DEPARTMENTS || Human Resources
Certified Personnel
Certified applications are appropriate for all jobs which require a teaching certificate: superintendents, principals, program directors, central office supervisors or specialists, counselors, classroom teachers, and long-term substitute teachers.
Note: “If you are a current Montgomery Public Schools employee, you DO NOT need to fill out an application. Simply forward a letter of interest and a copy of your resume to the Department of Human Resources.”
Certified Positions
MONTGOMERY PUBLIC SCHOOLS SUBSTITUTE TEACHER EMPLOYMENT REFERENCE
TO:_________________________________
_________________________________
_________________________________
Please Return This Form Promptly To:
Office of Human Resources – Room 207
Montgomery Public Schools
P. O. Box 1991
Montgomery, AL 36102-1991
Please complete the questionnaire and columns below and mail this form at your earliest convenience. In applying for employment with the Montgomery Public Schools, I hereby give permission for inquiries of references concerning my past performance and character. I hereby authorize parties who receive requests to give full and complete information as may be requested by the Montgomery Public Schools. I further agree that the information will not be disclosed to me, and I hereby waive any right to review this reference form.
________________________ _____________________ ______________ ______________
Last Name First Name Middle Name Maiden Name
__________________________________________ _____________________________
Signature of Applicant Date
1. How long have you known the applicant? _______________________________________
2. What is your relationship to the applicant? ______________________________________
(friend, employer, neighbor, etc.)
3. Would you hire this person to work with children? ________________________________
4. Is this person dependable and reliable? ________________________________________
5. To the best of your knowledge, has this person ever been convicted of/or pleaded guilty to child
abuse or any other felony? Yes______ No_____ If yes, please explain. ____________
_________________________________________________________________________.
EXCELLENT
GOOD
FAIR
POOR UNABLE TO JUDGE
Professionalism
Punctuality
Strong Work Ethic
Acceptance of Supervision
Leadership
Communication Skills
Relationships with others
Cooperation
If you have any additional comments, please use the back of this form or additional paper.
__________________________________________ ________________________________
Signature of Reference Provider Name of Business
__________________________________________ _________________________________
Title Date
STK-05
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