APPLICATION FOR SUPERINTENDENT OF SCHOOLS CASSIA COUNTY SCHOOL DISTRICT NO. 151

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IDAHO SCHOOL BOARDS ASSOCIATION Attn: Superintendent Search PO Box 9797, Boise, ID 83707 Facsimile: (208) 854-1480 Direct questions to Misty Swanson at ISBA: misty@idsba.org or (208) 854-1476 APPLICATION FOR SUPERINTENDENT OF SCHOOLS CASSIA COUNTY SCHOOL DISTRICT NO. 151 Deadline to Apply: February 9, 2018 Applicant Name: Phone Number: Address: E-mail Address: A completed application must include: 1) Application form; 2) Letter stating qualifications, educational philosophy, experience, and reasons for interest in position; 3) Current resume; 4) College/university placement papers and academic transcript, including degrees; 5) Three to five letters of recommendation; and 6) Verification that the candidate holds, or will be qualified to hold, an Idaho credential/license as a Superintendent. Please Note: This form is a fillable PDF. If you have any issues completing the form, please contact Misty at the ISBA Office for assistance. Cassia County School District Application for Superintendent Page 1 of 9

Acknowledgements I understand fingerprinting and a criminal history check are required by law for any successful application of the Cassia County School District. The cost of the fingerprinting is considered an expense to the applicant upon hire and will not be reimbursed by the Cassia County School District. The current processing fee for fingerprinting is $25.00. The District s final offer of employment is contingent upon the successful completion of a criminal history check through the State Department of Education. I understand that any contract issued is conditioned upon having an Idaho Administrator s Certificate endorsed for Superintendent valid for the period of service covered by the Contract, and any false statement made in this application shall constitute sufficient grounds for voiding any Contract issued at the discretion of the Board of Trustees of Cassia County School District. I understand Cassia County School District and/or their superintendent search consultant, Idaho School Boards Association, may communicate with all my former employers, school officials and persons who have knowledge of my professional qualifications and to furnish any/all information regarding me, including information contained in my personnel file. I also understand Cassia County School District may request copies of my personnel file from my current employer or prior employers in accordance with Idaho Code 33-1210. Should any out-of-state educational employer refuse to provide the contents/information contained in my personnel file, I will work with the superintendent search consultant to obtain cooperation and information/documentation release from such former out-of-state employer. I hereby release all employers, schools and individuals from any liability for any damage whatsoever resulting from giving such information. Are you eligible to work in the United States? Have you been convicted of a criminal offense other than a minor traffic violation? Such disclosure should include but not be limited to any finding of guilt, plea of guilt, Alford Plea, Withheld Judgment and/or any other such similar conditional or provisional conviction of any criminal offense other than a minor traffic violation. Have you ever had any indicated finding of child abuse filed in your name including but not limited to a finding by any court, governmental agency, professional organization or any other entity? If yes, explain in space provided at the end of this section. Does your name appear on any sex offender registry or database in any state or country? Cassia County School District Application for Superintendent Page 2 of 9

Please Note: A conviction will not necessarily bar you from employment. Facts, such as nature and severity of offense, date of occurrence and rehabilitation will be considered. This information will be used only for job-related purposes and only to the extent permitted by applicable law. Applicants are not obligated to disclose sealed or expunged records of conviction. Signature of Applicant Date Information from Applicant (If needed, use the space below to provide further information related to the acknowledgments listed above.) Cassia County School District Application for Superintendent Page 3 of 9

Certification A. Do you hold a current Administrator s Certificate endorsed for an Idaho Superintendent? If yes, please supply a copy of certificate. If no, please provide status of Idaho certification or other state certification. B. Have you ever had a diploma, credential or certification denied, revoked or suspended? C. Have you ever failed or refused to fulfill a contract of employment entered into by you with any school district? D. Have you ever been dismissed from any teaching or administrative position? Cassia County School District Application for Superintendent Page 4 of 9

E. Have you ever resigned from a teaching or administrative position during the course of a district/school investigation or review into alleged conduct, alleged misconduct, or alleged failure to fulfill the duties of your position? F. Have you ever been the subject of a complaint, investigation, or any disciplinary action by any certification or credentialing body of any state in relation to allegations associated with your professional credentials (i.e. Idaho Professional Standards Commission)? G. Are you under contract for the coming school year with any public or private school? Cassia County School District Application for Superintendent Page 5 of 9

References Please provide three (3) to five (5) references that are not included in your letters of recommendation. Be sure to include the following details: name, title, phone number, length of time known, and capacity you know the reference. Reference 1 Reference 2 Reference 3 Reference 4 Reference 5 Cassia County School District Application for Superintendent Page 6 of 9

Current Employment / Membership / Education A. Current Employment Are you presently under contract with a school district or other education-related employer? If yes, please provide name and address of that school district, private school, or other where presently employed: Grades Served: Enrollment: Total Budget: If offered the position, I would be able to accept a contract by the following date: B. Professional/Community Organization Membership Please provide names of Professional and Community organizations, city and state, membership role, and time period served. C. Education Please provide education in order of attendance. Submit transcripts if placement file is not available. Please provide the following: 1) college/university attended, 2) location, 3) dates of attendance, 4) degree earned and date of degree, 5) major and minor, and 6) any other degrees attained. Cassia County School District Application for Superintendent Page 7 of 9

D. List in rank order the areas in which you feel you excel with 1 being what you excel at the most and 10 being your least experience. Only one number should be given per area with no numbers repeated. Staffing Management Facilities & Bond Issues Policy Making Public Relations In-District Conflict & Problem Management Educational Program Management Budget Processes/ Fiscal Management Negotiations Community Relations Programs to Keep Students in School E. Employment History Please include chronological employment history noting employers name and address, positions held, duties performed, and dates of employment. Failure to identify all applicable employment history may be considered a false statement made in this application and may be considered sufficient grounds for voiding any contract issued by the District. Cassia County School District Application for Superintendent Page 8 of 9

Essay Questions Please attach pages for essay questions. Limit one page per question. 1. What are the three greatest challenges facing school superintendents today? 2. When are your leadership skills the most effective? Please give specific examples. 3. What knowledge, skills and abilities do you use to implement change? 4. What goals would you set for yourself and the district to ensure ongoing student academic achievement? 5. Do you believe the use of technology will increase student performance? Why or why not? 6. Describe your experiences in motivating your administrative team, instructional and classified staff members. Return Completed Applications Materials to: Idaho School Boards Association Attn.: Superintendent Search Email: misty@idsba.org; OR Mail: PO Box 9797, Boise, ID 83707; OR Facsimile: (208) 854-1480 *Please Note: You will receive a confirmation email from Misty Swanson when your application packet has been received. If you don t receive the confirmation email within 48 hours, please call Misty at (208) 854-1476 to confirm. Cassia County School District Application for Superintendent Page 9 of 9