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Join Our Team
Personal Information
First Name
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Last Name
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Pronoun (optional)
Preferred Name
Address 1
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Address 2
City
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State
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Zip Code
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Phone
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Email Address
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Position Applying For
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Registered Behavior Technician- 23-24 Opening
Special Education Teacher- Current Opening
Registered Behavior Technician- Current Opening
Other
Substitute Position
Paraprofessional- Current Opening
Date of Application
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Date Available
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Drivers License Number
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State the Driver's License is issued
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Expiration Date of Driver's License
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Fields of Interest and Certification Areas (Only if Applicable)
Please list all certifications in the state of Texas as well as other states.
Pre-Employment Questionnaire
Who referred you or how did you learn about the position?
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Do you have a legal right to work in the United States?
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Yes
No
Can you provide proof of your age?
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Yes
No
Is anyone related to you employed by this school system?
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Yes
No
If you answered yes to being related to anyone employed by this school system, please give the name of that person.
Have you worked for this school system before?
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Yes
No
If you answered yes to working at this school system before please describe your previous position, start and end dates, and the reasons for leaving:
Are you currently employed?
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Yes
No
If yes, may we contact your present employer?
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Yes
No
Is there any reason you may not be able to perform the functions of the job applied for?
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Yes
No
If you answered yes to not being able to perform the functions of the job applied for please explain your reason.
Have you ever been convicted of a felony or serious misdemeanor, or have you served time in a country, state or federal correctional institution? (Conviction will not necessarily disqualify an applicant from employment.)
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Yes
No
If you answered yes to being convicted of a felony or serious misdemeanor, or if you have served time in a county, state or federal correctional institution, please explain below:
Are you a current member of the Teacher Retirement System of Texas (TRS)?
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Yes
No
Are you a retiree of the Teacher Retirement System of Texas (TRS)?
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Yes
No
Education and Professional Preparation
Highest Degree Achieved
Institution Name
Address 1
City
State
Zip Code
Dates Attended
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Dates Attended
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Did you graduate?
Yes
No
Other Institutions attended and degrees earned:
Student Teaching Experience (Only if Applicable)
School
Address 1
City
State
Zip Code
From
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To
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Supervising Teacher
Subjects Taught
Are you currently registered for any TEA Certification tests?
Yes
No
Record of Teaching Experience (Begin with the Most Recent) Do Not Include Substitute Teaching Unless You Were a Full Time Substitute Teacher. (Only if Applicable)
Employer 1
Name of Institution
Address
Phone
Start Date
+
End Date
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Position
Salary
Supervisor/Manager
Reason for Leaving
Phone Number
Employer 2
Name of Institution
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
Phone Number
Employer 3
Name of Institution
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
Phone Number
Employment History (Other than Teaching)
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
Phone Number
Work Performed
Company Name
Address
Phone
Start Date
+
End Date
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Position
Salary
Supervisor/Manager
Reason for Leaving
Phone Number
Work Performed
Other Work History
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Professional References (List Three, Preferable Superintendents, Principals, Supervisors, Teachers and Professors)
Reference 1
Name
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Title
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Relationship
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Company
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Email Address
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Phone
Reference 2
Name
*
Title
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Relationship
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Company
*
Email Address
*
Phone
Reference 3
Name
*
Title
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Relationship
*
Company
*
Email Address
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Phone
Additional Information
Please share why you are interested in working at Thrive Center for Success and in the role for which you are applying.
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Is there anything else we have not asked about that you would like to share?
Please submit a copy of your resume.
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