Canton Public School District Application for Superintendent of Schools

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1 Canton Public School District Application for Superintendent of Schools Please type or print your responses and fully respond to each item. I. Basic Information Name (Last) (First) (Middle) Social Security # Home Address Business Address Phone Contacts: (Home) (Work) (Cell) Address II. Current Employer Name Address Telephone Number When Does Your Current Contract Expire? III. Current Position Title Salary Canton Public School District Superintendent Application / Page 1

2 IV. Current School District Information Briefly describe the school district or organization where you are currently serving, including the budget for which you are responsible: Budget: What is the total enrollment of the school district in which you are currently employed? What is the racial composition of the school district in which you are currently employed? % Black % Hispanic % White % Other Do you have current Mississippi superintendent s certification? q Yes q No Have you ever served in the United States military? q Yes q No If yes, were you honorably discharged? q Yes q No q NA V. Education Preparation Please list entries beginning with the most recent information. Degree Year Received College/University Years Attended Major Canton Public School District Superintendent Application / Page 2

3 VI. References PROFESSIONAL List and give mailing addresses for three current references qualified to provide information about your professional ability and achievements. The mailing address should include the zip code. HAVE YOUR REFERENCES SEND THEIR LETTERS DIRECTLY TO DR. E. HAROLD FISHER, Superintendent Search Consultant, P. O. Box 2933, Ridgeland, MS Name, Position Complete Address Phone / PERSONAL List and give mailing addresses for three current references qualified to provide information about your personal character. The mailing address should include the zip code. HAVE YOUR REFERENCES SEND THEIR LETTERS DIRECTLY TO DR. E. HAROLD FISHER, Superintendent Search Consultant, P. O. Box 2933, Ridgeland, MS Name, Position Complete Address Phone / Canton Public School District Superintendent Application / Page 3

4 VII. Employment History List entries in reverse order, beginning with your present position. Year(s) Employer Address & Phone Title or Assignment VIII. Other Have you ever been terminated, non-renewed or requested to resign from any position? q Yes q No If yes, please explain: Have you ever been convicted of, or pleaded no contest to, a felony or misdemeanor (other than traffic violations)? q Yes q No If yes, please explain: Canton Public School District Superintendent Application / Page 4

5 IX. Leadership in the Profession and the Community List your current Mississippi administrator certification and when it expires. (Canton Public School District requires a minimum AA486 Administrator Certificate) Give evidence of your decisions based on the best interests of children. Give evidence of an authentic love and genuine concern for students, their families, the school district, and the community. Share how you work as a team member with the board to establish and implement a vision for the district, outlining short-term and long-range goals and objectives. Give evidence of successfully communicating formally and informally with the school board. Share how you successfully provide a balanced educational program including academics, fine arts, band, and athletics. Canton Public School District Superintendent Application / Page 5

6 Share information confirming an awareness, understanding, and commitment to Common Core State Standards. Give evidence that you understand the value of community involvement and your ability to further develop and sustain the support of the community. Give evidence that you understand parental involvement and share your track record of engaging the parents in the educational program district-wide. Share your documented track record of raising the achievement level of all students in the school district. Give evidence of a demonstrated track record in turning a failing school district around to a successful district. Canton Public School District Superintendent Application / Page 6

7 Indicate how you maintain high visibility in the schools and the community. Give documented evidence of your integrity, trustworthiness, and good work ethics. Share information about your successful experience in working with a diverse minority/ majority population. List your years as a successful classroom teacher giving the grades and/or courses taught. Give evidence of your ability to develop a climate of trust and openness. Share evidence of your people skills and the ability to develop positive rapport with teachers, students, parents and the community. Give evidence of your understanding the importance of technology and your success in implementing technology in the school district. List and describe the three most significant positions of professional leadership that you have held with state, regional, and / or national organizations. Canton Public School District Superintendent Application / Page 7

8 What do you consider to be your greatest strengths? X. Distinctions List and describe the three most significant recognitions, honors, awards, etc. that you have received (including dates) XI. Residency in the Canton Public School District and Community The successful candidate must live in the Canton Public School District. If selected, will you live within the Canton Public School District and be involved in civic / community organizations? q Yes q No This application will not be considered complete without a 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, current resume, an official transcript from ALL colleges and universities that you attended, and a copy of your administrative license to: Dr. E. Harold Fisher, Consultant Canton Superintendent Search P. O. Box 2933 Ridgeland, MS Canton Public School District Superintendent Application / Page 8