A complete application requires: (1) this electronically signed form (including contact information for at least three references), and (2) copies of your college/university transcripts for each institution where you have studied.

Q1. Position(s) applying for:

Q2a. Do you hold a valid Wyoming teaching certificate? Yes No

Q2b. Expiration date?

Q2c. Endorsements?

Q2d. Please list any other state teaching certifications held:

Q3. What grade/subject is your favorite to teach? (Please specify first and second choice.)
First Choice: Second Choice:

Q4. Name:

Q5. Address:

Q6a. City: Q6b. State: Q6c. Zipcode:

Q7. Email Address:

Q8. Home Phone:

Q9. Salary Expectations:

GENERAL QUESTIONS:

Q10a. Are you currently employed? Yes No Q10b. May we contact your employer? Yes No

Q11. What date are you available for employment?

Q12a. Are you interested in a full-time or part-time position? Fulltime: Part-time:

Q12b. If you seek part-time employment, please list preferred subject(s) and hours.

Q13. How did you hear about this position and about Snowy Range Academy?

Q14. Please describe your most significant professional accomplishments and community activities.

Q15. Please explain why "teacher" is your chosen profession?

Q16. Please describe a program or project in school or work that you have initiated or worked on which best demonstrates your competence and creativity as an educator.

SPECIFIC QUESTIONS RELATED TO SNOWY RANGE ACADEMY

Q17. What about teaching at Snowy Range Academy motivates/interests you?

Q18. Please describe your prior experience with Core Knowledge curriculum. If you have not used the Core Knowledge curriculum, please discuss how it would fit with your previous teaching experience and/or philosophy.

Q19. Please describe your prior experience with Spalding phonics methods.

Q20. Please describe your prior experience with Saxon Math methods.

Q21. Please discuss how your teaching philosophy and prior experience pertains to these ten aspects of the Snowy Range Academy's mission. Concrete and specific examples are encouraged.
-Inclusiveness
-Personal responsibility
-Honesty
-Self-reliance
-Courtesy and teamwork among colleagues
-Courtesy in the classroom
-Parental involvement
-Teacher leadership in the classroom
-Good readers make better students
-Responsibility-based discipline protocols

EMPLOYMENT HISTORY:

Q22a. Current employer or last employer:

Q22b. Address:

Q22c. Supervisor's name: Q22d. Phone number:
(please be assured that we will not contact them without your permission)

Q22e. Dates of employment: Q22f. Current salary:

Q22g. Reason for leaving:

Q23a. Prior Employer (2):

Q23b. Address:

Q23c. Supervisor's name: Q23d. Phone number:
(please be assured that we will not contact them without your permission)

Q23e. Dates of employment: Q23f. Current salary:

Q23g. Reason for leaving:

Q24a. Prior employer (3):

Q24b. Address:

Q24c. Supervisor's name: Q24d. Phone number:
(please be assured that we will not contact them without your permission)

Q24e. Dates of employment: Q24f. Current salary:

Q24g. Reason for leaving:

EDUCATION:

25a. College(s) or university(ies):

25b. Location: Q25c. Dates Attended:

Q25d. Degree/honors:

Q26. Post-graduate studies:

Q27. Published works:

Q28. Other education/training:

Please supply transcripts for the colleges/universities you have attended. Copies are acceptable

Transcripts should be sent to Snowy Range Academy, Attention: Margarita Rovani 4037 E. Grand Avenue, Laramie, WY 82070.

REFERENCES:

Please supply the names, phone numbers, and e-mail addresses for three references - either supervisors, colleagues, or parents of students.

Q29a. Reference 1:

Q29b. Reference 2:

Q29c. Reference 3:

MISCELLANEOUS

Q30. Please provide evidence that you are legally entitled to work in the U.S.

Q31a. Have you ever been convicted of any law violation, except minor traffic offenses? Yes No

Q31b. If yes, please explain. A conviction will not necessarily disqualify you for employment, but failure to report a conviction will result in disqualification for a position or dismissal if hired.

32a. Have you ever been dismissed or asked to resign from a teaching or other position? Yes No

Q32b. If yes, please state where and describe why.

Q33. Please provide any additional information pertinent to your application.

RELEASE STATEMENT

A personal interview is required for employment. Interviews are at the candidate's expense and are arranged by invitation of the Snowy Range Academy Board and/or principal. Parents, students, and other members of the Snowy Range Academy staff may participate in interviewing candidates and reviewing application materials.

I authorize the Snowy Range Academy to make any investigation of my personal or employment history and authorize any former employer, person, firm, corporation, credit agency, or government agency to give Snowy Range Academy any information they may have regarding me.

In consideration of the Snowy Range Academy's review of this application, I release the Snowy Range Academy and all providers of information from any liability as a result of furnishing and receiving this information.

I hereby certify that all information contained on this application is correct.

Signature:

Date:

By clicking the submit button you are acknowledging your electonic signing of this application.