Job Application-Teacher

Alvin C. York Agricultural Institute

Employment Application-Teacher

School Year*

Answer required for "School Year"

2025-2026

2026-2027

Other:

Position Applying For*

Answer required for "Position Applying For"

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email Address*

Answer required for "Email Address"

Phone Number*

Number Required

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Date of Birth*

Answer required for "Date of Birth"

Date Available to Start

Answer required for "Date Available to Start"

Are you a citizen of the United States?*

Answer required for "Are you a citizen of the United States?"

Yes

If no, are you authorized to work in the U.S.?

Answer required for "If no, are you authorized to work in the U.S.?"

Yes

Have you previously worked for the State of Tennessee?*

Answer required for "Have you previously worked for the State of Tennessee?"

Yes

If yes, list the department(s) and date(s)

Answer required for "If yes, list the department(s) and date(s)"

Have you ever been convicted of a felony?*

Answer required for "Have you ever been convicted of a felony?"

Yes

If yes, explain

Answer required for "If yes, explain"

License/Education Information

Licensure Information

Do you have an active teaching license?*

Answer required for "Do you have an active teaching license?"

Yes

Tennessee Teaching License #

Answer required for "Tennessee Teaching License #"

Tennessee Teaching License Effective Date

Answer required for "Tennessee Teaching License Effective Date"

How many years of experience do you have teaching?*

Answer required for "How many years of experience do you have teaching?"

Are you licensed to teach in another state other than Tennessee?

Answer required for "Are you licensed to teach in another state other than Tennessee?"

Yes

If yes, what state(s)?

Answer required for "If yes, what state(s)?"

What endorsement(s) do you have? (Endorsement name and number) (If you are not licensed please put N/A)*

Answer required for "What endorsement(s) do you have? (Endorsement name and number) (If you are not licensed please put N/A)"

Education Information

Highest Level of Education*

Answer required for "Highest Level of Education"

Degree(s) Earned and Major(s) *

Answer required for "Degree(s) Earned and Major(s) "

Previous Education

*Put N/A if not relivant to your education

High School*

Answer required for "High School"

Dates Attended

Answer required for "Dates Attended"

Did you graduate?

Answer required for "Did you graduate?"

Yes

College Attended*

Answer required for "College Attended"

Dates Attended

Answer required for "Dates Attended"

Did you graduate?

Answer required for "Did you graduate?"

Yes

Other Attended*

Answer required for "Other Attended"

Dates Attended

Answer required for "Dates Attended"

Did you graduate?

Answer required for "Did you graduate?"

Yes

Degree Earned

Answer required for "Degree Earned"

Military Service

Branch

Answer required for "Branch"

Dates Served

Answer required for "Dates Served"

Total Years Served

Answer required for "Total Years Served"

Rank at Discharge

Answer required for "Rank at Discharge "

Type of Discharge

Answer required for "Type of Discharge"

Extra-Curriculars

Please List

Extra-Curricular activities you have sponsored or helped with:

Answer required for "Extra-Curricular activities you have sponsored or helped with:"

Extra-Curricular activities you prefer to sponsor or help with:

Answer required for "Extra-Curricular activities you prefer to sponsor or help with:"

Previous Employment

1 of 3

Company*

Answer required for "Company"

Phone #*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Supervisor*

Answer required for "Supervisor"

Job Title*

Answer required for "Job Title"

Responsibilities*

Answer required for "Responsibilities"

Starting Salary

Answer required for "Starting Salary"

Ending Salary

Answer required for "Ending Salary"

Employment Dates

Start Date*

Answer required for "Start Date"

End Date*

Answer required for "End Date"

Reason for Leaving*

Answer required for "Reason for Leaving"

May we contact your previous supervisor for reference?*

Answer required for "May we contact your previous supervisor for reference?"

Yes

2 of 3

Company*

Answer required for "Company"

Phone #*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Supervisor*

Answer required for "Supervisor"

Job Title*

Answer required for "Job Title"

Responsibilities*

Answer required for "Responsibilities"

Starting Salary

Answer required for "Starting Salary"

Ending Salary

Answer required for "Ending Salary"

Employment Dates

Start Date*

Answer required for "Start Date"

End Date*

Answer required for "End Date"

Reason for Leaving*

Answer required for "Reason for Leaving"

May we contact your previous supervisor for reference?*

Answer required for "May we contact your previous supervisor for reference?"

Yes

3 of 3

Company*

Answer required for "Company"

Phone #*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Supervisor*

Answer required for "Supervisor"

Job Title*

Answer required for "Job Title"

Responsibilities*

Answer required for "Responsibilities"

Starting Salary

Answer required for "Starting Salary"

Ending Salary

Answer required for "Ending Salary"

Employment Dates

Start Date*

Answer required for "Start Date"

End Dates*

Answer required for "End Dates"

Reason for Leaving*

Answer required for "Reason for Leaving"

May we contact your previous supervisor for reference?*

Answer required for "May we contact your previous supervisor for reference?"

Yes

Reference Information

Please list three professional references.

Reference 1

Name*

Answer required for "Name"

Relationship*

Answer required for "Relationship"

Company*

Answer required for "Company"

Phone #*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Reference 2

Name*

Answer required for "Name"

Relationship*

Answer required for "Relationship"

Company*

Answer required for "Company"

Phone #*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Reference 3

Name*

Answer required for "Name"

Relationship*

Answer required for "Relationship"

Company*

Answer required for "Company"

Phone #*

Number Required

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Cover Letter and Resume are Encouraged to Submit with Applicaton

Transcripts and Praxis Scores are Required to Submit with Application

Cover Letter, Resume, Reference Letters & Transcripts

Answer required for "Cover Letter, Resume, Reference Letters & Transcripts"

Choose a file or drag it here.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature*

Signature Required

Please fix the highlighted areas below before submitting.

Job Application-Teacher