Oregon Teacher Application – Fill Out and Use This PDF

The Oregon Teacher Application Form is a comprehensive document designed to streamline the statewide process of applying for teaching positions within Oregon. Produced by the Oregon School Personnel Association in 1994, it asks for detailed personal information, educational background, teaching experience, and more, tailored to assist school districts in making informed hiring decisions. Whether you're a seasoned educator or new to the field, completing this application form is a critical step toward your career in teaching. Ready to embark on your next professional journey in education? Click the button below to fill out your application today.

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Oregon Teacher Application PDF Details

Embarking on a career in education within Oregon entails numerous steps, one of which is the completion of the Oregon Teacher Application form. This comprehensive document, produced by the Oregon School Personnel Association in 1994, serves as the initial point of interface between aspiring educators and their potential employers in various school districts across the state. The form is meticulously designed to capture a wide array of information, ranging from personal details and licensure specifics to educational background, teaching experience, and even preferences for teaching positions. Additionally, it inquires about any history that might affect an applicant's suitability for teaching, such as convictions or disciplinary actions related to professional conduct. Although this application stands as a unified starting point for all applicants, it's important to note that individual districts might seek additional information. The form also emphasizes the importance of accurate and truthful submissions, underscoring that any discrepancy or omission could significantly impact an applicant’s employment prospects. With sections dedicated to special training, other languages, and extracurricular competencies, the Oregon Teacher Application form is a thorough attempt to ensure that schools can make informed decisions about who enters their classrooms, thereby safeguarding the quality of education provided to students.

Question	Answer
Form Name	Oregon Teacher Application
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	oregon statewide teacher application fillable, oregon teacher of the year application, oregon statewide teacher, statewide application

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OFFICE USE ONLY

Expiration Date:_______________________

Applicant’s Name: ____________________________________________________

OREGON
OREGON	OFFICE USE ONLY
STATEWIDE TEACHER APPLICATION	Dated Received
	Dated Received
Produced by Oregon School Personal Association 1994	__________________
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

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 ______________________________________

How to Edit Oregon Teacher Application Online for Free

Our leading software engineers have worked together to get the PDF editor that one could take advantage of. This specific software enables you to fill in oregon statewide application files immediately and with ease. This is certainly all you have to carry out.

Step 1: Click the "Get Form Here" button.

Step 2: Right now, you can start editing the oregon statewide application. The multifunctional toolbar is at your disposal - add, remove, alter, highlight, and carry out similar commands with the text in the document.

The PDF form you plan to complete will include the following areas:

part 1 to completing oregon statewide teacher application fillable

Put the requested particulars in the If Yes School District City, Current Oregon Teaching License, Endorsementss eg Physical, Authorizations eg, Date of Expiration, Added endorsements expected, If no Oregon License when is it, Personal History Have you ever Yes, and Y L N O E S U E C I F F O part.

Finishing oregon statewide teacher application fillable step 2

You will be expected to write down the information to let the system fill in the part Personal History Have you ever Yes, and Y L N O E S U E C I F F O.

step 3 to completing oregon statewide teacher application fillable

In section Indicate your grade preference, SPECIALIST, cid Band cid Orchestra cid, cid Staff Development, Indicate your grade preference, SPECIAL SERVICES, cid Adaptive PE cid Nurse cid, cid Physical Therapy cid Sensory, Indicate your grade preference, and ELEMENTARY, define the rights and obligations.

step 4 to filling out oregon statewide teacher application fillable

End by looking at the next areas and completing them accordingly: Indicate your grade preference, Middle School with elementary, Grade is in the elementary school, Indicate your grade preference, Alternative school, SECONDARY, cid Agricultural Sci Tech cid Art, cid French cid German cid Japanese, cid Russian cid Spanish cid Other, cid Mathematics cid Basic Math cid, cid Health cid Home Economics cid, cid Band cid Orchestra cid Vocal, and cid Speech cid Other see.

Entering details in oregon statewide teacher application fillable part 5

Step 3: Hit the button "Done". Your PDF file is available to be transferred. You may upload it to your computer or email it.

Step 4: To prevent any type of headaches in the foreseeable future, you should prepare as much as a few copies of the form.

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