(Begin EDUCATIONAL TRAINING with most recent experience.) Institution City, State Dates Diploma or Degree Program Completed? YES NO YES NO YES NO YES NO (Begin PROFESSIONAL TEACHING EXPERIENCE with most recent; other work experience on page 3.) City, State: Job Title, including grade or subjects: Current or Last School or School System: Date Employed/Date Separated: Full Time No. Supervised by Reason for Leaving: Years Months you: Name & Telephone Part Time If part time, number May We Contact Employer? Supervisor’s Number: Years Months of hours worked per YES NO week: School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time No. Supervised by Reason for Leaving: Years Months you: Name & Telephone Part Time If part time, number Supervisor’s Number: Years Months of hours worked per week: School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time No. Supervised by Reason for Leaving: Years Months you: Name & Telephone Part Time If part time, number Supervisor’s Number: Years Months of hours worked per week: School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time No. Supervised by Reason for Leaving: Years Months you: Name & Telephone Part Time If part time, number Supervisor’s Number: Years Months of hours worked per week: NORTH CAROLINA GOVERNOR’S SCHOOL EXPERIENCE Attended the NC School? YES NO Governor’s If yes, when? Which campus? What Area? Worked at the NC School? YES NO Governor’s If yes, when? Which campus? What Area(s)? WORK EXPERIENCE List any full-time work experience outside the teaching profession within the past ten
EDUCATIONAL TRAINING (Begin with most recent experience.) Institution City, State Dates Diploma or Degree Program Completed? YES NO YES NO YES NO YES NO PROFESSIONAL TEACHING EXPERIENCE (Begin with most recent; other work experience on page 3.) Current or Last School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time Years Months No. Supervised by you: Reason for Leaving: Supervisor’s Name & Telephone Number: Part Time Years Months If part time, number of hours worked per week: May We Contact Employer? YES NO School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time Years Months No. Supervised by you: Reason for Leaving: Supervisor’s Name & Telephone Number: Part Time Years Months If part time, number of hours worked per week: School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time Years Months No. Supervised by you: Reason for Leaving: Supervisor’s Name & Telephone Number: Part Time Years Months If part time, number of hours worked per week: School or School System: City, State: Job Title, including grade or subjects: Date Employed/Date Separated: Full Time Years Months No. Supervised by you: Reason for Leaving: Supervisor’s Name & Telephone Number: Part Time Years Months If part time, number of hours worked per week: NORTH CAROLINA GOVERNOR’S SCHOOL EXPERIENCE Attended the NC Governor’s School? YES NO If yes, when? Which campus? What Area? Worked at the NC Governor’s School? YES NO If yes, when? Which campus? What Area(s)? WORK EXPERIENCE List any full-time work experience outside the teaching profession within the past ten
gs-employment-application.docx