Skip To Main Content

Application for Teacher/Administration/Coach

Application for Teacher/Administration/Coach


Name:requiredLegal Full Name
First Name
Middle (optional)
Last Name
Legal Full Name
Street/City/State/Zip Code (Must contain only letters, numbers and spaces)
Home/Cell Number (Must contain only numbers)
Please list all colleges / universities attended and degree (s) earned.
EMPLOYMENT HISTORY:  Please provide the requested information for your last (2) employers, beginning with the most recent.
Must contain only numbers
List month, day and year
Must contain only numbers
List month, day and year
Please list your tasks in order of priority, starting with the most important.
Summarize any trainings, skills, licenses, and/or certifications
Please list three references.


APPLICANT'S STATEMENT: I certify that all information I have provided in order to apply for and secure work with the Gallipolis City School District is true, complete, and correct.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect will be sufficient cause to 1) cancel further consideration of this application, 2) immediately discharge me from employment with the Gallipolis City School District, whenever it is discovered.

I expressly authorize the Gallipolis City School District, its representatives, employers, or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume', or job interview. I hereby waive and all rights and claims I may have regarding the employer, its agents, employees, or representatives for this seeking, gathering, and using such information in the employment process and all other persons, corporations, or organizations for further such information about me.

I understand that the Gallipolis City School District does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state, or federal law.

I understand that this application will be considered active fore two years from the date filed.  At conclusion of this time, if I have not heard from the Gallipolis City School District and still wish to be considered for employment, it will be necessary to reapply. If I am hired, this application becomes part of my official personnel file.

If I am hired, I understand that I an free to resign at any time, with or without cause and without prior notice, and the Gallipolis City School District reserves the same right to terminate my employment at anytime, with or without cause and without prior notice, except as may be required by law.  This application does not constitute an agreement or contract for employment for any specified period or definite duration.  I understand that no supervisor or representative of Gallipolis City School District is authorized to make any assurances to the contrary and that no implied, oral, or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the superintendent.

I also understand that, if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that I am required by federal immigration laws to complete I-9 Form in this regard. 

I agree that any claim or lawsuit relating to my service with Gallipolis City School District or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is subject of the claim or lawsuit. I waive any statute of limitations to the contrary. ANY PERSON WHO KNOWINGLY MAKES FALSE STATEMENT IS GUILTY OF FALSIFIACTION INDER SECTION 2921.13 OF THE REVISED CODE, WHICH IS A MISDEMEANOR OF THE FIRST DEGREE.

By my signature, I certify that I have read, fully understand, and accept all the terms of the preceding Applicant's Statement.


After you have submitted your application, please submit the following to

1. Resume

2. Copy of Ohio Teaching License(s)

3. Copy of all Transcripts

4. Copy of BCI & FBI background check (Fingerprinting can be done at the GCSD Board Office.)


Legal Full Name (Must contain only letters and spaces)
Must contain a date in M/D/YYYY format
Terms of Servicerequired