Mississippi Educator Employment Data Sheet
 


Submission of this information does not guarantee employment with a Mississippi school district.

Prospective Educators
If you need to revise information on your Employment Data Sheet, please email the changes to Latawnia Mainor at lmainor@mde.k12.ms.us

This Database will be reset/emptied every June 15th. All applicants must reapply after this date.
This will ensure the districts will receive the most current information concerning your employability.

Once you have secured a position, please notify Latawnia Mainor at lmainor@mde.k12.ms.us .
This will ensure the database is always current.

* Optional information only

Personal Information


Name:


First Name
MI
Last Name

Address:
P O Box or Street Address

City: State: Zip:

Phone: Home Work Other
(Do not use dashes or spaces in Phone numbers)
Email:

SS #: (Do not use dashes, spaces or leave blank)

Date of Birth:




Ethnicity*: Gender*:

Degree(s)
Bachelor's
Master's
Specialist
Doctorate
Year(s) Conferred
Major

Teacher Certification and Preferred Teaching Locations

Student Teaching? If yes, year completed

Mississippi License Number Expiration Date

License Class

Out-of-State License Number State Expiration Date

Please list your area(s) of certification:

1)
2)
3)
4)

Position Desired

Years of Teaching Experience

Preference for Employment :

Critical Shortage
Statewide
Preferred District 1:
Preferred District 2:
Preferred District 3:

Date Available for Employment

Military Experience

Branch Discharge Date

Copy of DD214