Ddess Substitute Teacher Or Training Instructor Application Form – Fill Out and Use This PDF

DDESS SUBSTITUTE TEACHER OR TRAINING INSTRUCTOR APPLICATION FORM

Please complete all sections. Your application package must include a copy of your official transcript(s). Please include front and back copies of transcript(s). Transcript(s) must be in English.

PERSONAL INFORMATION

Name:

___________

Last

First

Middle

Home Address:

___________

Street

City

State

Zip

Current Phone Number:

E-mail Address:

___________

Are you a U.S. Citizen? Yes _____

No _____

EDUCATION

Name of High School: __________________________________		Year Graduated or GED Earned: ______________
Highest Degree Received: ____________		Date of Award:	__________
(ASSOCIATE’S, BACHELOR’S, MASTER’S, ETC.)

If no degree was awarded, total number of semester hours earned: ________________________________________

Name of College/University:

____ ______ Location (City, State):

__________

LAST EMPLOYMENT INFORMATION

Dates of Employment:

Position Title:

_________

Employer:

Hours Worked Per Week:

________

Employer’s Address: _____________________________________________________________________________

Supervisor’s Name:	__ Supervisor’s Phone: __________________________

COMPLEX PREFERENCE

Mark the complex where you are willing and able to immediately work. The location you select is where you will be assigned to upon your appointment into the position.

GEORGIA/ALABAMA DISTRICT:
_____ Fort Benning	_____ Fort Rucker	______ Maxwell AFB
KENTUCKY DISTRICT:
_____ Fort Campbell	_____ Fort Knox
NORTH CAROLINA DISTRICT:
_____ Fort Bragg	_____ Camp Lejeune
SOUTH CAROLINA/FORT STEWART/DODDS-CUBA DISTRICT:
_____ Fort Stewart	_____ Fort Jackson	_____ Laurel Bay	_____ Guantanamo Bay, Cuba
VIRGINIA/NEW YORK/PUERTO RICO DISTRICT:
_____ West Point	_____ Quantico	_____ Dahlgren	_____ Antilles, Puerto Rico _____ Ramey, Puerto Rico

I hereby certify that all statements in this application are true, complete and correct. I understand that any willful omission or falsification of material facts in this application will constitute sufficient reason for my immediate termination from Federal service.

Applicant’s Signature: ___________________________________________ Date: ______________________________

In order for your application to be reviewed and processed, you must follow the instructions in the Substitute Teacher/Training Instructor vacancy announcement for the district in which you are wishing to work on where to send your application package.

Rev. 6/2014