88 APPENDIX II STANDARD APPLICATION FOR TEACHING POSITIONS IN PENNSYLVANIA PUBLIC SCHOOLS POSITION(S) DESIRED NAME LAST FIRST MIDDLE SOCIAL SECURITY NUMBER1 PRESENT ADDRESS STREET (AREA CODE) TELEPHONE CITY STATE ZIP CODE PERMANENT ADDRESS STREET (AREA CODE) TELEPHONE CITY STATE ZIP CODE E-MAIL ADDRESS (IF AVAILABLE) LIST, IN ORDER OF PREFERENCE, THE GRADES, SUBJECTS AND/OR POSITIONS FOR WHICH YOU ARE APPLYING: 1. 2. 3. CERTIFICATION (LIST ALL AREAS IN WHICH YOU HOLD VALID PENNSYLVANIA AND/OR OUT-OF-STATE TEACHING CERTIFICATES. NOTE: APPLICANTS HOLDING A CERTIFICATE FROM ANOTHER STATE MUST OBTAIN A PENNSYLVANIA CERTIFICATE IN ORDER TO TEACH IN PENNSYLVANIA PUBLIC SCHOOLS.) AREA OF CERTIFICATION ISSUING STATE DATE ISSUED HAVE YOU ACQUIRED TENURE IN PENNSYLVANIA? IF YES, IN WHAT SCHOOL DISTRICT? DATE AVAILABLE FOR EMPLOYMENT IF YOU ARE NOT EMPLOYED FULL TIME, ARE YOU INTERESTED IN BEING PLACED ON OUR SUBSTITUTE LIST? YES NO SHORT-TERM LONG-TERM YES NO YES NO
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