|
School Union
#7 APPLICATION FOR ADMINISTRATIVE POSITION_______________________________________________________________________________________ SCHOOL UNION #7 DOES NOT DISCRIMINATE IN THE OPERATION OF ITS EDUCATIONAL AND EMPLOYMENT POLICIES AND WILL HONOR ALL APPROPRIATE LAWS RELATIVE TO DISCRIMINATION. Date______________________________ Position(s) applying for: Name______________________________ ________________________________ ________________________________ When will you be available?____________ ________________________________ Permanent Address_____________________________________________ Phone_______________ Temporary Address_____________________________________________ Phone_______________ EDUCATION: Transcripts, including grades, from all college(s)/university(ties) attended must be provided. It is essential that this section be completed accurately. College/University
Attended Location
Degree Number of Yrs. _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ EXPERIENCE: A resume must be provided. In addition to educational background and work experience, include extra-curricular activities in which you have been involved. Please list below positions held, employer and dates of employment for the past ten years beginning with your most current or recent experience. Please account for any gaps in employment on a separate page. No. of Yrs Dates From/To Position Employer Name, Address & Telephone No.
__________________________________________________________________________________________________ Other relevant work experience and achievements:
__________________________________________________________________________________________________ CERTIFICATION: List certification(s) you hold and provide copies of certification. Type State Date Issued Date of Expiration
__________________________________________________________________________________________________ If you do not hold a
Maine certificate, for what type of Maine certification are you applying and
eligible?_____________ NOTE: Candidates who do not hold Maine certification should direct an inquiry to the Maine Department of Education, Certification Office, Augusta, Maine 04333. BACKGROUND Have you ever been disciplined, discharged, or asked to resign from a prior position? Yes___No___ Have you ever resigned
from a prior position after a complaint had been received against you or Has your contract in a prior position ever been non-renewed? Yes___ No___ Have you ever not been
nominated for re-employment in a prior position or ever had your Have you ever been charged with or investigated for sexual abuse or harassment of another person? Yes___No___ Have you ever been convicted of a crime (other than a minor traffic offense)? Yes___No___ Have you ever entered a
plea of guilty or “no contest” (nolo contendere) to any crime Have you ever had a
professional license or certificate suspended or revoked in any state, or
have you Has any court ever
deferred, filed or dismissed proceedings without a finding of guilty and
required If you have answered YES to any of the previous questions, provide full details on an additional sheet including, with respect to court actions, the date, offense in question, and the address of the court involved. Conviction or other disposition of a crime is not necessarily an automatic bar to employment. REFERENCES: List three, two of whom are most recent supervisors, who can comment on your ability and whom we may contact. In addition, please provide three letters of reference from persons who are not related to you (may be from references listed below). Name Position Address Phone _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ WHERE DID YOU LEARN OF THIS POSITION? _____www.ServingSchools.com _____Journal Tribune ____Portland Press Herald ____Friend _____Other, please specify________________________________ My signature below constitutes authorization to check my employment history, including without limitation, criminal arrest and conviction record checks, reference checks, and release of investigatory information possessed by any state, local or federal agency. I further authorize those persons, agencies or entities that School Union #7 contacts in connection with my employment application to fully provide School Union #7 any information on the matters set forth above. I expressly waive in connection with any request for or provision of such information, any claims, including without limitation, defamation, emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against School Union #7, its agents and officials or against any provider of such information. I understand that information submitted in and with this application may be disclosed to a screening and/or interviewing committee, which may include Board members, administrators, other staff, and members of the community. I give my consent to this disclosure. ______________________________ ___________________ Signature Date
APPLICATION FOR ADMINISTRATIVE POSITION CHECKLIST: The completed employment application cannot be evaluated unless all of the following materials have been provided: ________ Application form fully completed ________ Copies of Transcript(s) ________ Copy of Maine Certification(s) ________ Resume ________ Gaps in employment during the past ten years explained ________ YES to any of the questions in the Background section explained ________ Three letters of reference ________ Application signed
NOTE: ALL APPLICATION MATERIALS BECOME THE PROPERTY OF SCHOOL UNION #7. NONE WILL BE RETURNED. PROVIDING ANY FALSE OR MISLEADING INFORMATION ON THIS APPLICATION OR IN THE APPLICATION OR EMPLOYMENT SCREEING PROCESS SHALL BE FULLY SUFFICIENT GROUNDS TO REFUSE TO EMPLOY THE APPLICANT OR, IF THE APPLICANT HAS BEEN EMPLOYED, TO IMMEDIATELY DISMISS THE APPLICANT/EMPLOYEE. NOTE: EMPLOYMENT CANNOT BE FINALIZED UNTIL THE APPLICANT HAS COMPLETED REQUIREMENTS FOR COMPLETE BACKGROUND CHECKS AND FINGERPRINTING AS REQUIRED BY MAINE STATE STATUTE. |