UNIFIED SCHOOL DISTRICT 313 2017-2018 SCHOOL YEAR

SUBSTITUTE TEACHER INQUIRY-RENEWAL

NAME PHONE NUMBER _______________________________________ ________________________________________ EMERGENCY CONTACT NAME EMERGENCY CONTACT PHONE _______________________________________ ________________________________________

Please ONLY enter information below if it has CHANGED ADDRESS ________________________________________________________________________________ CITY STATE ZIP _______________________________________ _____________ ___________________ SOCIAL SECURITY # EMAIL ADDRESS _____________________________________ _______________________________________ Grade and Subject Preferences: Aesop does not call based on your preferences – this just helps us know your strengths and desires as we make calls to fill jobs. Grades Preferred: Subjects Preferred: All Grades

Preschool Kindergarten

Grades 1–5 Grades 6-8

Grades 9-12

All subjects

Comm. Arts Math Social Studies

Science Media Music PE

Business FACS Art

Schools: Aesop will only call you for jobs at the locations marked here.

Days / Times available: Aesop will not call you for any day or time not marked here.

(check all locations you will work)

Buhler Grade School (K-5)

Plum Creek Elem. (K-5)

Union Valley Elem. (K-5)

Prairie Hills Middle School (grades 6-8)

Buhler High School (grades 9-12)

Monday

Tuesday

Wednesday

Thursday

Friday

AM PM

AM PM

AM PM

AM PM

AM PM

Special Education Classrooms:

Our special education classrooms that are staffed by Reno County Special Education Cooperative (RCEC).

RCEC substitutes, although scheduled by USD 313, are paid by RCEC. If you teach less than a full day for

RCEC you will be paid by the hour. RCEC payday is the 20th of the month for the previous month.

Are you willing to substitute teach in RCEC classrooms? Yes No

Any other information you would like us to know:

DATE SIGNATURE