Dear Applicant: Office of Teacher Personnel Division of Human Resources

Transcription

1 2644 Riva Road, Annapolis, Maryland / / (TDD) 301/ (WASH) Carol S. Parham, Ed.D., Superintendent of Schools Dear Applicant: We appreciate your interest in a professional staff position with Anne Arundel County Public Schools. Enclosed is the application you requested. It will be given consideration upon receipt of a copy of your transcript/s, determination of state certification eligibility, three of our professional reference forms, and other supporting documents. Please note: The transcript of your college credits must indicate grades received. We must receive a copy for each college you attended. An unofficial copy is adequate for processing your application, however, an official transcript is required upon employment. The reference forms must be mailed directly to our by the writers of the references. To help us determine your Maryland State Department of Education certification status, you should provide us with a copy of your latest Maryland certification and/or any other documentation or correspondence with the State Department. We also need a copy of your National Teachers' Examination and/or PRAXIS scores. If you have any questions concerning your certification or qualifications, please contact the Maryland State Department of Education at It takes approximately four weeks for an application to be processed. You will receive a postcard informing you that processing has been completed and your application is active. Your application will then be forwarded to a Personnel Specialist for screening and possible referral to school administrators. Selected applicants will be contacted for interviews. Your application stays active until October 1st. If you wish to be considered for employment after that date, you must: Send us a letter by October 1st requesting that your application be kept active. Inform us of any change in address or phone number. Enclose an updated resume. Enclose any new supporting documentation for certification. If we do not receive a letter by October 1st, your application will be kept with our inactive files for two years. We are pleased to know of your interest in Anne Arundel County Public Schools and wish you success in your future endeavors. Office of Teacher Personnel 1999 AACPS DPS/JH 1393/14 (New 3/99)NS

2 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS 2644 Riva Road Annapolis, MD Instructions for Completing Application for a Professional Position General Read these instructions, the application, and other accompanying materials. All documents become the property of the of Anne Arundel County Public Schools. Application must contain: Application Insert #1 (blue) OR Application Insert #2 (pink), as appropriate Race & Gender information Transcripts (unofficial transcripts are acceptable at this time If these items are not included, your application will not be considered. First Page Position Desired Early Childhood, Elementary, and Secondary applicants should complete Insert #1 (blue). Applicants whose certification covers K-12 should complete Insert #2 (pink). Employment Specifics The applicant presently in a professional position must respond to this question about contract or obligation. Anne Arundel County Public Schools will not offer employment to any candidate if acceptance would violate obligation to another school system. Certification Status Include copies of Maryland certificates, if any. Include copies of other state teaching certificates. Include a copy of NTE/Praxis scores. Second Page Educational and Professional Training Provide this information in detail. Transcripts of all college study must be provided. Transcripts must reflect grades earned. If you attended more than one college, you need to provide a transcript from each college because most colleges list course titles accepted in transfer but do not show grades earned. Unofficial transcripts usually meet application processing needs and are acceptable at this time. Vocation education applicants who will not have completed a college degree by the time of employment must present evidence of having finished high school. Supervised Student Teaching Internship The applicant with less than five years of professional experience must provide this information. Recommendations from cooperating teachers and college supervisors are required. Teaching Experience List only regular, contractual professional experience. Do not include substitute teaching, student teaching, internship, practicums, or teacher assistant positions. Recommendations from cooperating teachers and college supervisors are required. Employment Experience other than Teaching List all experience chronologically, beginning with the most recent experience. All information must be completed. You may include a resume but do not indicate see attached resume or leave this page blank.

3 Side 2 Third Page Professional References Provide all requested information. Be sure to include zip codes. The applicant with teaching experience must provide us with references form persons directly and most recently responsible for the applicant s professional performance. One of the enclosed reference forms is to be given to each person listed as a reference. Placement office credentials may be sent to us but will not be accepted in lieu of the individual references which must be listed on the application. Complete the applicant s section of the reference form before giving it to the recommendation writer. Place a proper postage stamp on an envelope that is to be sent by the recommendation writer to this office. Envelopes should be pre-addressed to the following: Director of Human Resources Anne Arundel County Public Schools 2644 Riva Road Annapolis, MD To Whom It May Concern letters serve only as letters of introduction and are not accepted as letters of recommendation. Letters of recommendation received in the become the confidential property of this office. The reserves the right to contact persons, other than those listed by the applicant, as needed, to obtain additional job-related information. Fourth Page Other Information Information on convictions must be provided. If omitted, your application will not be processed. Notices to Applicant Note that the applicant is asked to sign two separate statements. The application cannot be processed if either signature is missing. The application will not be processed if items listed under General/Applications Must Contain, on preceding page, are not included. While references do not accompany this application, they must be provided for your application to be completed AACPS DPS/JH 1330/111 (Rev. 3/99)NS

4 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS Employment Application Professional Please Return To: Director of Human Resources 2644 Riva Road Annapolis, MD Telephone: / TDD: FAX: Website: PERSONAL DATA (Circle) Mr./ Ms. Mrs./ Dr. Name (Last) Permanent Address (Number & Street) (First) (Middle) Social Security Number Other surname used in previous employment or college records (City) (State) (Zip Code) (County) Telephone (Area Code) Current Address (Number & Street) Until (City) (State) (Zip Code) (County) Telephone (Area Code) Branch of Military POSITION DESIRED Elementary Secondary Administration/Supervision Other Full-Time Part-Time Either List school activities other than teaching you can direct/coach. From: To: If elementary, list grade preferred. If middle/high school, list subjects preferred. If other, specify position. Dates EMPLOYMENT SPECIFICS Dates of Former Employment (Mo/Yr) Former Position New Applicant Former Applicant Former Employee From: To: Are you currently under contract or If yes, state the latest date by which you may resign without violation. obligation to your present employer? Have you been interviewed by a representative of our school system? CERTIFICATION STATUS Date Interviewed Place Interviewed Enclose photocopies of all NTE/Praxis scores and certificates or forward them as soon as they are available.... Type Area of Certification Dates Maryland State Teacher Certificate Other State Teacher Certificate State Type Dates National Teacher Examination Core Battery/Praxis I Date Specialty Area/ Date Praxis II An Equal Opportunity Employer

5 EDUCATION AND PROFESSIONAL TRAINING Name of Institution Location (City and State) Major Credits Earned Attended Mo/Yr From To Degree Received Type Date High School College College Other Undergraduate Major Credits Undergraduate Minor Credits Undergraduate Graduate Major GPA Highest Education Completed (check one) High School Diploma Associate Degree Bachelor's Degree Master's Degree Master's Degree +30 Graduate Hours Doctoral Degree SUPERVISED STUDENT TEACHING/INTERNSHIP Name of School Address (Number & Street) (City) (State) (Zip Code) College Supervisor Cooperating Teacher Grade Level/Subject Taught Dates (Mo/Yr) From To Name of School Address (Number & Street) (City) (State) (Zip Code) College Supervisor Cooperating Teacher Grade Level/Subject Taught TEACHING EXPERIENCE Dates (Mo/Yr) From To List all experience chronologically, beginning with most recent experience. Do not include substitute teaching or student teaching. Name of School Location (City and State) Grade Level or Subject Taught Type of School Non- Public Public Dates Mo/Yr From To Time Part Full Total No. Years EMPLOYMENT EXPERIENCE OTHER THAN TEACHING List all experience chronologically, beginning with most recent experience. Employer Location (City and State) Position Dates Mo/Yr From To

6 PROFESSIONAL REFERENCES If you are an experienced teacher or other education-related professional (school psychologist, speech pathologist, media, guidance, administration, etc.) your references must include your most recent principal and two from the following: Assistant Principal Past Principal or Assistant Principal Department Chairperson If you have completed student teaching but have not had subsequent teaching experience, your references must include the following: College Supervisor Cooperating Teacher If you are neither an experienced educator nor a former student teacher, your references must include the following Immediate Supervisor Past Supervisors Name Work Place Position Address (Street) Work Telephone No. (Area Code) Home Telephone No. (Area Code) (City) (State) (Zip Code) Name Work Place Position Address (Street) Work Telephone No. (Area Code) Home Telephone No. (Area Code) (City) (State) (Zip Code) Name Work Place Position Address (Street) Work Telephone No. (Area Code) Home Telephone No. (Area Code) (City) (State) (Zip Code) Name Work Place Position Address (Street) Work Telephone No. (Area Code) Home Telephone No. (Area Code) (City) (State) (Zip Code) In this space you may continue any previous information or give any other information that you feel is pertinent to your application.

7 OTHER INFORMATION Why did you leave your last position? If hired, can you provide written evidence that you are authorized to work in the United States? Have you been discharged or asked to resign from a previous teaching postion and/or a previous employer? Have you ever been convicted of an offense other than a minor traffic violation? Are there charges pending against you for an offense other than a minor traffic violation? If Yes, Explain (on a Separate Sheet of Paper) If Yes, Explain (on a Separate Sheet of Paper) If Yes, Explain (on a Separate Sheet of Paper) For your application to be complete you must forward copies of transcripts from each college attended and a list of all Maryland State Department of Education approved inservice credits that you have completed. Notice to Applicant Notice to Applicant Section 95(c) of article 100 of the Annotated Code of Maryland requires that the following notice to the applicant be made known and that the applicant shall acknowledge having read the notice by their signature: Under Maryland Law an employer may not require or demand any applicant for employment or prospective employment or any employee to submit to or take a polygraph, lie detector or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to fine not to exceed $100. (Signature) (Date) In order for the Anne Arundel County Public Schools to obtain information regarding my competency for the position for which I am applying, I hereby authorize its agents to contact persons named herein as references and other persons who might contribute job-related information to my file. Additionally, I authorize those persons contacted to release the information requested by said agent(s) and waive my right to access to those records. I hereby affirm that the information supplied herein is complete and accurate. I understand that willful falsification and/or omission of information will be just cause for rejection of my application or dismissal in the event I am hired. (Signature) (Date) The Anne Arundel County Public School System does not discriminate on the basis of race, sex, age, national origin, religion, disability, or socioeconomic status in matters affecting employment or in providing access to programs. Questions regarding nondiscrimination should be directed to Mr. Leslie N. Stanton, Specialist in Human Relations, Anne Arundel County Public Schools, 2644 Riva Road, Annapolis, Maryland 21401; telephone ; (TDD) /59 (Rev. 4/99)

8 Anne Arundel County Public Schools Unit I Salary Scale Approved Teacher Salary Scale Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 12 Step 15 Step 20 Step 25 Step 28 Bachelor s 30,635 31,248 31,873 33,161 34,500 35,894 37,344 38,853 40,423 42,056 43,755 SPC Master s Equivalent 31,248 32,510 33,824 35,190 36,612 38,091 39,630 41,231 42,897 44,630 46,433 48,309 50,724 53,140 55,555 57,971 APC Master s Degree 31,248 32,510 33,824 35,190 36,612 38,091 39,630 41,231 42,897 44,630 46,433 48,309 50,724 53,140 55,555 57,971 SPC Master s Degree 31,873 33,161 34,500 35,894 37,344 38,853 40,423 42,056 43,755 45,522 47,362 49,275 51,739 54,203 56,666 59,130 APC Master s ,161 34,500 35,894 37,344 38,853 40,423 42,056 43,755 45,522 47,362 49,275 51,266 53,829 56,392 58,956 61,519 SPC or APC Master s ,500 35,894 37,344 38,853 40,423 42,056 43,755 45,522 47,362 49,275 51,266 53,337 56,004 58,671 61,337 64,004 SPC or APC Doctorate 35,190 36,612 38,091 39,630 41,231 42,897 44,630 46,433 48,309 50,261 52,291 54,404 57,124 59,844 62,564 65,284 Non-Degree 21,450 22,316 23,218 24,156 25,132 26,147 27,203 28,302 29,446 Provisional Provisional 27,203 28,302 29,446 30,635 Bachelor s Provisional 30,635 31,248 32,510 33,824 Master s Approved Pupil Personnel Worker and School Psychologist Salary Scale (12-Month) Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 15 Step 20 Step 25 Step 28 44,394 46,187 48,053 49,994 52,014 54,116 56,302 58,576 60,943 63,405 65,967 69,265 72,563 75,862 79,160 Approved Pyschology Specialists Salary Scale (200 Day) Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 15 Step 20 Step 25 Step 28 40,209 41,833 43,523 45,281 47,111 49,014 50,994 53,054 55,198 57,428 59,748 62,735 65,723 68,710 71,698 Approved Speech Pathologists Salary Scale (191 Day) Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 15 Step 20 Step 25 Step 28 35,894 37,344 38,853 40,423 42,056 43,755 45,522 47,362 49,275 51,266 53,337 56,004 58,671 61,337 64,004

9 Anne Arundel County Public Schools Unit I Salary Scale Approved Guidance Counselor Salary Scale (200-Day) Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 12 Step 15 Step 20 Step 25 Step 28 Bachelor s 31,083 32,338 33,645 35,004 36,418 37,890 39,420 41,013 42,670 44,394 46,187 SPC Master s Equivalent 32,985 34,318 35,704 37,147 38,647 40,209 41,833 43,523 45,281 47,111 49,014 50,994 53,544 56,094 58,643 61,193 APC Master s Degree 32,985 34,318 35,704 37,147 38,647 40,209 41,833 43,523 45,281 47,111 49,014 50,994 53,544 56,094 58,643 61,193 SPC Master s Degree 33,645 35,004 36,418 37,890 39,420 41,013 42,670 44,394 46,187 48,053 49,994 52,014 54,615 57,216 59,816 62,417 APC Master s ,318 35,704 37,147 38,647 40,209 41,833 43,523 45,281 47,111 49,014 50,994 53,054 53,055 55,582 58,108 60,635 SPC or APC Master s ,704 37,147 38,647 40,209 41,833 43,523 45,281 47,111 49,014 50,994 53,054 55,198 57,958 60,718 63,478 66,237 SPC or APC Doctorate 37,147 38,647 40,209 41,833 43,523 45,281 47,111 49,014 52,014 54,116 56,302 58,576 61,505 64,434 67,363 70,292 Approved Guidance Counselor Salary Scale (12-Month) Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8 Step 9 Step 10 Step 11 Step 12 Step 15 Step 20 Step 25 Step 28 Bachelor s 35,004 36,418 37,890 39,420 41,013 42,670 44,394 46,187 48,053 49,994 52,014 SPC Master s Equivalent 36,418 37,890 39,420 41,013 42,670 44,394 46,187 48,053 49,994 52,014 54,116 56,302 59,117 61,932 64,747 67,562 APC Master s Degree 36,418 37,890 39,420 41,013 42,670 44,394 46,187 48,053 49,994 52,014 54,116 56,302 59,117 61,932 64,747 67,562 SPC Master s Degree 37,147 38,647 40,209 41,833 43,523 45,281 47,111 49,014 50,994 53,054 55,198 57,428 60,299 63,171 66,042 68,913 APC Master s ,420 41,013 42,670 44,394 46,187 48,053 49,994 52,014 54,116 56,302 58,576 60,943 63,990 67,037 70,084 73,131 SPC or APC Master s ,013 42,670 44,394 46,187 48,053 49,994 52,014 54,116 56,302 58,576 60,943 63,405 66,575 69,746 72,916 76,086 SPC or APC Doctorate 41,833 43,523 45,281 47,111 49,014 50,994 53,054 55,198 57,428 59,748 62,162 64,673 67,907 71,140 74,374 77,608

10 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS Employee Benefits and Terms of Employment for Teachers Payday: Sick Leave: Sick Leave Accrued in Other Maryland Public School Systems: Personal Business Leave: Sick Leave Bank: Blue Cross/Blue Shield- Traditional Medical: Blue Cross/Blue Shield Preferred Provider Network: Health Maintenance Organization: Traditional Dental Plan: Dental Preferred Provider Organization: Dental HMO: Select Vision Program: Term Life Insurance: Pension System: Reimbursement for Further Study: Sabbatical Leave: Experience Credit for Prior Teaching: Military Service Credit: Religious Days: Workers Compensation: Liability Insurance: Bi-weekly (every other Wednesday) through direct deposit; teacher selects either 22 or 26 paydays per year. One-half day earned per pay period with unlimited accumulation; one year leave credited at beginning of school year; unused sick leave credited for $40.00 per day severance pay at retirement. Transferable at the rate of 11 days per year. Two days per year; cumulative to four days; additional days converted to sick leave. Available through the Teachers Association of Anne Arundel County. Board s contribution equal to its share of the premium for the Blue Cross/ Blue Shield-Preferred Provider Network. 90% of the premium paid by the Board of Education. Board s contribution equal to its share of the premium for the Blue Cross/Blue Shield-Preferred Provider Network. Board s contribution equal to its share of the premium for Preferred Provider Network. 90% of the premium paid by the Board of Education. Paid in full by the Board of Education. 90% of the premium paid by the Board of Education for Option 1 and an equal contribution paid by the Board of Education for Option 2. $50,000 policy fully paid by the Board of Education; additional $5,000 units up to $50,000 and $25,000 units up to $200,000 are available with premium payable by the teacher. Membership is mandatory; must contribute 2% of annual salary. $ per credit hour for college coursework leading to certificate renewal or professional improvement. Available for approved programs of study after six full years of continuous service. Fifty percent of salary and 100% of benefits during the leave. Up to ten years credited for teaching in other public schools, K-12. Up to two years of full-time active military service acceptable for steps on the salary scale. Up to three days per school year with pay for observance of religious holy days. Up to 60 days for injuries in line of duty as provided under the Workers Compensation Law. The Board s insurance program will pay all sums which employees may become legally obligated to pay as damages because of bodily injury or property damage arising out of their activities while on duty AACPS DPS/JH 1393/4 (Rev. 6/00)NS

11 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS 2644 Riva Road Annapolis, MD Application Insert #1 Name Social Security Number Limitation on level of assignment (check one): No Limitation Elementary/Middle School only High School only Elementary candidates can be considered for middle school assignments. If you are interested in being considered for a middle school assignment, please check the area in which you have 12 or more semester hours of credit and for which you would like consideration. English Math Social Studies Science Appropriate secondary certification areas (check all that apply): English Drama Journalism Speech Social Studies Psychology Mathematics Computer Science/ Instructional Technology Science Biology Chemistry Earth Environmental Physics Physical Unified Foreign Language French Spanish German Latin Russian ESOL Other Business Education General Business Computers Work Study Coordinator Marketing Education Health Occupation Program Family & Consumer Science (Home Economics) Technology Education (Industrial Arts) Vocational List Trades: 1999 AACPS DPS/JH 1330/111a (Rev. 4/99)NS

12 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS 2644 Riva Road Annapolis, MD Application Insert #2 To be completed by the applicant whose certification nomally covers K-12 assignments. Name Social Security Number Check approprate certification areas (Please check all that apply): Art Music Physical Education Special Education Infant/Toddler Early Childhood Visually Impaired Hearing Impaired Severely/Profoundly Disabled Mentally Retarded Orthopedically Disabled Learning Disabled Seriously Emotionally Disturbed Autistic Media Services School Psychologist Speech Pathology Outdoor Education Reading Guidance Non-categorical (multi-disabled, head trauma, brain injury) Vocational education for the disabled Other Preference for Teaching Setting and Age of Student Population (Special Education applicants only): Self-contained setting Center setting Resource setting Co-teaching setting Infant/primary certification (birth-grade 3) Elementary/Middle certification (grades 1-8) Secondary/Adult certification (grades 6-12) Additional Information about experience and training (If more space is needed, please use reverse side of sheet.) 1999 AACPS DPS/JH 1330/111b (Rev. 3/99)NS

13 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS 2644 Riva Road Annapolis, MD Race & Gender Information Anne Arundel County Public Schools seeks the following information to comply with its obligations under all applicable equal employment laws. Individuals are encouraged to complete this form. Those who choose not to provide race or gender information will be placed in the largest applicant group. In keeping with this school system s policy, an individual who knowingly falsifies a race or gender claim is subject to disqualification. The provided information will not be used to discriminate against you in any way. Date Full Name Last First Initial Social Security Number Gender Female Male Race American Indian or Alaskan Native A person having origins in any of the original peoples of North America. Asian or Pacific Islander A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Pacific Islands. This area includes, for example, China, Japan, Korea, the Philippine Islands, and Samoa. Black, not of Hispanic Origin A person having origins in any of the black racial groups. Hispanic A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race. White, not of Hispanic Origin A person having origins in any of the original peoples of Europe, North Africa, the Middle East, or the Indian subcontinent AACPS DPS/JH 1330/118 (Rev. 3/99)NS

14 ANNE ARUNDEL COUNTY PUBLIC SCHOOLS 2644 Riva Road Annapolis, MD An Equal Opportunity Employer Professional Reference Part I To be completed by applicant I am applying for a position as with Anne Arundel County Public Schools. To aid consideration of my candidacy, please complete the form below and on the reverse side. Upon its completion, please return it in the enclosed envelope addressed to Anne Arundel County Public Schools. I authorize you to provide this recommendation with the understanding that it is confidential and becomes the property of the for the school system. Signature Social Security Number Print Name Date Part II To be completed by writer of recommendation Type of Position Held by Applicant Applicant s Dates of Service From: To: Day Month Year Day Month Year Teacher Student Teacher Other Explain: Interruptions in service: Reasons for leaving: (Please complete reverse side)

15 Part II cont. Performance Rating (Please check the appropriate box) Instructional Planning Highly Proficient Effective Marginal Unsatisfactory Classroom Organization/Management Teaching Learning Process (Effective Instruction) Interpersonal Relations Professional Growth (Self-evaluation & reaction to supervision) Communication Skills Attendance/Punctuality Overall estimate of teaching capability Would you employ/re-employ this applicant? Yes No Recommendation (Please circle the one number that serves as your overall reaction to this applicant s candidacy for a position with our school system.) Recommend Highly Recommend (Above Average) Recommend Recommend with Reservations Not Recommended Comments Signature Date School District or Business Address: Name-Typed or Printed Title Phone Number Relationship to the applicant 1999 AACPS DPS/JH 1330/112 (Rev. 3/99)NS