Hartville R-II School District

Transcription

1 Hartville R-II School District Please type and fully respond to each item. I. Basic Information Name (Last) (First) (Middle) Home Address Business Address Phone Number (Home) (Work) (Cell) Address II. Current Employer Name Address Telephone Number When Does Your Current Contract Expire? III. Current Position Title Salary P a g e 1

2 IV. Current School District Information Indicate the following for the school district or organization where you are currently serving: Budget $ Total Enrollment Racial Composition % Black % Hispanic % White % Other Do you have current Missouri Superintendent Certification? Yes No Have you ever served in the United States Military? Yes No If yes, were you honorably discharged? Yes No NA V. Education Preparation Please list entries beginning with the most recent information. Degree Year Received College/University Years Attended Major P a g e 2

3 VI. References List three people qualified to provide information about your professional ability and achievements. Please give complete current information. The mailing address should include the zip code. Name, Position Complete Address Phone / List three people qualified to provide information about your personal character. Please give complete current information. The mailing address should include the zip code. Name, Position Complete Address Phone / P a g e 3

4 VII. Employment History List entries in reverse order, beginning with your present position. Year(s) Employer, Address, & Phone Number Title or Assignment VIII. Other Please list and describe any other significant work experiences. Have you ever been terminated, non-renewed or requested to resign from any position? Yes No If yes, please explain Have you ever been convicted of, or pleaded no contest to, a felony or misdemeanor (other than traffic violations)? Yes No If yes, please explain P a g e 4

5 IX. General Information List and describe any professional training and / or educational or business experiences that you have completed during the past three years, including inservices and conferences locally, statewide and nationally. List any outside interests and hobbies X. Leadership in the Profession and the Community Give evidence of successful progressive experience in public schools as a teacher and administrator, including experience as a building principal and/or central office administrator. Share information about your leadership ability and how you manage personnel effectively. P a g e 5

6 List your experience and knowledge in budgeting and fiscal management. List and describe your strategic planning efforts for the school district Share information about your management style and its effectiveness in serving the best interests of children. How would you work as a team member with the school board to establish and implement a vision for the district, outlining short range and long range goals and objectives? P a g e 6

7 Give evidence of your knowledge and ability in providing a balanced educational program including academics, fine arts, and athletic. Share information about your understanding of the value of community involvement and indicate how you will further develop and sustain the support of the community. Give evidence of demonstrated track record in raising student achievement districtwide. Indicate how you maintain high visibility in the schools and the community. Share information regarding your integrity and work ethic. P a g e 7

8 List and describe the three most significant positions of professional leadership that you have held with professional, state, regional and/or national organizations. List and describe the three most significant positions of leadership you have held in community-based organizations. What do you consider to be your greatest strengths? Describe your three most significant professional accomplishments. XI. Residency in the Hartville Community If selected, will you live in and become an active part of the Hartville community? Yes No XII. Distinctions List and describe the three most significant recognitions, honors, awards, etc. that you have received (include dates) P a g e 8

9 XIII. Your Vision If you were to become the superintendent of the Hartville R-II School District, what specific steps would you take during your first year as superintendent to maintain excellence inside and outside the classrooms as well as the school district? (Use only the available space) This application will not be considered complete without signature. Your signature certifies that, to your best knowledge and belief, the information provided herein is complete and true. (Signature of Applicant) (Date) Please forward this application, along with a letter of interest, a current resume, transcript(s) from all colleges or universities attended, three letters of reference, and a copy of your administrative license to: Dr. Sharon A. Hayden, Superintendent Hartville Superintendent Search PO Box 460 / Hartville, MO P a g e 9