CRUHSD Certified Application

Certified Application - CRUHSD

Colorado River Union High School District #2

Application for Employment

Certified Positions

1. Name 


2. Present Address   
Street/P.O. BoxCityStateZip


3. Permanent Address 
Street/P.O. BoxCityStateZip


4. Phone             Message Phone 



5. Please list in order of preference the spcific position or positions for which you are applying and are qualified:    
1.   1.   
2. 2. 
3. 3. 


6. Has the Arizona Certification Department indicated you are eligible, or do you have, an Arizona Certificate?  Yes   No

   If Yes, what type(s)?

Certification TypeNumberEndorsementsExpiration Date


7. Have you ever interviewed with the Colorado River Union High School District before?   Yes   No 

      If yes, when?    Under what name?


8. Do you have any relatives or family nembers currently employed by the Colorado River Union High School District?

    Yes  No      If yes, relationship?: 


9. Do you speak/read/write any language other than English? Yes   No

    If yes, what language(s) do you speak/read/write? 


10. Have you ever been discharged from professional employment for any reason? Yes   No

    If so, briefly explain. 


11. Have you ever had complaint(s) filed against your certificate(s) with any state agencies? Yes   No

    If so, briefly explain. 


12. Have you ever had your certificate(s) suspended or revoked?  Yes   No

    If so, briefly explian. 


13. Have you ever been convicted or plead "no contest" for any violation of law other than minor traffic offenses?

   Yes  No        (NOTE: conviction of a crime is not an automatic bar to employment.)

    If you answered yes, please give details. 


14. Statement as to why you feel qualified for the position(s) for which you applied.


15. State your philosophy of education when applied to learning in the classroom.


16. What are your strenghths and weaknesses as related to the position for which you are applying?


17. What are your long range goals and objectives as they relate to education?


18. What do you feel are the most important aspects of teaching?


19. What do you want to accomplish as a teacher?


20. How do you decide what it is that should be taught in your class?



21. REFERENCES   May we request a reference from your present employer?    Yes  No

Do not repeat names contained in your credentials/placemnt file.  If possible, list principlas or supervisors. (THIS MUST BE FILLED OUT).

I hereby authorize each person, school district, firm, and corporation listed on my application to answer any questions that may be asked and to give information that may be sought concerning this application, my work habits, character or skills.  (The Colorado River Union High School District will not contact your current employer without your permission.)

Name (complete)

Official PositionAddress (complete)Phone NumberE-Mail Address





22. EDUCATIONAL PREPARATION: District salary policies are based on semester hours of work.  Please convert quarter hours to semester hours.  *Graduate work is defined as any graduate credit earned post-bachelors and granted from a North Central Association accredited college or university.

Name of High SchoolLocaton (City, State)Type of Degree or Diploma Earned


Colleges/Universities  (Undergraduate)

Location (City, State)Major/Minor

Type of Degree or Diploma Earned


Colleges/Universities (Graduate)Location (City, State)Major/MinorType of Degree or Diploma Earned



Practice Teaching

Name of SchoolLocationGrade or Subject TaughtDates From-To


Full Time Teaching: List only contract teaching experience in public and private schools, colleges, or universities.

Name of SchoolLocationGrade or Subject TaughtDates From-ToReason for Leaving


24. EXPERIENCE OTHER THAN TEACHING: List all years including years when unemployed.  List most recent first.

Employer's NameLocationPosition HeldDatesReason for Leaving




Unless we are notified, in writing, to keep this application on file, it will be discarded after one year.

Note: All candidates for positons with the Colorado River Union High School District will complete the A.R.S 15-512 certification.

It is the policy of Colorado River Union High School District #2 not to discriminate on the basis of sex, race, color, creed, age, disability, political affiliation, marital status or national origin in its educational programs, activities, or employment policies as required by Federal Law.

Compliance Officer: Superintendent, Colorado River Union High School District Office, 5221 Highway 95, telephone number (928) 768-1665.

Professional Staff Hiring

Consent to Conduct Background Investigation and Release

I have applied for employment with Colorado River Union High School District to work.  I understand that in order for the School District to determine my eligibility, qualifications, and suitability for employment, the School District will conduct a background investigation to determine if I am to be considered for an offer of employment.  This investigation may include asking my current employer, any former employer, and any educational institution I have attended about my education, training, experience, qualifications, job performance, professional conduct, and evaluations, as well as confirming my dates of employment or enrollment, position(s) held, reason(s) for leaving employment, whether I could be rehired, reasoning for not rehiring (if applicable), and similar information.

I hereby give my consent for any employer or educational institution to release any information requested in connection with this background investigation.  Yes  No

According to the Family Educational Rights and Privacy Act, I understand that I have a right to see most education records that are maintained by any educational institution.
In light of the preceding paragraph, Iwaive / do not waive my right to see any written reference or other information provided to the School District by any educational institution.
According to Arizona Revised Statutes Section 23-1361, any employer that provides a written communication to the School District regarding my current or past employment must send me a copy at my last known address.  I acknowledge that some employers are unwilling to provide factual written references concerning a current or past employee unless they may do so confidentially, without revealing the references to the employee, and that the School District will not further consider my application if it cannot complete its background investigation.
In light of the preceding, Iwaive / do not waive my right to receive a copy of any written communication furnished to the School District by any employer.
Whether or not I have waived my right to see or to receive copies of written references furnished to the School District by employers or educational institutions, I release, hold harmless, and agree not to sue or file any claim of any kind against any current or former employer or educationa institution, and any officer or employee of either, that in good faith furnishes written or oral references requested by this School District to complete its background investigation.  Yes  No
I consent to have Colorado River Union High School District conduct a background investigation.
I do not consent to have Colorado River Union High School District conduct a background investigation.

HR department

Notice Office of Civil Rights

The Colorado River Union High School District does not discriminate on the basis of race, color, religion, national origin, sex, disability, age or sexual orientation in admission and access to its programs, services, activities, or in any aspect of their operations and provides equal access to the Boy Scouts and other designated youth groups.  The Colorado River Union High School District also does not discriminate in its hiring or employment practices.  The following employees have been designated to handle inquiries regarding the nondiscrimination policies:

The following people have been designated to handle inquiries regarding non-discrimination policies:

Title IX Coordinator
District Superintendent
Address:1004 Hancock Blvd
Telephone Number:m928-758-3961

Section 504/ADA Coordinator
District Director of Special Education Services
Address:1004 Hancock Blvd
Telephone Number: 928-758-3916


 (Spanish translation)

Declaración de Derechos Civiles

El Colorado River Union High School District no discrimina por motivos de raza, color, religión, origen nacional, sexo, discapacidad, edad u orientación sexual en la admisión y el acceso a sus programas, servicios, actividades o en un aspecto de sus operaciones, y brinda acceso equitativo a los Boy Scouts y otros grupos juveniles designados. El Colorado River Union High School District tampoco discrimina en sus prácticas de contratación o empleo. Los siguientes empleados han sido designados para atender consultas relacionadas con las políticas de no discriminación:

Consultas se pueden dirigir al coordinador del título IX, al superintendente de distrito o al coordinador de título II de la sección 504/ADA, director de servicios de educación especial en

Coordinador del título IX,

Al Superintendente de distrito

  Direccion de oficina :1004 Hancock Blvd

  Número de teléfono928-758-3961

  Correo electró

Coordinador de título II de la sección 504/ADA

Director de servicios de educación especial

Direccion de oficina: 1004 Hancock Blvd
Número de teléfono: 928-758-3916
Correo electró


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