Home Economics Careers & Technology Job Bank
Teacher Application Form

(Please Type or Print in Ink)

Date: ___________________

Name:___________________________

Address:
Street:___________________________ City:___________________________
State:___________________________ Zip:___________________________

Home Phone: (____)___________________________
Work: (____)___________________________

Fax: (____)___________________________		 E-mail address
______________________________________

College Degree(s): University/College, Major, Minor, Year Earned

1._________________________________________________________________________________

2._________________________________________________________________________________

Teaching Experience: School, District, Dates Employed (from - to), most recent first.

1._________________________________________________________________________________

2._________________________________________________________________________________


3.Experience in Business & Industry:
Name of Business, Address, Dates Employed (from - to) most recent first.

1._________________________________________________________________________________

2._________________________________________________________________________________

3._________________________________________________________________________________

California Credential(s): Subject(s) authorized to teach, expiration date

1._________________________________________________________________________________

2._________________________________________________________________________________


FHA-HERO Experience

[ ] Former Member School: Years:
[ ] Chapter Advisor School: Years:

[ ] Other FHA-HERO experiences:______________________________________________________

_________________________________________________________________________________


Home Economics Careers & Technology Teaching Position Preference:

Job Location Preferences: (Please use the county codes found below.)

1. _____ 2. _____ 3. _____ 4. _____



Return to:
Home Economics Careers & Technology Job Bank
CSU Fresno
Home Economics Professional Development Project
5300 N. Campus Drive MS 114
Fresno, CA 93740-8019

(559) 278-4236
Fax: (559) 278-7824

This application is valid for one calendar year. A new application should be submitted after January 1st to keep JOB BANK information correct.

Home Economics Job Bank County Codes
NORTHERN CENTRAL SOUTHERN COASTAL
03 Amador 02 Alpine 13 Imperial 01 Alameda
04 Butte 10 Fresno 19 Los Angeles 07 Contra Costa
05 Calaveras 14 Inyo 30 Orange 08 Del Norte
06 Colusa 15 Kern 33 Riverside 12 Humboldt
09 El Dorado 16 Kings 36 San Bernardino 17 Lake
11 Glen 20 Madera 37 San Diego 21 Marin
18 Lassen 22 Mariposa   23 Mendocino
25 Modoc 24 Merced   27 Monterey
29 Nevada 26 Mono   28 Napa
31 Placer 39 San Joaquin   36 San Benito
32 Plumas 50 Stanislaus   38 San Francisco
34 Sacramento 54 Tulare   40 San Luis Obispo
45 Shasta 55 Tuolumne   41 San Mateo
46 Sierra     42 Santa Barbara
47 Siskiyou     43 Santa Clara
51 Sutter     44 Santa Cruz
52 Tehama     48 Solano
57 Yolo     49 Sonoma
58 Yuba     56 Ventura

99-All Counties




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