Lebanon Public Schools
Application
| Return to: Robert McGray, | 891 Exeter Road |
| Supintendent of Schools | Lebanon, CT 06249 |
Tel. (860) 642-7795 |
|
Fax. (860) 642-4589 |
___________________________________________________________________________ |
| Name: _____________________________ | Date: ____________________ | |
| Social Security #: _____________________ | ||
| Home Address: | Street:_______________________ | City:________________________ |
| State:________________________ | Zip:_________________________ | |
| School/Work: | Street:_______________________ | City:________________________ |
| State:________________________ | Zip:_________________________ | |
| Telephone: | Home:_______________________ | Work:_______________________ |
| This application is for the position of: __________________________________________ | ||
| Teacher candidates: List grades or subjects in order of preferences: ___________________ | ||
| ______________________________________________________________________ | ||
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It is the police of the Lebanon Board of Education that no person shall be excluded from participation in, denied the benefits of, or otherwise discriminated against under any program, including employment, because of race, color, religious creed, sex, age, national origin, ancestry, marital statue, sexual orientation, mental retardation or past/present history of mental disorder, learning disability or physical disability.