ࡱ> 9;8_ xbjbj:: *$X{9\X{9\x      4444H<4W#RMMM"""""""$$_'" >!NM>!>!"  {#n"n"n">!:  "n">!"n"n"n"@/ݴx!"n""'#0W#n"(!v(n"( n"TM,yn"OCMMM"""^MMMW#>!>!>!>!(MMMMMMMMM> :  Huerfano School District Re-1 201 East Fifth Street Walsenburg, Colorado Telephone (719) 738-1520 Fax (719) 738-3148 http://huerfano.k12.co.us SUBSTITUTE TEACHER APPLICATION PERSONAL Name Address City/State/Zip Telephone No. Please check the school(s) that you would like to substitute teach: Peakview School (PreK-Eighth Grades) Gardner School (PreK-Eighth Grades) John Mall High School (Ninth-Twelfth Grades) Do you hold a Colorado Teaching Professional License? Yes No (Please attach a copy of your license) Endorsement (Colorado Professional License) Expiration Date Any bilingual/bicultural assets? EDUCATION  Name of School/College Location Did you Graduate? Degree/Diploma * High School  College/ University College/ University * Please attach a copy of your High School Diploma or GED Certificate, as mandated by Colorado State Law. EXPERIENCE Contract Teaching School/City/State Grades/Subjects Taught Years Experience Dates  REFERENCES Persons familiar with your teaching abilities: Name Address/Telephone Title/Occupation Substitute, student teaching or other related experience: Add any additional information which you believe will assist in arriving at a better understanding of your qualifications and abilities: Have you ever been convicted of a felony? Yes No If yes, please explain Have you ever been suspended or dismissed from a teaching position for cause? Yes No If yes, please explain The Huerfano School District Re-1 does not unlawfully discriminate on the basis of race, color, religion, national origin, gender, age, or disability in its admission or access to, or treatment, or employment in, its educational programs or activities. Inquiries may be referred to Superintendent of Schools, Section 504/ADA Coordinator, Huerfano School District RE-1, 201 East Fifth Street, Colorado 81089 (719) 738-1520. I hereby certify that the information presented on this form is true, accurate and complete. Any falsification or omission will be sufficient cause for disqualification or dismissal. Signature of Applicant Date 4Jw5 6 E J K R [ \ o p  ĊĊĄvjh"UmHnHu h)BCJ h)B>* h*"5 h)B5 hQsCJ hTCJ h)BCJ h# CJ hiCJ h\CJ h)B>*CJh)Bh)B56CJ$OJQJh# h)B5CJaJh# 5CJaJ h)B5CJ h5CJ h)B5CJ*5Jw%d'dOQ%d&d'dOPQ,$d%d'd(d-D M NOQR $-DM a$5 [   [ \ } &dP#$d%d&d'dNOPQ%d'dOQ$d%d'dNOQ} ~    # % / : zggg%d'dOQ %d'dOQ%d'dOQ%d&d'dOPQ,$d%d&d'd-D M NOPQ &dP   # $ O B E Q R \ ]  F &(AYVY\`akxžŮ h"X^5 h5 h# 5 h)B5CJh# h)B>* h)B5 h)BCJ h)B6 h)B56 h)B5CJh)B56\] *h)B56\]h)BmH nH uh"h)Bjh)BUmHnHu3: ; D O B F G I $d%d'dNOQ,$d%d&d'd-D M NOPQ#$d%d&d'dNOPQI K L M N O P Q R ] ,$d%d&d'd-D M NOPQ%d&d'dOPQ%d'dOQ#$d%d&d'dNOPQ  F {yyyy%d&d'dOPQ%d'dOQ $%d'dOQ#$d%d&d'dNOPQ$d%d'dNOQ +ZSTUx,$d%d&d'd-DM NOPQ$$d%d'dNOQa$$Z]Za$ (/ =!"#h$h% s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List NoN Informal1 <<_HmHnHsH tH u>> Informal25OJQJkHPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] x $ x } : I x 8 @2 (  hB  c $?#" ? bB  S ?#" ?bB  S ?#" ?bB  S ?#" ?bB   S ?#" ? bB   S ?#" ?hB  c $1?#" ?hB  c $1?#" ?bB  c $1?"?bB  c $1?"?bB  c $1?"?B S  ?#BCDx (t(t(t }tW$Xt! t! t ! t  t @ A tt!u !u !u !u !u !u !u !u !u !u !u !u !u !u !u !u !u !u !u !u !u  55A%%z       44?II--z    9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName;*urn:schemas-microsoft-com:office:smarttagsaddress:*urn:schemas-microsoft-com:office:smarttagsStreet9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity 6>GKlpW[z ^gz 33wJKop\XYU w z wJKopXYz zot*""X^,js\Qs)B# T}"i(x z @YYYYx @UnknownG*Ax Times New Roman5Symbol3. *Cx ArialY CG TimesTimes New RomanA$BCambria Math"Ah)sff7[3Aii!24t t 3QHP ?(2!xx HUERFANO SCHOOL DISTRICT RE-1Huerfano School District Re-1Melinda RuzanskiOh+'0 0< \ h t  HUERFANO SCHOOL DISTRICT RE-1 Huerfano School District Re-1 Normal.dotmMelinda Ruzanski51Microsoft Office Word@Ɣ @ SX@+ @|fݴi՜.+,0 hp  Dell Computer Corporationt  HUERFANO SCHOOL DISTRICT RE-1 Title  !"#$%&')*+,-./1234567:Root Entry F /ݴ<1Table(WordDocument*$SummaryInformation((DocumentSummaryInformation80CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q