Springfield Public Schools Intranet

Human Resources

Application for New Employees

Thank you for visiting the Human Resources page of the Springfield Public Schools web site. We hope you have found a job that interests you. Job postings are updated approximately monthly. If you are interested in a position, please fill out and submit this employment application. Only fill out one application per year. If you are interested in a position after you have already filled out an on-line application, please call Human Resources at 525-3006 letting us know what position you are interested in

If you have a current application on file, please click here to load it.

For current employees, please fill out only the fields with a red asterisk.

*Last Name:

*First Name:

Middle Initial:

*Address:

*House #	Partial	Letter	Direction	*Street	Lot	Apt.

*City:

*State:

*Zip:

Social Security Number:

*Phone:

() (area) ###-####

*Birth Date:

*Place of Birth (City, State):

Email:

Emergency Contact:

Relationship:

Phone: () (area) ###-####

Please select categories of employment for which you are interested in applying

Position Categories:*
Administrative / Professional		Parent Educator
Clerical		Secondary Teacher
Coach		Security
Custodial		Special Education Attendant
Elementary Teacher		Special Education Teacher
Food Service		Teacher Assistant *
L P N Healthclerk

If applying for a specific position, please indicate:

* These positions require 60 semester hours of college credit.

This section is ONLY for teachers.

Type of Teaching Certificate held:
(Type 03, Type 09, Type 10, Type 75, Etc.)

Endorsements or Approvals:
(Math, Science, Social Studies, Etc.)

Illinois Certificate: Yes No Pending If you have an out of state certificate, choose the state:
Certificate #:

You must submit a copy of your transcript for our files.

Education: High School(s) and College(s) Attended and Training*:

Name of Institution	City/State	Date From	Date to	Degree	Major/Minor	Semester Hours	Student ID

Previous Teaching/Work Experience

(Include Student Teaching)
(List jobs beginning with the most recent)

Employer Name	City/State	Position	Date From	Date To

Reason For Leaving:


Reason For Leaving:


Reason For Leaving:


Reason For Leaving:

*The applicant affirms that any graduate hours listed, as well as any references to prior teaching experience, represent the total accumulated prior to date of application, and as such, contribute to initial salary schedule placement. Any additional graduate hours or teaching experience information not so listed at the time of application will not be used for salary purposes, present or future.

Additional Skills:

(Job training, apprenticeships, hobbies, workshops, organizational affiliations
that relate to the area of work for which you are applying)

Characters remaining: 500

Comments:

Characters remaining: 500

References:

Name	City/State	Phone
		()
		()
		()

Are you a United States citizen? Yes No

Position Preferences: Full Time Part Time

PLEASE NOTE:Board of Education policy requires that persons recommended for positions with the Springfield Public Schools undergo a State of Illinois Criminal History Background Investigation BEFORE approving their hire.

Have you ever been convicted of a felony? Yes No
If yes, please explain briefly.

Have you ever been convicted of a sex offense? Yes No

Have you ever been an employee of the Springfield Public School District 186? Yes No
If yes, when? What Position(s)?

Per the Illinois School Code, Section 22-6.5, it is a Class A misdemeanor punishable by penalty of law, to provide false information or leave material omissions on the application.

The Springfield Public School System is a Equal Opportunity/Affirmative Action Employer.