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Certified Staff Application

Please complete the form below. Required fields marked *
Contact Information
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Position(s) Qualified For?
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Do you possess a valid Oklahoma Teaching Certificate?
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Have you ever been convicted of a felony?
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List the names of three references capable of giving information about your teaching.

Teaching Experience; List in chronological order:

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I authorize investigation of all statements contained in this application. I understand misrepresentation or omission of facts called for is cause for dismissal without notice at anytime during employment. I agree, if employed, to follow all rules and regulations of the Pawhuska Public Schools. I understand by state law the Pawhuska Public Schools must/may require all employees to submit a health certificate from their physician. I further understand and agree the physical will be at my expense.


I understand that the Pawhuska Board of Education requires that all new employees must submit a copy of their fingerprints (if employed) to the Superintendent. I further understand that if the fingerprints report is negative, as interpreted by the Superintendent, I will be terminated.

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