Application for School Administrator Position

Marshall Public School District

860 W. Vest

Marshall, MO   65340

(660)886-7414

 

We afford equal opportunity to qualified individuals regardless of their age, race, color, national origin, ancestry, religion, socio-economic status, marital status, sex, handicaps or memberships in legally constituted organizations to the extent required by all applicable laws.

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POSITION DESIRED

_____ Superintendent

_____  Ass’t Superintendent/Program Director

_____  Building Principal           Specific Position of Interest: _________________________________

_____  Assistant Principal

 

PERSONAL INFORMATION

Name:

Date of Application:

 

Business Address:                                                                                                                                      Business Telephone Number

 

 

Home Address                                                                                                                                            Home Telephone Number

 

 

Social Security Number (Optional)                                                                      

 

E-mail Address (Optional):

 

 

Are you a United States citizen or able to work legally in this country?      _____ Yes       _____ No

Have you ever been convicted of a crime?                                              _____ Yes       _____ No

Are you presently under contract with any school district for next year?   _____ Yes       _____ No

 

Present Position __________________________________   Current Salary ____________________

 

Current District Student Enrollment __________________       School Building Enrollment _________

 

Date available for employment ___________________________________________________________

 

Missouri Retirement System Number: ______________________________________________________

NOTE:  Mark X in the blank if you have never belonged to the System or if your contribution has been withdrawn.

 

CERTIFICATIONS

Certification Area

Grade Levels

Life or Date Certification Expires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Certificate(s) Held: _____________________________________________________________

 

 

 

PROFESSIONAL PREPARATION    Highest Degree Earned:

Institution and Location

Dates Attended

Graduation Date

Degree

Credit Hours Earned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUMMARY OF PROFESSIONAL EXPERIENCE (Teaching/Administrative Experience)

NOTE:  Begin with most recent

Name/Location

Assignment

Years Completed

Supervisor/Phone No.

Reason for Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WORK EXPERIENCE (Other than Teaching)

NOTE:  Begin with most recent

Name/Location

Period of Service

Type of Work

Reason for Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROFESSIONAL MEMBERSHIPS

 

 

 

 

 

 

REFERENCES

List at least three references, especially supervisors, principals or superintendents under whom you have taught, who are qualified to answer questions concerning your fitness for the position you seek.

Name

Present Address

Phone Number

Official Position and Dates Acquainted With Your Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL INFORMATION

The following questions are designed to help us begin to know you as a person and as a professional.  Your concise and candid responses are very important to us.

1.  Why do (did) you want to become a school administrator?  What is it about being a school administrator that is (will be) most rewarding to you?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. What do you consider to be your major strengths?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. With your previous (current) experience, in what ways have you most influenced your school and community?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. What communication approaches are (would be) most effective for you as a school administrator?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Briefly describe your philosophy for helping all children achieve their highest potential in school.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AGREEMENT

 

I hereby certify that the above information to the best of my knowledge is true, accurate and complete.  Any misrepresentation or willful omissions of facts shall be sufficient cause for disqualification of this application or termination of employment.  Furthermore, it is understood that this application and records become the property of the Marshall Public School District which reserves the right to accept or reject it.  I further agree to observe all rules, regulations and policies of the Marshall Public School District now in force and effect or as they may change during my employment, if I am employed by the District.  I also hereby authorize the District to conduct a background investigation and authorize release of information in connection with my application for employment.  This investigation may include such information as criminal convictions, driving records, previous employers and educational institutions, personal references, professional references and other appropriate sources.  I waive my right of access to any such information, and without limitation hereby release the school district and the reference source from any liabilities in connection with its release or use.

 

 

(         )   I request that this application and consideration of same be kept confidential.

 

 

______________________________________                    _______________________________________

        Date                                                                  Signature of Applicant