CRUHSD Administrative Application

Administrative Application

Colorado River Union High School District #2

Administrative Application

 

PERSONAL INFORMATION

Name  
 LastFirstMiddle

 

Home Address  
 Street/P.O. BoxCityStateZip

Home Telephone        E-Mail 

Business Address  
 Street/P.O. BoxCityStateZip

Business Telephone 

 
In what languages are you fluent? 

 

PRESENT POSITION:
Title Since 
Employing Institution Telephone 

Address (Street, City, State, Zip)   

Total Pupils Enrolled Number of Elementary Schools 
Number of Classified Staff Number of Middle/Jr. High Schools 
Number of Certified Staff Number of Senior High Schools 
Present Salary $Length of Present Contract 
Expiration Date Date Available 
Reason for leaving present position 
Name of immediate supervisor Title 
Phone-Business Phone-Residence 

 

CERTIFICATION:

Position(s) for which you are applying 
What Arizona Certificates do you hold or are eligible to obtain?  Superintendent   Principal   Supervisor   Other

 

EDUCATION: (See Resume is not sufficient)

Name of SchoolLocationDates of AttendanceDate of Degree

 

Highest degree earned: Graduate semester hours earned after highest degree: 
Undergraduate Major: Minor: GPA: 
Graduate degree(s) in: GPA: 

 

EXPERIENCE: Educational - List in consecutive order beginning with present position.

School and DistrictDate (From-To)Type of PositionReason for Leaving

 

REFERENCES: List the name of persons who know you and your current work.  These my be in addition to references on your resume.

NamePositionTelephoneE-mail

 

PLEASE RESPOND TO THE FOLLOWING:

Describe your leadership style:

 

Describe your role in the design and implementation of curriculum in the area for which you are applying:

 

How will you use teacher evaluations to improve instruction in the area for which you are applying?

 

What are the major areas of responsibility and the skills needed for the position for which you are applying?

 

STATED REQUIREMENTS AND INFORMATION:

Candidates should possess a high level of energy and be in sound physical health (the Governing Board may require at its own expense a complete physical exam prior to entering into a contract).

All applicants without a current certification for the position they are applying for are responsible for contacting Teacher Certification, Arizona State Board of Education, PO Box 6490, Phoenix, AZ 85005-6490, (602) 542-4367 to determine eligibility for certification and providing written documentation with this application.

This is to advise you of the Access to Public Records Law and associated case law in the State of Arizona requires the disclosure of applicant name and information at a point in the selection process as determined by local Governing Board. We will do our best to notify you prior to any release of such information.

The School District is an Equal Opportunity Employer, complies with Title IX, and shall seek the “best qualified” applicants for all vacant positions regardless of race, creed, age, sex, religion, handicap, or national origin.

Applicants are asked not to contact the Governing Board except as requested to do so.

It is necessary to have the following documents on file with the Personnel Office to be considered for this administrative position:

  1. A completed application
  2. Letter of formal application
  3. Resume
  4. Copy of current administrative certification
  5. Set of current confidential credentials from applicant’s university, including official transcripts (copies acceptable until contract is signed).
  6. Three current letters of reference.

 

Address all communications to:

Office of the Superintendent

Colorado River Union High School District #2

Post Office Box 21479

Bullhead City, AZ 86439

(928) 768-1665

(928) 768-1702 

 

Should this appication be treated as confidential with regards to your present employer?  Yes  No

 

ACKNOWLEDGEMENT OF APPLICANT:

I certify that every answer and statement I have provided on and accompanying this application is complete, truthful and current.  I understand and agree that:

  1. If any information is omitted from or not filled in on this application, or if any false information is furnished, the district may reject my application.
  2. If any false information is furnished, I will be ineligible for any future consideration for employment and may be subject to criminal prosecution, and
  3. If I am employed by the District and if it is later determined that I have furnished false information on this Application, whether intentional or not, I may be dismissed from employment, criminally prosecuted, and if certified, my certificate may be revoked.

I authorize investigation of all statements on the application form and other material provided as part of my application for this position.  Yes  No

 


BACKGROUND CHECK AND INFORMATION:

In addition to the following, a thorough background check may be made at the option of the Governing Board.

"Yes" answers to the following questions will not necessarily result in denial of employment.  The district will consider all the circumstances, including the date and nature of events which have led to the actions described below.  Your written explanation will assist the District in determining your eligibility and suitability for employment.

A. Have you ever been convicted of, admitted committing, plead no contest, or are you awaiting trial for any crime (excluding only minor traffic violations nor involving any allegation of drug or alcohol impairment)?  You must answer “YES” even if the matter was later dismissed, deferred, reversed, vacated or expunged. If you answer “YES” you must provide dates of the proceedings, the name and address of the court where the proceedings occurred, a statement of the accusation against you and the final disposition of the case(s).

Yes    No

Explanation: 

B. Have you ever been dismissed (fired) from any job, or resigned at the request of your employer, or while charges against you or an investigation of your behavior was pending? You must answer “YES” even if the matter was later resolved with any form of settlement or severance agreement, regardless of its terms. If you answer “YES” you must provide the date of termination of employment, the name, address and telephone number of the employer(s) and a statement of the alleged reasons for termination.

Yes    No

Explanation: 

C. Have you ever had any license or certificate of any kind (teaching certificate or otherwise) revoked or suspended, or have you in any way been sanctioned by, or is any charge or complaint now pending against you before any licensing, certification or other regulatory agency or body, public or private? If you answer “YES” you must provide the dates of proceedings, name, address, and telephone number of the agency or body where proceedings took place, a statement of the accusations against you, the final disposition and/or current status of the change or complaint.

Yes    No

Explanation: 

D. Are you now being investigated for any alleged misconduct or other alleged grounds for discipline by any licensing, certification or other regulatory body (teacher certification or otherwise) or by your current or any previous employer? If you answer “YES” you must provide the name, address and telephone number of the employer or licensing body and a statement of the accusation against you.

Yes    No

Explanation: 

 


Consent to Conduct Background Investigation and Release

I have applied for employment with Colorado River Union High School District to work.  I understand that in order for the School District to determine my eligibility, qualifications, and suitability for employment, the School District will conduct a background investigation to determine if I am to be considered for an offer of employment.  This investigation may include asking my current employer, any former employer, and any educational institution I have attended about my education, training, experience, qualifications, job performance, professional conduct, and evaluations, as well as confirming my dates of employment or enrollment, position(s) held, reason(s) for leaving employment, whether I could be rehired, reasoning for not rehiring (if applicable), and similar information.

I hereby give my consent for any employer or educational institution to release any information requested in connection with this background investigation.  Yes  No

According to the Family Educational Rights and Privacy Act, I understand that I have a right to see most education records that are maintained by any educational institution.
 
In light of the preceding paragraph, Iwaive / do not waive my right to see any written reference or other information provided to the School District by any educational institution.
 
According to Arizona Revised Statutes Section 23-1361, any employer that provides a written communication to the School District regarding my current or past employment must send me a copy at my last known address.  I acknowledge that some employers are unwilling to provide factual written references concerning a current or past employee unless they may do so confidentially, without revealing the references to the employee, and that the School District will not further consider my application if it cannot complete its background investigation.
 
In light of the preceding, Iwaive / do not waive my right to receive a copy of any written communication furnished to the School District by any employer.
 
Whether or not I have waived my right to see or to receive copies of written references furnished to the School District by employers or educational institutions, I release, hold harmless, and agree not to sue or file any claim of any kind against any current or former employer or educationa institution, and any officer or employee of either, that in good faith furnishes written or oral references requested by this School District to complete its background investigation.  Yes  No
 
 
I consent to have Colorado River Union High School District conduct a background investigation.
I do not consent to have Colorado River Union High School District conduct a background investigation.
 
 

HR department

Notice Office of Civil Rights

The Colorado River Union High School District does not discriminate on the basis of race, color, religion, national origin, sex, disability, age or sexual orientation in admission and access to its programs, services, activities, or in any aspect of their operations and provides equal access to the Boy Scouts and other designated youth groups.  The Colorado River Union High School District also does not discriminate in its hiring or employment practices.  The following employees have been designated to handle inquiries regarding the nondiscrimination policies:

The following people have been designated to handle inquiries regarding non-discrimination policies:

Title IX Coordinator
District Superintendent
Address:1004 Hancock Blvd
Telephone Number:m928-758-3961
Email: complianceofficer@crsk12.org

Section 504/ADA Coordinator
District Director of Special Education Services
Address:1004 Hancock Blvd
Telephone Number: 928-758-3916
Email: complianceofficer2@crsk12.org

 

 (Spanish translation)

Declaración de Derechos Civiles

El Colorado River Union High School District no discrimina por motivos de raza, color, religión, origen nacional, sexo, discapacidad, edad u orientación sexual en la admisión y el acceso a sus programas, servicios, actividades o en un aspecto de sus operaciones, y brinda acceso equitativo a los Boy Scouts y otros grupos juveniles designados. El Colorado River Union High School District tampoco discrimina en sus prácticas de contratación o empleo. Los siguientes empleados han sido designados para atender consultas relacionadas con las políticas de no discriminación:

Consultas se pueden dirigir al coordinador del título IX, al superintendente de distrito o al coordinador de título II de la sección 504/ADA, director de servicios de educación especial en

Coordinador del título IX,

Al Superintendente de distrito

  Direccion de oficina :1004 Hancock Blvd

  Número de teléfono928-758-3961

  Correo electrónicocomplianceofficer@crsk12.org

Coordinador de título II de la sección 504/ADA

Director de servicios de educación especial

Direccion de oficina: 1004 Hancock Blvd
Número de teléfono: 928-758-3916
Correo electrónicocomplianceofficer2@crsk12.org

 



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