CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT HUMAN RESOURCES DEPARTMENT Employment Procedures - Certified

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CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT HUMAN RESOURCES DEPARTMENT Employment Procedures - Certified Applicant File * An application file must be complete to be evaluated. The file must contain: * An original application form, * A letter of interest, * A personal resume, * Three (3) letters of recommendation, * Wisconsin Teaching Certificate(s), and Applicants should submit copies of all appropriate Wisconsin teaching certificates, as well as copies of any teaching certificates issued by any other state. If an applicant has made application for a teaching certificate with the Wisconsin Dept. of Public Instruction but it has not yet been issued, the applicant shall submit a copy of the certificate to the Human Resources Dept. as soon as the applicant receives it. Recent graduates of Wisconsin colleges or universities who have not had time to secure a Wisconsin Teaching Certificate must submit a Professional Education Certificate issued by your training institution as a temporary license. * Transcripts. Copies of transcripts are acceptable for all undergraduate and graduate studies during the application process, but official transcripts mailed from your college or university are required before you may be hired for a district position. Screening/Interviews Completed application files will be screened based on the initial evaluation of materials, and from that, a pool of the most qualified applicants will be established as eligible for interview. Those candidates who appear to be among the most qualified for the position will receive an invitation to interview. Applicants scheduled to interview may be asked to provide evidence supporting their work such as a professional portfolio, CD/DVD and/or video tape. All materials will be returned at the conclusion of the interview. A background investigation will be performed on the top candidate(s) and will include but not be limited to, telephone reference checks and employment experience verification(s). Offers of employment are conditional based upon the satisfactory completion of a criminal background check with the Department of Justice. Contract/Salary Schedule The salary for new teachers will be based upon education, experience and the union contract salary schedule. The top candidate who has been offered employment with the Chippewa Falls Area Unified School District will meet with the Superintendent and/or Director of Human Resources/Public Relations to sign a contract. A signed contract is not binding until the hire has been approved by the Board of Education.

CHIPPEWA FALLS AREA UNIFIED SCHOOL DISTRICT 1130 Miles Street Chippewa Falls, WI 54729 APPLICATION FOR EMPLOYMENT Each item on this application is important. Please read and complete carefully and accurately. PLEASE PRINT OR TYPE I. PERSONAL DATA Date of Application Social Security Number Name Present Address (Last) (First) (Middle) (Street) (City) (State) (Zip) (Phone) Position for which you are applying Date available for employment in this school district Have you previously filed an application with this school district? If so, on what date? (If any of your educational or employment records are under other than the above name, please provide the names.) II. TEACHER CERTIFICATION Are you licensed by the Wis. Dept. of Public Instruction in Wisconsin? Have you applied? In which disciplines? (1) (2) (3) (4) (5) (6) Date license issued Expiration Date ** Include a copy of your current teaching license with your application. (Wisconsin State Certification must be received in our Human Resources Department prior to employment) III. EDUCATIONAL BACKGROUND (College, University, Business college or other schools)

Type of School Name and City Years Attended Degree/Date GPA Majors/Minors IV. STUDENT TEACHING Dates From/To Name of School and Location Name of Cooperating Teacher Semester Hours Earned Grade V. PAID TEACHING EXPERIENCE From To School district Name Subjects/Grades % If Month/Year Month/Year and Location Taught Part-time VI. OTHER WORK EXPERIENCE Start with most recent job. Be certain to include services in the armed forces. Indicate any changes in job title under the same employer as a separate position. You may wish to attach a separate sheet with additional pertinent information. Date Name of Employer Location Type of Work Reason for Leaving From/To City and State

REFERENCES PROFESSIONAL REFERENCES - (Include superintendents and principals if applicable). Name Address Phone Occupation or Business 1) 2) 3) PERSONAL REFERENCES - (Not relatives or former employers). Name Title Telephone No. 1) 2) VIII. APPLICANTS: All positions may include curricular and/or extra-curricular activity assignments. List curricular and extracurricular activities which you have participated in and would be willing and qualified to direct: 1. 2. 3. (x) the area(s) in which you have documented training and/or experience: Experience is defined as actually having practiced and/or taught Training is defined as formal academic and/or workshops, inservices, etc. Experience Training 10 Teaching Standards WI Model Academic Standards Standards Based Instruction/Assessment Differentiation of Instruction Gifted and Talented Collaborative/Integrated Teaching Standards-Based Math using Manipulatives Balanced Literacy Title I and Integration into Classroom Computers integrating technology into instruction word processing games/skills practice English Language Learners Six Trait Writing Signing (Hearing Impaired) Diverse student population (at risk students - not special education) Cooperative Learning Multi-Aged Learning Middle School Concept Alternative Assessments Multi-Cultural Curriculum Early Education Responsive Classroom or Tribes Training Other SUBJECT MATTER STRENGTH: Lang. Arts Math Reading Social Studies Science IX. TEACHING OBJECTIVES: Please answer the following questions on a separate sheet of paper (please answer in your own handwriting) and attach it to this application. CERTIFIED TEACHING POSITION: If you are applying for a certified teaching position, please respond to the following questions in a brief and concise manner.

1. What are your three most important reasons for wanting to be a teacher? 2. What three things do you most want to know about your students in order to be most helpful to them? 3. What do you need to know in order to begin your lesson planning for a class? 4. What four key components do you believe you must include in your plan? 5. When you think about your students, in what major way do you most want to influence their lives? 6. What two core teaching strategies do you most use to achieve this result? SCHOOL COUNSELOR: If you are applying for school counselor position, please respond to the following questions in lieu of the above in a brief and concise manner. 1. Describe an effective developmental guidance program. 2. How would you as a school counselor see your role at each level elementary, middle school and high school? 3. Describe your experience or expertise in the area of multicultural counseling and multicultural programs. 4. What experience or training have you had in career development/career planning guidance programs and in the school-tocareer transition aspects of a guidance program? 5. Describe your experience and expertise in delivering guidance curriculum in the classroom and in providing group guidance and counseling activities. 6. What experience have you had in working with community partnerships? Please specify the type of partnership. SPEECH CLINICIAN: If you are applying for speech/language clinician position, please respond to the following questions in lieu of the above in a brief and concise manner. 1. Describe an effective speech/language service delivery model in a school district. 2. Describe your role with teachers and support staff in the school district or a specific building. 3. In what ways can you empower families to better meet the speech and language needs of their children? 4. What specific areas of expertise or training would you bring to this position? (e.g. autism, assistive technology, etc.) 5. Describe how you would prepare for a speech and language referral, assessment, IEP, and placement? Offers of employment are conditional based upon the satisfactory completion of a criminal background check with the Department of Justice. Conviction of a crime or pending charge is not an automatic bar to employment. The district will consider the nature of the offense, the date of the offense and the relationship between the offense and the position for which you are applying. Have you ever been found guilty of, or do you presently have pending, any violations of law including ordinance violations other than minor traffic violations? (In accordance with State law, pending charges or convictions will not be used or considered unless they are substantially related to circumstances of the particular job.) Yes No If Yes, explain

Release/Certification I hereby authorize the Chippewa Falls Area Unified School District and any agent acting on its behalf, to investigate my employment history and any other information related to my suitability for employment. I authorize any former employer, person, reference, firm, corporation, educational institution, or government agency to give the Chippewa Falls School District any information regarding my background. In review of this application, I release from all liability and/or legal claims the Chippewa Falls School District, its Board, and its agents, as well as all providers of information from any liability and for any damage which may result from the furnishing and receiving of this information. A photocopy of this release shall be as valid as the original and may be relied upon by all persons providing information. Further, I certify that all information on this application is true, complete, and correct to the best of my knowledge. I understand that any false or misleading statements made by me, or material omission of information requested of me, shall constitute grounds to deny employment, or if employed, for my immediate dismissal. I herby acknowledge that I have read and understand the foregoing. Signature Date The Chippewa Falls Area Unified School District is an Equal Opportunity Employer that complies with all provisions of the Americans with Disabilities Act. With respect to employment and personnel operations, the District does not discriminate on the basis of religion, race, color, national origin, ancestry, age, sex, marital or parental status, physical or mental handicap, arrest or conviction record, sexual orientation, source of income, creed, membership in the armed forces, or the fact that an individual is a student. Return this application to: Human Resources Department Chippewa Falls Area Unified School District 1130 Miles Street Chippewa Falls, WI 54729