Full Name
Full Address
Have you taught this class before?
Date you taught the course
May we contact that location as a reference?
Address
Did you graduate?
May we contact your previous supervisor as a reference?
Convictions: Conviction of a crime is not necessarily a bar to provide contract services to the City of Sacramento. Each case is considered separately based on the services provided. Some services may require a FINGERPRINTING check as verification. You may omit: a) Traffic violations (driving under the influence convictions must be reported); b) Any conviction committed prior to your 18th birthday which was finally adjudicated in Juvenile Court of under a youth offender law; c) Any incident sealed under Welfare and institutions Code Section 781 or Penal Code Section 1203.45; d) Any marijuana conviction more than two (2) years old, described in labor code section 432.8
Have you ever been convicted of a misdemeanor?
Have you ever been convicted of a felony?
Please upload any additional information about yourself that would further explain your desire to be a contract instructor.
Disclaimer & Signature