Substitute Application Form

APPLICANT INSTRUCTIONS

If you need help to fill out this application form or for any phase of the employment process, please notify the school and every effort will be made to accommodate your needs.

Please note that you will be required to submit a background check before you will be allowed to be a substitute. This background check will be completed through a fingerprint check ran through the Colorado Bureau of Investigation and the Federal Bureau of Investigation. The fee for the processing of your fingerprints will be covered by Caprock Academy.

Please complete the form below. Required fields marked with an asterisk *

What position are you applying for? Click both if interested.

Answer Required

Substitute Teacher

Substitute Educational Assistant

Contact Information

First Name*

Answer Required

Last Name*

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Email 1*

Answer Required

Mobile Phone

Number Required

Home Phone

Number Required

Address

Street Address*

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City*

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Zip/Postal*

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ATTENTION: This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin, or the presence of disabilities. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

If so, please describe below. Give a description of the incident, the date, the charge, and the resolution. If necessary attach an additional sheet. (In accordance with company policy this information is reviewed for job relatedness and time since last conviction.)

Answer Required

If you attended college, a trade school, or a business school, please list that institution, your dates of attendance, credit hours earned, any degrees or certificates earned, and your major of area of spcialization.

Answer Required

Job Related Skills

Note: Do not fill out any part of this section you believe to be non-job-related.

List languages other than english in which you are fluent.

Answer Required

Please list any other skills, licenses, or certificates that may be job-related or that you feel would be of value as a substitute teacher or educational assistant.

Answer Required

Personal References

Please list the names of three professional references. These should be professionals with detailed knowledge of your education/administrative abilities. Please include at least one supervisor. College professors/advisors are appropriate references.

First Reference

Name*

Answer Required

Job Title*

Answer Required

Email*

Answer Required

Second Reference

Name*

Answer Required

Job Title*

Answer Required

Email*

Answer Required

Third Reference

Name*

Answer Required

Job Title*

Answer Required

Email*

Answer Required

Work Experience

Please list your most recent experience first.

Postion or Job Title*

Answer Required

Business/School*

Answer Required

Name of Supervisor*

Answer Required

Title of Supervisor*

Answer Required

Email of Supervisor*

Answer Required

Work Phone*

Number Required

Dates of Employment*

Answer Required

Address of Organization

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Specific Responsibilities*

Answer Required

Co-Curricular Activities/Coaching Duties:*

Answer Required

Reason for leaving:*

Answer Required

Please list your second most recent employment.

Position or Job Title

Answer Required

Business/School

Answer Required

Name of Supervisor

Answer Required

Title of Supervisor

Answer Required

Email of Supervisor

Answer Required

Dates of Employment

Answer Required

Work Phone

Number Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Specific Responsibilities

Answer Required

Co-Curricular Activities/Coaching Duties:

Answer Required

Reason for leaving:

Answer Required

Questionnaire

Please answer each of the questions below as best you can.

1. Why are you applying for the substitute position? *

Answer Required

2. What particular talents or skill do you have that would aid you in being an effective substitute?*

Answer Required

3. How do you think a substitute can improve a school in which they work?*

Answer Required

4. List the personal qualities that you think are important for a substitute to possess? Which of these do you think are the most important in the position?*

Answer Required

5. Please describe any specific educational related experience you have had with children.*

Answer Required

Resume/Document Upload

Please upload your current resume (optional) or other job related documents below.

Resume (optional)

Answer Required

Choose a file or drag it here.

Additional Document (optional)

Answer Required

Choose a file or drag it here.

Applicant Signature

I hereby certify that the information contained in this application form is true and correct to the best of my knowledge. I agree to have any of the information checked by Caprock Academy. I authorize the references listed, as well as any other individuals whom Caprock Academy contacts (including my current employer, former employers, and any government or law enforcement agency)to provide Caprock Academy any and all information concerning my previous or current employment. I understand that if I limit Caprock Academy’s right to contact persons/organizations deemed necessary by Caprock Academy, the application may not be considered further. Also, I release all parties and persons from any and all liability for any damages that may result as a consequence of furnishing such information to Caprock Academy or any of its agents, employees, or representatives for purposes related to this application and my employment. I agree that with or without an accommodation, I must be able to perform the “essential functions” of the position. If an accommodation is required, I must make that request prior to my employment start date. I understand that ANY misrepresentation, falsification, or material omission of information during the interview or on this application, may result in my failure to receive an offer of employment, OR, IF I AM HIRED, MAY RESULT IN MY EMPLOYMENT BEING TERMINATED by Caprock Academy. I understand that any results of the Colorado Bureau of Investigation/Federal Bureau of Investigation background checks which might deny me employment will be forwarded to the Colorado Department of Education. I understand applications are kept on file for a period of one year and will remain the property of Caprock Academy.

Signature*

Answer Required

Date:*

Answer Required

Please fix the highlighted areas below before submitting.

Substitute Application Form