Oregon Teacher Application PDF Details

Have you ever wondered what it would be like to be a teacher in Oregon? Wonder no more! The Oregon Teacher Application Form is now available online. This form can help potential teachers learn about the necessary qualifications, application process, and certification requirements needed to teach in Oregon schools.

We've collected some technical information regarding the oregon teacher application. It is suggested that you look at this material before you start filling out the PDF.

QuestionAnswer
Form NameOregon Teacher Application
Form Length4 pages
Fillable?Yes
Fillable fields308
Avg. time to fill out31 min 20 sec
Other namesoregon statewide teacher inservice day, oregon statewide teacher, tspc renewal application for oregon teachers, oregon teacher form

Form Preview Example

<![endif]>OFFICE USE ONLY

<![endif]>Expiration Date:_______________________

<![endif]>Applicant’s Name: ____________________________________________________

OREGON

 

OFFICE USE ONLY

STATEWIDE TEACHER APPLICATION

Dated Received

 

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

No

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

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Step 2: Right now, you can start editing the oregon teacher form. 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 statewide application

Put the requested particulars in the em, aN, st, naci, l and YL, NOES, U, EC, IF, FO part.

Finishing statewide application step 2

You will be expected to write down the information to let the system fill in the part em, aN, st, naci, l ppA, and YL, NOES, U, EC, IF, FO

step 3 to completing statewide application

In section SPECIALIST, cid, Staff, Development cid, Orchestra and SPECIAL, SERVICES define the rights and obligations.

step 4 to filling out statewide application

End by looking at the next areas and completing them accordingly: ELEMENTARY, Alternative, school and SECONDARY.

Entering details in statewide application 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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