STANDARD APPLICATION

For Teaching Positions in Pennsylvania Public Schools

(PLEASE PRINT OR TYPE)

POSITION(S) DESIRED Classroom Teacher Pre-K - 4

NAME Moyer Sarah Renee

LAST FIRST MIDDLE PROFESSIONAL PERSONNEL ID

PRESENT ADDRESS 126 Claar Drive (814)577-3868

STREET (AREA CODE) TELEPHONE
Duncansville PA 16635
CITY STATE ZIP CODE

PERMANENT ADDRESS 126 Claar Drive (814) 577-3868

STREET (AREA CODE) TELEPHONE
Duncansville PA 16635
CITY STATE ZIP CODE

E-MAIL ADDRESS (IF AVAILABLE) srmoyer3@[Link]

LIST, IN ORDER OF PREFERENCE, THE GRADES, SUBJECTS AND/OR POSITIONS FOR WHICH YOU ARE APPLYING:

1. Third Grade Teacher 2. Second Grade Teacher 3. First Grade Teacher

CERTIFICATION
(LIST ALL AREAS IN WHICH YOU HOLD VALID PENNSYLVANIA AND/OR OUT-OF-STATE TEACHING CERTIFICATES. NOTE: APPLICANTS
HOLDING A CERTIFICATE FROM ANOTHER STATE MUST OBTAIN A PENNSYLVANIA CERTIFICATE IN ORDER TO TEACH IN PENNSYLVANIA
PUBLIC SCHOOLS.)
AREA OF CERTIFICATION ISSUING STATE DATE ISSUED
Pre-K - 4 Pennsylvania Pending

HAVE YOU ACQUIRED TENURE IN PENNSYLVANIA? No

IF YES, IN WHAT SCHOOL DISTRICT?
DATE AVAILABLE FOR EMPLOYMENT May 2021

IF YOU ARE NOT EMPLOYED FULL TIME, ARE YOU INTERESTED IN BEING PLACED ON OUR SUBSTITUTE LIST? YES NO
LONG-TERM YES NO SHORT-TERM YES NO

PDE 353A (12/03/13) 1

 EDUCATIONAL BACKGROUND
DIPLOMAS, GRADE POINT
MAJOR/
SCHOOL OR INSTITUTION AND LOCATION DEGREES OR AVERAGE
MINOR
CREDITS EARNED (GPA)

HIGH SCHOOL Central High School (Martinsburg, PA) Diploma 3.97

COLLEGE/UNIVERSITY Mount Aloysius College English Bachelor Degree 3.95
COLLEGE/UNIVERSITY
GRADUATE STUDY
GRADUATE STUDY

EXPERIENCE
(PRESENT OR MOST RECENT FIRST)
Dates Name of Employer and Address Your Title
Ann Harris Smith Little People's Place
From 8-21-2019 Childcare Provider
7373 Admiral Peary Hwy
Cresson, PA 16630
To 3-13-2020
(Area Code) Telephone: (814) 886-6456
Work Performed: Reason for Leaving:
I taught lessons, supervised children, provided food and drinks, The daycare closed shortly after COVID-19 began.
changed daipers, and collaborated with other teachers before and
during activities.

Name & Title of Final Yearly

Lisa Segada, Daycare Director $800
Supervisor: Salary:
Dates Name of Employer and Address Your Title
From

To
(Area Code) Telephone:
Work Performed: Reason for Leaving:

Name & Title of Final Yearly

Supervisor: Salary:
Dates Name of Employer and Address Your Title
From

To
(Area Code) Telephone:
Work Performed: Reason for Leaving:

Name & Title of Final Yearly

Supervisor: Salary:

Please list activities that you are qualified to supervise or coach:

I played softball and am knowledgeable about the game.

PDE 353A (12/03/13) 2

If you have not been previously employed in a teaching position, please complete the following:

STUDENT OR PRACTICE TEACHING

GRADE OR SUBJECT NAME AND ADDRESS OF SCHOOL 1. COLLEGE SUPERVISOR

TAUGHT 2. COOPERATING TEACHER
Juniata Elementary School 1.
418 N Ave Dr. Paul Gallagher
Third Grade
Altoona, PA 16601 2.
Jennifer Crawford

Charles W. Longer Elementary School 1.

1320 Union St. Dr. Paul Gallagher
First Grade
Hollidaysburg, PA 16648 2.
Mara Murgo

Student Teaching References:

Please attach photocopies of letters of reference and/or evaluations from college/university student teacher
supervisor and cooperating teacher(s).

REFERENCES

References should include superintendents, principals or professors who have first-hand knowledge of
your professional competence and your personal qualifications. Experienced teachers should include the
superintendent and principal of the two most recent schools in which employed. If any person(s) listed
should not be contacted for reference at the present time, indicate in the left-hand margin the date
contact(s) may be made.

NAME POSITION ADDRESS TELEPHONE

Dr. Paul Gallagher Supervisor 7373 Admiral Peary Hwy, Cresson, PA 16630 (814) 886-6614

Dr. Marilyn Roseman Professor 384 Park Hill Drive, Johnstown, PA 15909 (814) 322-4922

Jennifer Crawford Cooperating Teacher 418 N Eighth Ave, Altoona, PA 16601 (814) 505-6468

Mara Murgo Cooperating Teacher 1320 Union Street, Hollidaysburg, PA 16648 (814) 330-2483

OTHER QUALIFICATIONS
Summarize special job-related skills and qualifications acquired from employment or other experiences
(including U.S. military service) and/or state any additional information you feel may be helpful in
considering your application, i.e. honors, awards, activities, technology skills or professional development
activities:
I have received the PSEA student scholarship, the Linda Weaver Scholarship, and the Blair County Literacy Scholarship. I was also the
Secretary and the President of the student chapter of PSEA during my sophomore and junior year of college.

PDE 353A (12/03/13) 3

 GENERAL BACKGROUND INFORMATION

You must give complete answers to all questions. If you answer "Yes" to any question, you must list all
offenses, and for each conviction provide date of conviction and disposition, regardless of the date or
location of occurrence. Conviction of a criminal offense is not a bar to employment in all cases. Each
case is considered on its merits. Your answers will be verified with appropriate police records.

Criminal Offense includes felonies, misdemeanors, summary offenses and convictions resulting from a
plea of "nolo contendere" (no contest).

Conviction is an adjudication of guilt and includes determinations before a court, a district justice or a
magistrate, which results in a fine, sentence or probation.

You may omit: minor traffic violations, offenses committed before your 18th birthday which were
adjudicated in juvenile court or under a Youth Offender Law, and any convictions which have been
expunged by a court or for which you successfully completed an Accelerated Rehabilitative Disposition
program.

Were you ever convicted of a criminal offense? Yes No

Are you currently under charges for a criminal offense? Yes No
Have you ever forfeited bond or collateral in connection with a criminal Yes No
offense?

Within the last ten years, have you been fired from any job for any reason? Yes No
Within the last ten years, have you quit a job after being notified that you Yes No
would be fired?

Have you ever been professionally disciplined in any state? Yes No

Professional disciplined means the annulment, revocation or suspension of
your teaching certification or having received a letter of reprimand from an
agency, board or commission of state government, such as the Pennsylvania
Professional Standards and Practices Commission.
Are you subject to any visa or immigration status, which would prevent Yes No
lawful employment?

Note: If you answered "Yes" to any of the above questions, please provide a detailed explanation on a separate sheet of
paper, including dates, and attach it to this application. Please print and sign your name on the sheet, and
include your social security number.

PDE 353A (12/03/13) 4

ACT 34 Clearance (PA State Police Criminal Background Check)
Each applicant must submit with his/her employment application a copy of a Criminal History Record from the
Pennsylvania State Police. Prospective employees must submit ORIGINAL report, which may not be more than
one (1) year old.

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ACT 114 (Federal Criminal History Record)
Each applicant must submit with his/her employment application a copy of a Federal Criminal Record from the
Federal Bureau of Investigation (FBI). Prospective employees must submit ORIGINAL report, which may not be
more than one (1) year old.

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ACT 151 Clearance (PA Child Abuse History Clearance)
Each candidate must submit with his/her employment application a copy of an official clearance from the
Pennsylvania Department of Public Welfare. Prospective employees must submit ORIGINAL report, which may
not be more than one (1) year old.

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ESSAY
Please write an essay as described on page six. For your convenience, you may attach a sheet; however, your
essay may not exceed one page. At the bottom of the attachment, please print and sign your name.

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CERTIFICATION AND RELEASE AUTHORIZATION

I certify that all of the statements made by me are true, complete and correct to the best of my knowledge and
belief, and are made in good faith. I further certify that I am the sole author of the essay. I understand that any
misrepresentation of information shall be sufficient cause for: (1) rejecting my candidacy, (2) withdrawing of
any offer of employment, or (3) terminating my employment.

I hereby authorize any and all of my previous employers and/or supervisors to release any and all of my
personnel records, and to respond fully and completely to all questions that officials of____________ (school
district) may ask regarding my prior work history and performance. I will hold such previous employers and/or
supervisors harmless of any and all claims that I might otherwise have against them with regard to statements
made to this school district. I further authorize these officials to investigate my background, now or in the future,
to verify the information provided and release from liability all persons and/or entities supplying information
regarding my background. However, I do not authorize the production of medical records or other information,
which would tend to actually identify a disability nor do I authorize inquiries which would include information
related to any medical condition or medical history. Further, I do not waive any rights which I may have under
state or federal law related to my right to challenge the disclosure of unlawful or inaccurate information, whether
by the school district or by entities or persons providing such information to the school district, including any and
all claims concerning allegations of employment discrimination because of race, color, sex, religion, national
origin, ancestry, age or disability.

04-08-2021

Date Signature of Candidate (in ink)

[Must be original]
Pennsylvania school districts shall not discriminate in their educational programs, activities or employment practices based on race, color, national
origin, sex, disability, age, religion, ancestry or any other legally protected classification. This policy is in accordance with state and federal laws,
including Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Sections 503 and 504 of the Rehabilitation Act of
1973, the Age Discrimination Act of 1975, the Americans with Disabilities Act of 1990 and the Pennsylvania Human Relations Act. Information
relative to special accommodation, grievance procedure, and the designated responsible official for compliance with Title VI, Title IX, and Section
504 may be obtained by contacting the school district.

PDE 353A (12/03/13) 5

 ESSAY
We are interested in your ability to organize and express thoughts on a specific topic in a succinct manner. Please
select one of the following topics and write an essay in the space provided on this page.
1. The Most Important Qualities of an Outstanding Educator.
2. My Philosophy of Student Discipline.
3. The Importance of Continuing Professional Development and How I Plan to Incorporate It Throughout
My Career.
4. Essential Elements of Instruction, Administration or Area of Certification.
5. How Information Technology (i.e., computers, Internet) Can Be Integrated into the Instructional Process
and Curriculum.
While an outstanding educator will have many qualities, I believe there are five qualities that will remain the most important. The first
quality that outstanding educators possess is being proactive. Being prepared for different outcomes and situations will allow the teacher to
remain in control of their classroom and keep the students learning in a safe environment. The second quality that I believe is important for
educators to possess is to be consistent. Not only will it be beneficial for the teacher to be consistent in order to be organized, but it will be
beneficial for the students. The students require structure and need to understand what is expected of them. By being consistent, the students'
results will be more reliable and they will be more successful. Being caring is another quality of an outstanding teacher. The students are
spending the majority of their day at school and having a great relationship with their teacher will help promote academic success. Great teachers
will not only care about their students' academic growth, but also their happiness.
Another quality of outstanding teachers is being reasonable. The teacher should know how much to expect out of the students and base the
expectations off of the students' abilities. The teacher should also be fair and just to each student. The final quality that I believe to be the most
important quality of an outstanding educator is to be flexible. I have found throughout my experiences that schedules are often changed and
situations arise at any moment. Being able to work around these situations, as well as the individual needs of the students is an essential quality
that teachers should possess. With all of these qualities, the educator would not only be creating a safe and fun learning environment, but also
would be establishing a great relationship with the students. With these qualities, a teacher will be able to have a great relationship with their
students, their fellow teachers, and have a successful year.

Sarah Moyer
Signature Name
Note to applicants: This application can be downloaded from the Department of Education's home page which is accessible at: [Link]

This application was developed, in accordance with Section 1204.1 of Act 107 of 1996, by the Pennsylvania Department of Education is consultation with
organizations representing school administrators, including personnel administrators, teachers and school boards. Questions should be referred to PDE
School Services Office at Voice Telephone (717) 787-4860, Text Telephone TTY (717) 783-8445 or FAX (717) 783-6802. If you need accommodation in
completing this application, including alternate format, please contact the school district.

PDE-353A (12/03/13)