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 |
___________________________________________________________________________ |
| CERTIFICATION: |
| Are you currently certified in CT? ____________________ In what areas?____________________ |
| _____________________________________________________________________________ |
| When do you anticipate being certified in CT? _________________________________________ |
| Are you certified in another state?_____________________ Which?_________________________ |
| When do you graduate?____________________ When will you be available? _________________ |
Are you presently under contract? ___________________________________________________ |
| How many years have you previously taught? _________________________________________ |
| List other work experience that is related to your teaching area: ____________________________ |
________________________________________________________________________________ |
| ________________________________________________________________________________ |
| ________________________________________________________________________________ |
| ________________________________________________________________________________ |
| EDUCATION: | |
| Undergraduate: | College: __________________________________ |
| Location: __________________________________ | |
| Degree: ___________________ Date Awarded: _________________ | |
| Major: ____________________ Minors: ______________________ | |
| Graduate Work: | School: __________________________________ |
| Location: __________________________________ | |
| Degree: ___________________ Date Awarded: _________________ | |
| Specialization: __________________________________ | |
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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.