PORTLAND SCHOOL DEPARTMENT

APPLICATION

SUPERINTENDENT OF SCHOOLS

The Portland School Committee does not discriminate in the operation of its educational and employment policies and will honor all appropriate laws relative to discrimination.

PERSONAL INFORMATION

Name ____________________________________________________________________________________

Last First Middle

Address ________________________________________________________ Home Phone _______________

_______________________________________________________________ Office Phone _______________

City State Zip

_________________________ I may be contacted: at work _____ at home _____ email_____

Email Address (please check)

APPLICATION INSTRUCTIONS

A person will be considered an applicant only when the following items are received:

1. A letter of application in which you describe why you would like to be Superintendent of Schools in Portland, Maine.

2. A completed and signed application form. (Please give all information requested on the application, even though it may be duplicated on your resume.)

3. The three (3) personal statements requested in this application.

4. A current resume.

5. Current letters of reference from a minimum of three persons.

6. A copy of your Maine Superintendent of Schools certificate or evidence that you are eligible for certification as a superintendent in Maine and have submitted an application to the Maine Department of Education.

7. College/University transcripts.

8. Voluntary Affirmative Survey.

9. Completion of Background Check Information Form.

Send all information to: Please note:

Portland Superintendent Search On the completion of the search, all application materials will

c/o Maine School Management Assn. be retained by the Portland School Committee for three years.

49 Community Drive MSMA does not retain applicant files for use in future

Augusta, ME 04330 searches. A new application is required for each search.

All application documents listed above must be postmarked on or before October 31, 2008.

Applicants are requested not to contact members of the Portland School Committee

CURRENT SCHOOL DISTRICT INFORMATION

Are you presently under contract to a school system? Yes _____ No _____

If so, when does your contract expire? _________________________________________________________

Name of system ________________________________________________ State ______________________

Position _______________________________________________ Present Salary ______________________

CERTIFICATION INFORMATION

Are you currently certified as a Superintendent of Schools in Maine?

Yes _____ (expiration date: __/__/__) No _____

Are you eligible to be certified as a Superintendent of Schools in Maine? Yes _____ No _____

Are you presently certified as a Superintendent of Schools in another state? Yes _____ No _____

If yes, in what state(s)? ___________________________________________

NOTE: Candidates who do not hold the Maine Superintendent Certificate (010) should contact the Maine Department of Education, Division of Certification and Placement, 23 State House Station, Augusta, Maine 04333; Tel. (207) 624-6603.

ACADEMIC AND PROFESSIONAL TRAINING

Colleges/Universities Location Degree Number of

Attended Years Completed

_________________________________________________________________________________________

Please have copies of your college/university transcripts and any other credentials on file sent to the Search Consultant at the address on this application.

MEMBERSHIPS IN PROFESSIONAL ORGANIZATIONS

_________________________________________________________________________________________

PROFESSIONAL EXPERIENCE (Please list, beginning with your current or most recent experience.)

Number Dates Position/Responsibilities School System

Years From/To

__________________________________________________________________________________________

OTHER RELEVANT WORK EXPERIENCE AND ACHIEVEMENTS

__________________________________________________________________________________________

CIVIC AND COMMUNITY INVOLVEMENT

__________________________________________________________________________________________

PERSONAL STATEMENTS - As a means of learning more about you, the Committee requests that you respond to the questions below. Please answer the questions directly and cite examples to support your positions. Each response should be limited to two pages or less.

1. What has been one of your biggest successes? How did you measure that you were successful? What has been a challenge for you that was difficult to resolve? How did you work through it? What resources did you call upon for help?

2. Describe your experience working with language minority populations. Provide evidence that would reflect your understanding of minority population needs.

3. Describe your philosophy of education and management style. Give examples of how you have best implemented each.

REFERENCES - Please list the names of the people providing the three current letters of reference requested with this application and indicate by number which of them best know: (1) your ability as an administrator; (2) your personal qualities and character traits; or (3) your scholastic or other attainments.

# Name Position Address Phone

__________________________________________________________________________________________

OTHER INFORMATION - The Portland School Committee is committed to conducting a thorough screening of applicants for all positions and requires the completion of the following questions of all candidates.

Have you ever been disciplined, discharged, or asked to resign from a prior position? Yes____ No____

Have you ever resigned from a prior position after a complaint had been received against

you or your conduct was under investigation or review? Yes____ No____

Has your contract in a prior position ever been non-renewed? Yes____ No____

Have you ever not been nominated for re-employment in a prior position or ever had

your nomination for re-employment not be approved? Yes____ No____

Have you ever been charged with or investigated for sexual abuse or harassment of

another person? Yes____ No____

Have you ever been convicted of a crime (other than a minor traffic offense)? Yes____ No____

Have you ever entered a plea of guilty or “no contest” (nolo contendere) to any crime

(other than a minor traffic offense)? Yes____ No____

Have you ever had a professional license or certificate suspended or revoked in any state,

or have you ever voluntarily surrendered, temporarily or permanently, a professional license

or certificate in any state? Yes____ No____

Has any court ever deferred, filed, or dismissed proceedings without a finding of guilty and

required that you pay a fine, penalty or court costs, and/or imposed a requirement as to your

behavior or conduct for a period of time in connection with any crime (other than a minor

traffic offense)? Yes____ No____

If you have answered YES to any of the previous questions, provide full details on an additional sheet including, with respect to court actions, the date, offense in question, and the address of the court involved. Conviction or other disposition of a crime is not necessarily an automatic bar to employment.

My signature below constitutes authorization to check my employment history, including without limitation, criminal arrest and conviction record checks, reference checks, and release of investigatory information possessed by any state, local, or federal agency. I further authorize those persons, agencies, or entities that the Portland School Committee contacts in connection with my employment application to fully provide the Portland School Committee any information on the matters set forth above. I expressly waive in connection with any request for or provision of such information, any claims, including without limitation, defamation, emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against the Portland School Committee, its agents and officials, Maine School Management Association, or against any provider of such information.

I understand that information submitted in and with this application may be disclosed to a screening and/or interviewing committee, which may include Committee members, administrators, other staff, and members of the community. I give my consent to this disclosure.

_________________________ _______________________________________________

Date Signature

NOTE: ALL APPLICATION MATERIALS BECOME THE PROPERTY OF THE PORTLAND SCHOOL DEPARTMENT. NONE WILL BE RETURNED. PROVIDING ANY FALSE OR MISLEADING INFORMATION ON THIS APPLICATION OR IN THE APPLICATION OR EMPLOYMENT SCREENING PROCESS SHALL BE FULLY SUFFICIENT GROUNDS TO REFUSE TO EMPLOY THE APPLICANT OR, IF THE APPLICANT HAS BEEN EMPLOYED, TO IMMEDIATELY DISMISS THE APPLICANT/EMPLOYEE.

The Portland School Department is an Equal Opportunity Employer.

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