Substitute Teachers Required
St. James-Assiniboia School Division
Winnipeg, MB
St. James–Assiniboia School Division
Great Schools for Growing and Learning

October 2019

SUBSTITUTE TEACHERS

The St. James-Assiniboia School Division is accepting applications for
substitute teachers for the current school year.

To apply, the following documents are required:
  • Division Teaching Application (included on next pages)
  • Current resume
  • Two completed reference forms (included on next pages.) We will also
accept letters of reference. *Please note a fillable form is also available on our
division website under Employment, Applications.*

  • Manitoba Teachers’ Certificate – (Provide a copy of your card.) You must
hold a valid teaching certificate issued by Manitoba Education.

  • Criminal Record Check – Can either be obtained in person at 245 Smith Street
or completed online and shared with us through the Winnipeg Police Service
website. If you wish to keep the original documents, the Board Office
Receptionist can make a certified copy for your application. Documents must be
dated within one year.

  • Child Abuse Registry Check - Can either be obtained in person at 777 Portage
Avenue or Online. If you wish to keep the original documents, the Board Office
Receptionist can make a certified copy for your application. Documents must be
dated within one year.

Completed application packages can be submitted to the Division Board
Office, 2574 Portage Avenue between the hours of 8:30 a.m. and 4:30 p.m.

Please note:
  • Applications will not be considered until all of the above documents are
received.
  • Only those applicants selected for hire will be contacted.
  • If placed on the list you will receive a hiring package by mail with further
instructions and information regarding registration with the Division’s
automated substitute dispatching system.

The St. James-Assiniboia School Division is proud to employ staff who represent the
diverse community it serves.

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ST. JAMES-ASSINIBOIA SCHOOL DIVISION

2574 Portage Avenue, Winnipeg, Manitoba, R3J 0H8
Phone: 204-888-7951 Fax: 204-831-0859 http://www.sjsd.net

Great Schools for Growing and Learning

APPLICATION FOR A TEACHING POSITION

(Check all that apply) Early Years (K-5) Middle Years (6-8) Senior Years (S1-S4) Student Services Substitute

PERSONAL INFORMATION

Surname: Given Names:
(Circle name used)

Address:
City/Province: Postal Code:
Mailing Address: Same as above or:
Home Phone: ( ) – Work Phone: ( ) –

Cell Phone: ( ) – E-Mail:
Other name(s) under which you worked or were educated:
Have you been employed by this Division? Yes No If yes, when?

Position? Location?

Are you legally entitled to work in Canada? Yes No

Have you ever been charged with a criminal offence for which a pardon has not been granted? Yes No

If “Yes”, give particulars of the charge, date and result in each case:

EDUCATION AND QUALIFICATIONS

Name of University/College Courses Degree, Certificate, Diploma Major Minor Attained Year

Jan 2013

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Bachelor of Education – Speciality (please check the stream in which you were trained)

Early Years Elementary Middle Years Senior Years

Other (please specify)

TEACHING CERTIFICATES

Type Number Permanent or Provisional Province

SPECIALIST CERTIFICATE(S)

Type Number Permanent or Provisional Province

Are you currently working on a Specialist Certificate? Yes No

If yes, which certificate?

Indicate number of credit hours you have towards your Specialist Certificate:

Are you bilingual (English/French)? Yes No

Are you currently collecting a TRAF pension? Yes No

TEACHING EXPERIENCE

School Division Year(s) Credited Experience Grades Taught, Subjects Taught Months/Years (if Applicable)

Total Experience

Have you taught on a letter of authority or permit? Yes No

If Yes, state details

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STUDENT TEACHING EXPERIENCE

School Division Number of Grades Taught, Subjects Taught Weeks (if applicable)

WORK-RELATED REFERENCES
Please provide the names and addresses of at least three people whom we may contact with regard to your
application. Be sure to select people qualified to comment on your teaching ability. Also include your last supervisor.

Name Address with Postal Code Relationship Telephone

Based on qualifications, indicate your teaching preferences. List in order (1, 2, 3, etc.)

Generalist Areas Specialist Areas

Grade/Level Subject(s) Grade/Level Subject(s)

1. 1.

2. 2.

3. 3.

CO-CURRICULAR ACTIVITIES

You will be expected to conduct and/or supervise co-curricular activities. Please describe the co-curricular activities
you would be prepared to undertake.

Co-Curricular Activities Qualifications or Background

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I understand that the information provided by me in this application for employment by the
St. James-Assiniboia School Division (“the Division”) constitutes material and important
representations by me intended to induce the Division to enter into a contract of employment
with me. I understand that if my application was submitted on-line, that my submission is
considered an equivalent constitution. I therefore understand and agree that the giving by
me of false, misleading or incomplete information in this application for employment will
constitute just cause for dismissal of me from any employment entered into with me by the
Division and will also fully justify the Division in treating any contract entered into with me as
null and void.

Upon an offer of employment, I hereby consent to the Division conducting a personal
investigation under the terms of the Personal Investigations Act, including a child abuse
registry check and a criminal record check. And, I agree to present an original birth
certificate and social insurance number card for copying as well as copies of any additional
required documentation in support of my application.

The personal information contained on this form is collected and protected under the
authority of the Public Schools Act (PSA), the Personal Health Information Act (PHIA) and
the Freedom of Information and Protection of Privacy Act (FIPPA) and will be used and
disclosed for personnel administration and payroll purposes. I understand this will include
the ongoing disclosure of my current name, address and phone number to the appropriate
union or association I am a member of. Further, I understand that any other collection, use
or disclosure of this personal information will not be permitted without my consent, unless
authorized under the PSA, PHIA or FIPPA. Furthermore, any questions I have about the
collection, use or disclosure of this information, can be directed to the Access and Privacy
Officer, St. James-Assiniboia School Division, 2574 Portage Avenue, Winnipeg, MB R3J
0H8, (204) 888-7951.

If employed, I agree to abide by the policies, procedures and working conditions established
by the Division.

Signature: ______________________________________ Date: _______________

NOTE: PLEASE COMPLETE ALL SECTIONS OF THE APPLICATION FORM ACCURATELY AND FULLY

Jan 2013

St. James-Assiniboia School Division 59633
2574 Portage Avenue, Winnipeg, MB R3J-0H8
Tel: (204)888-7951 Fax: (204) 831-0859
Email: kpawlyk@sjsd.net

Substitute Teacher Reference Form

Applicant’s Name: Date:
This applicant named has applied for a substitute teaching position with the Division and has requested that
you complete this form and return it to the Board Office as soon as possible. Thank-you.

KEY: A – Excellent B – Good C – Satisfactory D - Unsatisfactory
PART A A B C D

1. Effectiveness of Teaching:
2. Presentation of Lessons (subject knowledge, preparation, differentiated instructionstrategies, etc.):

3 Lesson follow-up (corrections of assignments, etc.):
4. Teacher/Pupil relations (interest in students, willingness to assist students out of schoolhours, etc.):

5. Initiative (new ideas, new methods, project work, etc.):
6. Classroom Management:
PART B A B C D
1. Personal Characteristics (general deportment in school, etc.):

2. Enthusiasm/commitment to Excellence (attitude to teaching):

3. Staff Relations (collaboration, team work, etc.):
4. Professional Growth (attitude to personal and professional growth):

PART C A B C D

1. General Efficiency as a Teacher:
i. Weakness of instruction, if any:
ii. Strong areas of instruction, if any:
iii. Do you recommend this teacher to our staff as a substitute?

iv. If a teaching position is available, would you recommend this teacher to our staff?

v. Candidates length of service in your area:
REMARKS (use the reverse side if necessary):
Name (print) Signature Date

School/Address Position/Occupation