Home Instruction Schools 2016-2017 Per Session Application

Last Name:
Pierre-Pierre

Middle Initial:

First Name:

Ingrid

Home Address:

33-38 204th Street 2nd FL

City:

Bayside

State:
Zip:

NY

Home Phone:

11361

File No:

347-502-7230

DOE Email ONLY (no personal email):

2574531

ipierrepierre@schools.nyc.gov

Last 4 of SS#:
2311

Cell Phone:

347-551-6828

License:
special education

Current School Information:

School:

344

School Zip:

School Phone
Number:

718-767-2568

11370

1) Are you a full-time employee of the NYC Department of Education?

CFN:
School/Office:
School/Office
Zip:
Hours of
Employment
From:

344
East River Academy
11361

8:00AM

1B) Select a Teaching Session for which you are applying:

2) Per Session Position for which you are Applying:

Program Home Instruction Schools
Name:

Yes

District:
School/Office
Phone:
License or
Title:
To:

2016-2017 Per Session

79
718-626-7835
Special Education

2:30PM

CFN:
Approximate
Start Date:
School/Office:

District:

754

Do you claim
retention
rights?
Approximate
Total Hours:

10/01/2016

Home Instruction Schools 75M501

Work Hours
Monday
Friday From:
I can work on
weekends
Work Hours
Saturday Sunday
From:

75

8:00AM

To:

4:00PM

8:00AM

To:

4:00PM

3) Between July 1, 2016 and June 30, 2017, have you worked or do you plan to work in any other per session
activity?

4) Will your total per session hours for this year, including the hours for the position for which you are applying,
exceed 400?

5) Experience in previous Home Instruction Programs:

School year 2014-2015
School year 2015-2016

Borough:

Queens

6) Borough Preference:
First Choice:

Queens

Second Choice:

Brooklyn

Third Choice:

Manhattan

Fourth Choice:

Bronx

Fifth Choice:

Staten Island

7) Indicate the level you are licensed to teach:

Elementary

Junior HS

High School

8) Please check all subjects you are licensed to teach or have proficiency:
Algebra
Alg

Spanish

Biology

HS English

Italian

Chemistry

HS SS

II/Trig
Geometry

French

Other Math:
Other
Subject:

Living Environment

Physics
Special Ed
Population:
Other
Language:

Special Ed
yes

9) Bilingual:

"I have read and understand the requirements in Chancellors Regulation C-175. I understand that I am bound by this
regulation. I affirm that the information give above is, to my knowledge, accurate and complete, and I understand that a
willfully false answer to any question contained herein is a Class E felony which shall render this application null and
void and may result in loss of retention rights, cancellation of per session employment, loss of pay, recoupment of
compensation already paid, or disciplinary action.
By checking this box and typing my name and the date I understand that I am electronically signing this document

Signature Name:
Ingrid Pierre-Pierre

Signature Date:

09/13/2016

Application successfully submitted.

Submit (click only one time)