Early Childhood
Elementary School
Middle School
High School
Days Available To Work: (check
all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Certification(s), If Any
Degree and/or
Number Of College Credits
Teaching Experience and/or Experience With Children:
Other Work Experience:
Acknowledgement and Release of Information
I understand that, at some point in the
selection process, some or all of the information contained
in this application could become public and the facts set
forth herein are subject to verification.
I hereby authorize the West New York Board of Education to
investigate my background as part of the application
process. It is the intent of such authorization to provide
full and free access to information for the specific purpose
of pursuing a background investigation which may provide
pertinent data for the West New York Board of Education to
consider in determining my suitability for employment.
I understand that if I am employed by the West New York
Board of Education, I will be required to submit to a state
and national criminal history record check, and I will be
required to submit to fingerprinting, at my expense, for
purposes of submitting my fingerprints to the Federal Bureau
of Investigation for a national criminal history check. I
further understand and agree that if I have been convicted
of a crime which has not been disclosed to the West New York
Board of Education, the Board may immediately dismiss me.
I authorize any and all law enforcement agencies, current
and former employers, and academic institutions to supply
any information regarding my background to the West New York
Board of Education, and to its agents and employees. In
consideration of the West New York Board of Education’s
review of this employment application, I hereby release the
West New York Board of Education, its employees and agents,
and all providers of information from any liability
resulting from such investigation or furnishing and/or
receiving such information.
I have read and understand the acknowledgement and release
statement above and agree to its contents. I declare under
penalties of false statement that I have examined this
application and to the best of my knowledge and belief, the
information contained herein is true, complete and accurate.
I understand that falsification of information on this
application form may be grounds for dismissal.
Type your name to confirm your agreement
We are an Affirmative Action Equal Opportunity School
District. The Board does not discriminate with respect to
Age, Gender, Race, Creed, National Origin or Disability
