MAILING INSTRUCTIONS. Norma Nemec Personnel Baker School District 5J 2090 Fourth Street Baker City, Oregon 97814

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1 SUPERINTENDENT POSITION APPLICATION FOR BAKER SCHOOL DISTRICT 5J 2090 Fourth Street Baker City OR (541) FAX (541) Guiding Principles Statement The Baker 5J schools exist to be the center of community vitality eliminating the barriers for gratifying individual educational experiences in order to have capable contributing citizens with character MAILING INSTRUCTIONS Completed application form with letter of application, resume, two letters of recommendation, administrative license, unofficial transcripts, and any supporting materials should be mailed to: Norma Nemec Personnel Baker School District 5J 2090 Fourth Street Baker City, Oregon Please complete and sign the application and forward it with your letter of application, resume, and two letters of recommendation to the address printed in the box above. Complete the application form in full. 2. In your letter of application, please give your reasons for wanting to work in our district and address your willingness to live in our community. 3. Please submit a copy of your college or university transcript (unofficial). 4. Please submit a copy of your administrative license or proof of qualifications to obtain certification. 5. You must answer all of the questions asked in this document. NAME LAST FIRST MIDDLE

2 1. PERSONAL INFORMATION Present Position Business Phone Home Phone Address Business Address City, State, Zip Home Address City, State, Zip Type of Organization or School Unit and Grade Level Enrollment Certificates Presently Held Issue Date Expiration Date Eligible for Certification Date: Certificate: 2. EMPLOYMENT HISTORY Please complete this form by listing all full time experiences both within and outside the field of education. List your most recent employment first. Attach additional information as necessary. Date From To Years Position/Place Specific Duties

3 3. PROFESSIONAL PREPARATION Education Undergraduate Institution and Location Major/Minor Degree Date Graduate Other 4. MEMBERSHIPS AND AFFILIATIONS, PUBLICATIONS, TRAVEL, ETC. 5. REFERENCES Please list the names of four or more persons who know of your professional work and qualifications. Include at least one reference from your present employer, a colleague, and a non-educator. Name Position Present Address Telephone Office Home Have you ever been convicted of a crime? О YES О NO (Do not include minor traffic violations for which a fine of $50 or less was imposed.) Have you ever had a teaching and/or administration license investigated or revoked in Oregon or another state? О YES О NO (If any answer to the above questions is YES, please provide complete details on a separate sheet of paper.) Equal employment opportunity and treatment shall be provided in hiring, retention, transfer, promotion and training of all employees regardless of age, handicap, national origin, race, religion, or sex.

4 Guiding Principles Statement: The Baker 5J schools exist to be the center of community vitality eliminating the barriers for gratifying individual educational experiences in order to have capable contributing citizens with character. 6. QUESTIONS Each answer should reflect your knowledge, insight, feelings, or point of view. (A separate sheet of paper may be used if there is not enough space.) Given the Baker 5J school district guiding principles, how would you provide administrative leadership in the following areas: 1. Communication and collaboration with the Board of Directors? 2. Communication with the public on educational topics of importance to children, families and the community? 3. Professional development and instructional practices? 4. Implementation of state and federal standards?

5 5. Support and development of the districts many enterprising programs? The Board of Education for Baker School District 5J, Baker City, Oregon, have my permission to examine all records and letters related to my application and to contact the persons whom I have identified as references, my present and previous employers, and to conduct a criminal history check. I understand that any misrepresentation, falsification, or omission will be sufficient cause for cancellation of the application or discharge if I have been employed. (The information listed herein is an accurate summary of my personal record to-date.) Signature of Applicant Date (This is a 260 day position with a salary range of $94, $115, depending on experience.) Consideration may be given in regard to qualifications and experience that could result in a greater salary.