BROWARD COUNTY PUBLIC SCHOOLS
             2013-14 INSTRUCTIONAL RESPONSE FORM                 

NON-REAPPOINTED INSTRUCTIONAL EMPLOYEES ARE REQUIRED TO COMPLETE THIS FORM

This form will be utilized as an updated application for your instructional file.

CONTACT INFORMATION - (ALL FIELDS IN THIS SECTION ARE REQUIRED)

 First Name      Last Name      Personnel. # P000-  

 Cell Phone (no dashes) Home Phone (no dashes) 

 Email Address     

If your address has changed, access Employee Self Service (ESS) at http://www.broward.k12.fl.us/erp/ and update.

INDICATE BELOW IF YOU ARE INTERESTED IN CONTINUING EMPLOYMENT WITH THE DISTRICT

IMPORTANT NOTE: If you DO NOT indicate that you are interested in substitute teaching, your employment, including any additional positions you hold, will be TERMINATED.  If you are terminated and want to be reemployed in any capacity, you will need to be fingerprinted and pay the appropriate cost.

Instructional Position

Instructional Substitute Teacher position/District Training

SUBJECT AREA INTEREST FOR FUTURE EMPLOYMENT OPPORTUNITIES

List all instructional positions you are interested in teaching for which you hold a valid certificate.

Subject Area Interest 1. 

Subject Area Interest 2.

Subject Area Interest 3.

Subject Area Interest 4.

 

If you recently passed the Subject Area Exam and have submitted an application and fee to request the addition of the subject area; notify the Certification Office to update your teaching record. Note: Only bachelor-level subject area requirements may be met through passing a subject area exam.

AGREEMENT

I understand that it is my responsibility to ensure that this application is complete and accurate. Please enter your personnel number and full name as the electronic signature (e.g. John Brown) as it appears on your pay check.

 

 Enter Personnel # P000- Electronic Signature