Vincennes Community School Corporation
1712 S. Quail Run Road
Vincennes, IN 47591
(812) 882-4844
Send email to: biblem@vcsc.k12.in.us

APPLICATION FOR CERTIFIED STAFF-PAGE 2
I. Personal Data:
Do you have any relatives or close acquaintances employed in the Vincennes Community Schools? YES NO
If your answer is yes, list those persons:
List special abilities--musical, artistic, athletic, debate, etc.:
List your high school and college activities:
List professional, honorary, and service organization memberships:
II. Education: High School and College Training
Name & Location of Institute
Date
Date of
Graduation
Degree
Major &
Semester Hours
Minor &
Semester Hours
From
To
(High School)
(College)
(College)
(College)
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