Center of Excellence for Educator Preparation and Innovation Application
Open until filled
Date
*
-
Month
-
Day
Year
Date
Are you applying for a currently posted opportunity? If yes, list position below. If no, indicate "requesting future consideration" in the position box below.
Yes
No
List the position you are applying for here.
I have carefully reviewed the position description and understand the duties & responsibilities. I meet the qualifications outlined.
Yes
No
NA. Requesting Future Consideration
Honorific
Dr.
Ms.
Mr.
Other
First Name
*
Middle Initial
*
Last Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
Cell #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home #
Please enter a valid phone number or NA.
Format: (000) 000-0000.
Gender
*
Female
Male
Prefer not to answer
Ethnicity
*
Hispanic/Latino
Not Hispanic/Latino
Prefer not to answer
Race
*
American Indian or Alaska Native
Asian
Black or African American
Caucasian or White
Native Hawaiian or Other Pacific Islander
Other
Citizenship
*
U.S. Citizen
International
Are you National Board Certified?
*
Yes
No
Include a copy of your unofficial transcript from your most recent or advanced degree for initial processing. NOTE: If selected, an official transcript will be required from the college/university where you earned your most advanced degree.
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Are you a South Carolina Department of Education certified educator?
*
Yes
No
Provide a copy of your SC Teaching Certificate
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Years of professional teaching/administrative experience
*
Employer
*
Type Unemployed if you are currently not working.
If selected for the role, I have confirmed my service to the EPI Center poses no conflict with my current employment.
*
Yes
No
I am self-employed or unemployed.
Job Title
*
Type Unemployed if you are currently not working.
District Affiliation (if applicable)
*
Type N/A if you have no affiliation.
Current School
*
Type N/A if you do not work at a school.
Current Grade Level
*
3K
4K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College/University
Other
Are you a veteran?
*
Yes
No
Dates of Military Service
Have you ever been in an alternative teaching certification program?
*
Yes
No
How did you hear about us?
*
Billboard
College Fair
Friend or Relative
Magazine
Newspaper
Radio
TV
Other
Have you ever been convicted of any crime (other than traffic violations) or sentenced to a correctional institution?
*
Yes
No
Provide dates and details
Attach the following: A cover letter
*
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Attach the following: A resume or curriculum vitae
*
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Attach the following: A descriptive summary outlining your skills and abilities to achieve the duties described
*
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Attach the following: A single page listing of the complete contact information for three professional references who can be contacted at any time.
*
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I certify that the information I am submitting is accurate to the best of my knowledge and I give Voorhees University permission to contact references and verify any of the information provided, as needed. I understand that misrepresentation or omission of facts relevant to this application will be sufficient cause for rejection of this application. Further, I understand this is an independent contractor application with the Voorhees EPI Center and NOT an application for full-time employment with Voorhees University.
*
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