Name:
Address:
Age:
Sex (if not unmistakable from name):
Teaching position being applied for:
Weapons Proficiency
Hand guns. Hand guns with which you are qualified and are licensed to carry (Please include any marksmanship rating):
Long guns. Long guns with which you are qualified and are licensed to carry (Please include any marksmanship rating):
Semi-automatic weapons. Semi-automatic weapons with which you are qualified and are licensed to carry (Please include any marksmanship rating):
Automatic weapons. Automatic weapons with which you are qualified and are licensed to carry (Please include any marksmanship rating):
Any other defensive skills, e.g. knife throwing, tasering, asphyxiating gas dispersal, psychokinetic strangulation (There is no need to include skills with weapons whose use normally involves obliteration of an area larger than a city block or that require means of delivery not normally available to school districts):
Previous Experience
Schools at which you have previously taught. If weapons you carried there were different from those listed above, please explain:
Instances where you have used any of the above in a school setting (include any subsequent court rulings on such use):
Instances where you have used any of the above in a non-school setting (include any subsequent court rulings on such use):
Threat Perception
Formal qualifications in judging threats and their severity (including police training in radicalization observation):
Any informal qualifications in the above area (This includes practical experience, such as perceiving and countering threats, and how they were killed. It might also include successful perception of early signs of potential radicalization, provided this can be documented by police/court records):
Other
Other qualifications that might be found useful (It will be an advantage for applicants to have some knowledge or experience relevant to the area of instruction of the position applied for):
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