Official SealDepartment of Budget and Management


#19-009009-0014
Supplemental Questionnaire

Last Name
First Name
1

Please indicate your American Sign Language skill level:

Polite (able to greet and exchange pleasantries; indicate or understand an emergency)
Literate (understands a conversation and can respond)
Fluent (is your native language or can converse in the language as if it was your native language.)
Do not speak sign language.
2

Please check the position for which you would like to be considered:

a. Early Childhood Education Dept. - Birth - 5 years
b. Elementary Department
c. Middle School
d. High School
e. Reading Specialist
f. Special Needs/Enhanced Services Program
g. Technology Education (theatre, media, art)
3

Do you currently hold a Teacher Certification?  If so, from what state?

 

Yes No
4

Have you previously obtained Highly Qualified status from a school district?

Yes No

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