BTHS DISTRICT 201
SCHOOL YEAR ____________
	SUBSTITUTE TEACHER


NAME______________________________________________PHONE___________________________

ADDRESS____________________________________________________________________________

                   ___________________________________________________________________________

EMAIL  ______________________________________________________________________________

AVAILABLE TO WORK ON: MONDAY____________________

                            TUESDAY____________________

                            WEDNESDAY_________________

                            THURSDAY___________________

                            FRIDAY______________________

WILLING TO WORK:		BOTH CAMPUSES______________

                        EAST CAMPUS ONLY___________

                        WEST CAMPUS ONLY___________
                        
We occasionally have the need for a substitute secretary.  Would you be interested in subbing for a secretary?  The pay is $9.00 an hour for the first 225 hours and $10.50 after that.  Of course we would use you in a teaching position before even considering asking you to sub for a secretary.  Do you want to be added to the substitute secretary list?

         				    __________ Yes       __________ No 


My signature denotes that I understand there is no guarantee of regular employment and that I will be used on an Òas neededÓ basis.
                                    SIGNATURE_________________________________

                                    DATE______________________________________
                                    
		 Check this box if you do NOT WISH TO BE INCLUDED ON THE SUBSTITUTE LIST.

Return this form to:
      Human Resources 
      Belleville Township High School District 201
      920 North Illinois Street
      Belleville, Illinois  62220-4374				       drive/forms/infosheets