Teacher Service Record Sample Form PDF Details

At the heart of ensuring teachers receive timely and accurate compensation and recognition for their service, the Teacher Service Record Sample form serves as a crucial document, especially under the Texas Foundation School Program Act. This comprehensive form captures essential details including the teacher's name, social security number, and employment specifics such as the school year, the state or country, and the county or equivalent where the service was provided. Specifics about the Teacher's employment, such as the school district or institution, percentage of the day spent teaching, the number of days employed, the grades taught, and the service dates, are methodically recorded. The form emphasizes the requirement for authorized officials' signatures, strictly prohibiting the use of rubber stamps or ditto marks, to keep the documentation credible and enforceable. By delineating separate lines for each year of service and necessitating the starting and ending dates of employment for accurate record-keeping, the form also distinguishes between public and private school affiliations to ensure the teacher's service is appropriately acknowledged across different types of educational institutions. The mandate that the form be fully completed for the teachers to be paid promptly underlines its significance in the administrative processes of the educational system.

QuestionAnswer
Form NameTeacher Service Record Sample Form
Form Length1 pages
Fillable?Yes
Fillable fields109
Avg. time to fill out22 min 7 sec
Other namesservice record deped download, updated service record deped, updated service record, service record for teachers deped

Form Preview Example

 

 

 

TEACHER SERVICE RECORD

 

 

 

For Foundation School Program Act

 

 

 

 

 

 

 

 

Last

First

MI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Humble Independent School District

 

 

 

20200 Eastway Village Dr.

Signature of Teacher

 

 

 

 

P.O. Box 2000 • Humble, Texas 77347

 

 

 

 

 

 

(281) 641-8170 • FAX: (281) 641-1057

School

Year

State or Country

County or Equivalent

School District

or Institution

% of Day School No. Days

Employed Grade(s) Employed

Taught

Dates of Service

FromTo

Only Authorized

Signatures Accepted

(No Rubber Stamps or Ditto)

School District address ______________________________________ City, State, Zip _________________________

Under Texas law, in order for this teacher to be paid promptly, this form must be fully completed

Please fill in the date of employment, using a separate line for each year of service and affixing the signature and title of the certifying official on each line. NO DITTO marks are allowed. Enter beginning and ending dates of employment in the school term or scholastic school year. If the service is a full semester, please indicate this above.

CHECK ONE:

Public School

 

Private School

Accredited by:___________________

_______________________________

Date: __________________________

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