Student Teaching Registration Form

Applicant Information

ARCHDIOCESE OF KANSAS CITY IN KANSAS DEPARTMENT OF EDUCATION OFFICE OF THE SUPERINTENDENT CERTIFIED STUDENT TEACHER REGISTRATION
Start Date of Student Teaching Term*
MM slash DD slash YYYY
End Date of Student Teaching Term
MM slash DD slash YYYY
Name*
First Middle Last
Phone
Applicant's Email Address*
University
Preferences
Name of the school you are assigned to
Check the grade level choice(s) for which this application is made*
- K-2
- 3-5
- 6-8
- 9-12
Enter Subject(s) Desired
Cooperating Teacher

INFORMATION FOR APPLICANT:

Because all staff in Catholic Schools are called to bear witness to Jesus in both their life and teaching, the Catholic Schools in Archdiocese of Kansas City in Kansas hire practicing members of the Roman Catholic Church, who are registered members and actively participate in the faith-life of their parishes through their gifts of time, talent and treasure. Teachers, except in extreme and unusual circumstances, must be practicing Catholics. However, in the event that there are non-Catholic teachers employed in a school, both the Catholic and non-Catholic teachers shall be required to attend Mass and to participate in all religious services/activities with their students and other faculty members and to conduct themselves at all times, in and out of school, in a manner consistent with established Catholic teachings and moral standards. Employees shall not be discriminated against in employment opportunities or practices on the basis of race, color, national origin, gender (unless in conflict with Catholic moral teachings), age, disability, veteran status, genetics or any other characteristic protected by law.

SIGNATURE

By filling in my name below, I affirm that the facts I have given on this employment application are true and complete to the best of my knowledge. I understand that this application may be withdrawn or my employment may be terminated if I have given false or misleading information on this application or during my interview(s). I also understand that my employment is contingent upon satisfactory results from my background check and my successful completion of child protection training (Virtus) prior to the first contract day. By filling in my name below, I authorize the Archdiocese (School) to investigate all statements in the application, including contacting all references to seek job-related information about me to allow the Archdiocese (School) to make an employment decision. I release the Archdiocese (School) and all other persons and companies from liability for furnishing or obtaining such information. NOTE: If you are hired, you will be required to produce documents about your eligibility for employment in order to complete an I-9 Form.
Name*
Check your entries above to make sure there are no mistakes. Then, click the Submit button to send application to the Archdiocesan Office of Catholic Schools.

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