEWIDE TEACHER APPLICATION

Dated Received

 

Produced by Oregon School Personal Association 1994

__________________

 

 

 

(Note: Individual school districts may require additional information other than that asked for on this application.)

PERSONAL INFORMATION

Application Date: __________________________________ Social Security Number __________--________--_________

Full Name ______________________________________________________ Date of Availability _____________________

LastFirstMiddleMonth Day Year

Previous or other surname(s) reflected on employment or educational records ___________________________________

Present Mailing Address ________________________________________________ Phone (____)_____________________

StreetPhone number is unlisted

______________________________________________________________________ Msg. Phone (_____)_______________

City

State

Zip Code

Where you can always be reached

 

 

 

Phone number is unlisted

Permanent Mailing Address _____________________________________________ Phone (_____)____________________

Street

 

Phone number is unlisted

_______________________________________________________________________

City

State

Zip Code

Name of contact if other than applicant ______________________________________________________________________

Currently under contract with another school district? YesNo

If Yes: School District _________________________________________________ City ___________________________________________

Current Oregon Teaching License

Type(s) (e.g. Basic D- 474, Temporary, ect.) ___________________________________________________________________________________________

Endorsements(s) (e.g. Physical Education) ____________________________________________________________________________________________

Authorization(s) (e.g. 018) _________________________________________________________________________________________________________

Date of Expiration ________________________________________________________________________________________________________________

Added endorsements expected ______________________________________________________________________________________________________

If no Oregon License, when is it expected? ____________________________________

 

Month

Year

Full-Time Contract

Part-Time Contract

 

Temporary Contract

Substituting

Other _______________________________________________

Personal History

Have you ever

Yes No

been dismissed from a teaching position?

Had a teaching license revoked?

Been convicted, pled guilty or pled nolo contendere to a felony?

Been convicted, pled guilty, or pled nolo contendere to a crime involving child abuse or sexual abuse?

Had a report of child abuse or sexual activities involving a K-12 student or minor filed against you with a school district,

Children Services Division, a police agency, or in court?

If yes, please explain. _________________________________________________________________________________________________

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

POSITION PREFERENCE(S)

Denote any licensed area for which you are applying. List your preference by indicating “1” as your first choice.

Failure to prioritize could adversely affect your chances of being considered.

 

 

 

SPECIALIST

 

Indicate your grade preference, with 1 being your first choice.

 

____ Preschool

____ K-5

____ 6-8

____9-12

 

Check any area(s) for which you are applying

 

 

Band

 

 

Orchestra

Staff Development

Computer Science

 

PE

TAG

General Music

 

PT/ OT

Testing/ Assessment

Librarian/ Media Specialist

 

Reading

Other ______________________

 

 

 

 

 

 

 

 

 

SPECIAL SERVICES

 

 

Indicate your grade preference, with 1 being your first choice.

 

 

____ Preschool

____ K-5

____ 6-8

____ 9-12

 

 

Check the box(es) for the area(s) you are licensed to teach and are applying:

 

Adaptive PE

 

 

Nurse

 

Bilingual/ ESL/ Multicultural

Occupational Therapy

 

Chapter 1

 

 

Other Health Impaired

 

Counselor/ Child Development Specialist

Psychologist

 

Development Disabled

 

Physical Therapy

 

Drug/ Alcohol Specialist

 

Sensory Impaired

 

Handicapped Learner

 

Severely Emotionally Disturbed

 

Hearing Impaired

 

Social Worker

 

Home Teaching/ Tutoring

 

Speech/ Language

 

Learning Disability

 

Structured Learning Center

 

Mildly Mentally Retarded

 

Work Experience

 

Multi - Handicapped

 

Other ______________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ELEMENTARY

 

Indicate your grade preference, with 1 being your first choice

 

____ Early Childhood Ed./ Kindergarten

____ Middle School (with elementary certificate)

 

____ Primary (grades 1-3)

 

____ Blended or Multi-Age Classrooms

 

____ Intermediate (grades 4-6*)

 

____ Other (see Specialists)

*Grade 6 is in the elementary school in some districts, and in the middle school in others.

SECONDARY

Indicate your grade preference, with 1 being your first choice.

____ 6th (middle school)

____ 7-8

____ 9-12

____ Alternative school (6-12)

Check the area(s) for which you are applying and hold endorsement(s)

 

Agricultural Sci. Tech.

Health

Mathematics

Art

Home Economics

Basic Math

Business Education

Industrial Arts/ Trades/

Advanced Math

Career Education

Technology Ed/ Vocational Ed

Music

Computer Science

Agriculture

Band

Dance

Auto

Orchestra

Drama

Construction

Vocal

Driver’s Education

Drafting

Other ____________________

English/ Language Arts

Graphics

Physical Education

Foreign Language

Metals

Science

French

Technology Ed

Biology

German

Specify ________________

Chemistry

Japanese

Woods

Integrated Sciences

Latin

Work Experience Coord.

Physics

Russian

Other ___________________

Social Studies

Spanish

 

Speech

Other ____________________

 

Other (see Specialists)

EDUCATIONAL/ WORK EXPERIENCE

EDUCATIONAL AND PROFESSIONAL BACKGROUND

High School, Colleges, Universities

Dates Attended

Type of Degree

Major &

Name, City, State

Mo/Yr to Mo/ Yr

Earned

Minor (if any)

High School

 

 

 

 

 

 

 

College / University

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TEACHING EXPERIENCE

Include only those positions for which a teaching license was required (list most recent first). Approval of experience shall be determined at the time of employment. You will be asked to provide official verification.

District Name

Name

Grade

Subject(s)

Full-Time

Dates of

Total

Reason

Address (Street, City, State)

of School

Taught

Taught

Part-Time

Employment

Years

for Leaving

STUDENT TEACHING EXPERIENCE

Please list experiences in a recognized teacher preparation program only.

 

 

 

 

District Name & School

Grade(s)

 

 

 

 

 

 

Address (Street, City, State)

Taught

Subject(s) Taught

Dates Taught

Supervising Teacher

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXPERIENCE OTHER THAN TEACHING

Do not list military experience here.

Employer

Address

Position

Dates of Employment

REFERENCES

Give references (a minimum of three), especially superintendents or principals under whom you have taught, who have first-hand knowledge of you character, personality, and teaching ability.

Name

Position/ District

Address

Work Phone

Home Phone

TRAINING AND PREPARATION

SPECIAL TRAINING

Please use key to indicate experience or training in any of the following specific classes or workshops.

 

KEY:

T = Training

E = Experience

T/E = Both

 

 

 

 

 

 

____ Authentic Assessment

 

____ Equity Awareness

____ Portfolios

____ Child Abuse/ Personal Safety

 

____ Gifted Education

____ Remedial Education

____ Computer Training

 

____ Inclusive Education

____ Signing

____ Cooperative Learning

 

____ Integrated Curriculum

____ Study Skills

____ Conduct Disorders

 

____ ITIP

 

____ Task Writing/ Rubrics

____ Critical Thinking Skills

 

____ Learning Skills

____ Visual/ Manipulative Math

____ Current First Aid Card

 

____ Middle Level Education

____ Whole Language

____ Curriculum Integration

 

____ Multi-Age Class

____ Other _________________

____ Development Appropriate Practices

____ Multicultural Awareness

 

____ Drug Alcohol Problems

 

____ Peer Coaching

 

EXPERIENCE OTHER THAN TEACHING

OTHER LANGUAGES: Please list any foreign language(s) you can use. _______________________________________________________

Fluent Skills (speak, read, write)

Minimal skills (please list abilities) _______________________________________________________________________________

____________________________________________________________________________________________________________

Actual language training ____________________________________________________________________________

ELEMENTARY APPLICATIONS: Check areas in which you have training or experience to the extent the skill(s) could be used in class.

Play PianoTeach PETeach ArtTeach Vocal Music

PLACEMENT FILE

Do you have current placement file(s)?

Yes

No

 

 

I requested a copy of my placement file to be sent to the appropriate school district.

Yes

No

MILITARY EXPERIENCE

Branch of Service

Job Classification

Inclusive Dates

 

Type of Discharge

 

 

 

 

 

 

 

 

 

Citizenship: Are you a U.S. citizen or otherwise legally authorized to work in the U.S.?

Yes

No

Health: Is your physical/ mental health condition such that you can fulfill the essential job functions of the teaching/ extracurricular work for which you are

applying (either with or without reasonable accommodations)?

Yes

No

APPLICATIONS

Applications which are forwarded to a school district will remain active at that district for one year. The district will normally keep the application on file for three years. Contact individual districts about procedures for reactivating an application that is more than one year old.

I understand that any omissions on this application may prevent my application from being evaluated or referred to an individual school district. I authorize any school district to which this application is submitted to obtain information about my criminal records. I authorize all government agencies to provide information about my criminal records to the school district. I verify that all information on this employment application is true and complete. I understand that any misrepresentation, falsification, or omission on this application or on other documents submitted to the school district will be sufficient cause for this application not to be considered by the school district, not to be referred to a school district or for discharge if I have employed.

AUTHORIZATION TO OBTAIN AND RELEASE INFORMATION

I authorize any Oregon school district for which I have completed an employment application to check my references, to obtain information from my prior employers and educational institutions, and to take other actions to investigate any information provided in my employment application, and to obtain information relevant to evaluating my qualifications and fitness for a teaching position. I authorize my listed references, past employers and educational institutions, and anyone else who has information about my work history, education qualification or fitness, to provide such information to any school district for which I have completed an employment application. I release the school district to all persons providing information to the school district from any liability whatsoever for obtaining and providing that information, regardless of the results.

Signature ____________________________________________________________________ Date ______________________________________

Key takeaways

When filling out the Oregon Teacher Application form, keep these key takeaways in mind:

  • Complete Personal Information: Ensure all personal details, including your full name and contact information, are accurate and up-to-date.
  • Prioritize Position Preferences: Clearly indicate your preferred teaching positions and grade levels. Use “1” for your first choice to enhance your chances of being considered.
  • Be Honest About History: Answer the personal history questions truthfully. Any misrepresentation could jeopardize your application.
  • Provide Detailed References: Include at least three references who can speak to your teaching abilities and character. Superintendents or principals are ideal choices.
  • Include Relevant Experience: List all teaching and student teaching experiences. Be specific about the subjects taught and the grades you worked with.
  • Check for Additional Requirements: Some school districts may ask for additional information. Always verify what each district needs beyond the application.
  • Understand Application Validity: Your application will remain active for one year at a district. After that, contact them to reactivate it if necessary.
  • Review Before Submission: Double-check your application for completeness and accuracy. Any omissions can lead to delays or disqualification.

File Details

Fact Name Description
Governing Law The Oregon Teacher Application form is governed by Oregon Revised Statutes (ORS) 342. A valid teaching license is required for employment in Oregon schools.
Application Validity Applications remain active for one year at the district level. After one year, contact the district for reactivation procedures.
Personal History Disclosure Applicants must disclose any previous dismissals, license revocations, or felony convictions, especially those related to child abuse.
Contact Information Applicants must provide both permanent and current mailing addresses, along with multiple phone numbers for contact.
Endorsements and Licenses Applicants must list their current Oregon teaching license types and any additional endorsements they hold.
References Requirement A minimum of three references is required, preferably from superintendents or principals familiar with the applicant's teaching abilities.

Documents used along the form

When applying for a teaching position in Oregon, candidates often need to submit several documents alongside the Oregon Teacher Application form. Each of these documents serves a specific purpose in the evaluation of the applicant's qualifications and suitability for the role. Below is a list of commonly required forms and documents.

  • Resume: A comprehensive summary of the applicant's educational background, work experience, skills, and achievements. This document provides a snapshot of the candidate's professional journey and qualifications.
  • Cover Letter: A personalized letter addressed to the hiring committee that outlines the applicant's interest in the position and highlights relevant experiences. It serves as an introduction and a means to express enthusiasm for the role.
  • Transcripts: Official academic records from colleges or universities attended. These documents verify the applicant's educational qualifications and the degrees earned.
  • Teaching License: A copy of the current Oregon teaching license or proof of eligibility for licensure. This document confirms that the candidate is legally permitted to teach in Oregon.
  • Letters of Recommendation: Written endorsements from former employers, colleagues, or educators who can attest to the applicant's teaching abilities and character. These letters provide insight into the candidate's professional reputation.
  • Background Check Authorization: A form that grants permission for the school district to conduct a criminal background check. This is a critical step to ensure the safety of students and staff.
  • Portfolio: A collection of work samples, lesson plans, and other relevant materials that demonstrate the applicant's teaching philosophy and effectiveness. This document can provide a deeper understanding of the candidate's skills and approach to education.
  • Alabama Bill of Sale Form: To ensure proper documentation for your ATV transactions, refer to the essential ATV Bill of Sale guidelines that outline the necessary steps for legal compliance.
  • Proof of Citizenship or Work Authorization: Documentation that verifies the applicant's legal right to work in the United States. This may include a passport, birth certificate, or work visa.

Submitting these documents alongside the Oregon Teacher Application form can enhance an applicant's profile and provide a comprehensive view of their qualifications. Each document plays a vital role in the hiring process, helping school districts make informed decisions about potential educators.