Office of Catholic Schools
300 Wyoming Avenue
Scranton, PA  18503-1279
(570)207-2251
(570)207-2261 fax


Please print out this form and submit completed form the Schools Office.

                       APPLICATION FOR A TEACHING POSITION  
 

Date:____________________     SS#__________________________     Degree:_____________________________

Name:  _____________________________________________________________________________
                      (Last)                                            (First)                                               (Middle)

Age:___________

Address:  ___________________________________________________________ Phone:  __________________

Parish Affiliation:  ____________________________________________________ Religion:  _________________

EDUCATION (Name of School)  

  Elementary:  ________________________________   Secondary:  ____________________________________ 

 College Address  Years Attended

  ___________________________________  ______________________________________ _____________  

  ___________________________________  ______________________________________  _____________  

  ___________________________________ ______________________________________ _____________

  Certification – Provisional  

    Year:  ______________      State & No.:  ________________________       Areas:  ___________________________    

    Year:  ______________      State & No.:  ________________________         Areas:  __________________________

TEACHING EXPERIENCE  (list most recent first)  

 School 

Address Grades Subjects Taught  
_____________________________ ___________________________ ________ ____________________________
_____________________________ ___________________________ ________ ____________________________
_____________________________ ___________________________ ________ ____________________________
_____________________________ ___________________________ ________ ____________________________

 REFERENCES  

  Pastor:  ____________________________________   Address:  ____________________________________________  

  Other:  _____________________________________  Address:  ____________________________________________  

  Other:  _____________________________________  Address:  ____________________________________________  

TEACHING PREFERENCE  

  Grade Level:  __________________  Substitute:  ______________________  Full-time:  ________________________  

  Geographic Area:  _________________________________________________________________________________  

Non-Teaching Experience From To Reason for Leaving
Mo.    Yr. Mo.    Yr.
__________________________________ ___________ __________ ______________________________
__________________________________ ___________ __________ ______________________________
__________________________________ ___________ __________ ______________________________

BRIEFLY DESCRIBE YOUR PHILOSOPHY OF EDUCATION  

__________________________________________________________________________________________________  

__________________________________________________________________________________________________  

__________________________________________________________________________________________________  

__________________________________________________________________________________________________  

__________________________________________________________________________________________________  

If you are living outside the Diocese, where can you be contacted locally?  

Address:  __________________________________________________________________________________________  

Phone No.:  _________________________________________  

I hereby affirm the information submitted here is accurate.  

Signature:  _________________________________________________________  

Date:  ___________________________________  

PLEASE NOTIFY THIS OFFICE WHEN YOU ARE HIRED.  
This application will be kept on file for two (2) years.  If you are still interested at the end of that time, please file another application.