ࡱ> 3 3jbjb^^ h<h<l   T,, 4 44` ```4 `,,4`*`$>"L  ``  Derry Township School District 30 East Granada Avenue, PO Box 898 Hershey, PA 17033 AN EQUAL OPPORTUNITY EMPLOYER FEDERAL, STATE AND LOCAL LAWS PROHIBIT DISCRIMINATION BECAUSE OF RACE, COLOR, SEX, AGE RELIGION, CREED, NATIONAL ORIGIN OR ANCESTRY Administration Application To applicant: We appreciate your interest in the Derry Township Schools and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and educational history will aid us in placing you in the position that best meets your qualifications. Send your completed application to the personnel office. It will be retained in our active files for consideration in the event an opening occurs for which your competencies and experience can be utilized. Each year it will be the applicant's responsibility to contact the personnel office to reactivate an application. Return to Personnel Secretary, Derry Township School District, Hershey, PA 17033 Name (Last, First, Middle)  FORMTEXT      Social Security Number  FORMTEXT       FORMTEXT       FORMTEXT    Date  FORMTEXT      Present Address (Street, city, state and zip code)  FORMTEXT       Telephone No.Permanent Address (Street, city, state and zip code)  FORMTEXT       Telephone No.Person to call if we are unable to reach you:Name (Last, First, Middle)  FORMTEXT      Telephone No.  FORMTEXT      Present Address (Street, city, state and zip code)  FORMTEXT        Position for which application is made:Central Office FORMCHECKBOX  Assistant Superintendent FORMCHECKBOX  DirectorSpecify Area of Interest FORMCHECKBOX  Curriculum & Instruction  FORMCHECKBOX  Finance  FORMCHECKBOX  Personnel FORMCHECKBOX  Pupil Personnel Services  FORMCHECKBOX  Special Education  FORMCHECKBOX  Federal ProgramsElementary School FORMCHECKBOX  Principal FORMCHECKBOX  Asst. Principal FORMCHECKBOX  Guidance CounselorMiddle School FORMCHECKBOX  Principal FORMCHECKBOX  Asst. Principal FORMCHECKBOX  Guidance CounselorHigh School FORMCHECKBOX  Principal FORMCHECKBOX  Asst. Principal FORMCHECKBOX  Guidance CounselorOther FORMCHECKBOX  School Psychologist FORMCHECKBOX  Public Relations FORMCHECKBOX  Other FORMTEXT       Certification held:Do you have a Pennsylvania certificate?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, give the number  FORMTEXT       List areas of Administration Certification which appear on your teaching certificate:  FORMTEXT        FORMTEXT        FORMTEXT      Date certificate was issued?  FORMTEXT      Date made permanent  FORMTEXT       If you have not completed the requirements for Administrative Certification, when do you expect to receive certification? FORMTEXT      If you do not hold a Pennsylvania certificate, in what state is your certificate valid?  FORMTEXT       Education Positions held: School DistrictDates Month/Year to Month/YearPositionName, Phone No. of your Supervisor, Principal and/or Superintendent FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT      Total years teaching experience  FORMTEXT       Total years of Administrative experience  FORMTEXT       Did you have a Supervised Administrative Internship or other related experience?  FORMTEXT       Where?  FORMTEXT      Name of School?  FORMTEXT      School Enrollment?  FORMTEXT      College Supervisor of Administrative Internship or other related experience (Give name and address) FORMTEXT       FORMTEXT       FORMTEXT      School Supervisor (Give name and address) FORMTEXT       FORMTEXT       Scholastic Preparation:Name and Location of SchoolDates Degree, Diploma, certifications granted or credits to dateElementary School  FORMTEXT       High School FORMTEXT       College/University  FORMTEXT       Graduate Work  FORMTEXT       Other  FORMTEXT      Are you currently working towards a degree?  FORMTEXT      Where?  FORMTEXT      What Degree?  FORMTEXT       Services in U.S. Armed Forces:Did you serve in the U.S. Armed Forces?  FORMCHECKBOX Yes  FORMCHECKBOX No If yes, Date active duty started  FORMTEXT      Which service?  FORMTEXT       What branch of that service?  FORMTEXT      Starting Rank  FORMTEXT       Date of Discharge  FORMTEXT      Rank of Discharge  FORMTEXT      Service experience that would help with your competencies as a teacher?  FORMTEXT       Briefly, why do you wish to leave your present position?  FORMTEXT       What is your present salary?  FORMTEXT      What salary do you expect?  FORMTEXT      Can you appear for a personal interview?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoWhen?  FORMTEXT      Indicate whether you are attaching a resume to this application:  FORMCHECKBOX  Yes  FORMCHECKBOX  NoOther information regarding talents and/or experiences that would lend themselves to student or educational activities:  FORMTEXT        Work experiences that helped develop competencies for working with children and adults:  FORMTEXT        Educational References: List three or more persons qualified to give information on your professional ability. (Include only school superintendents, principals, supervisors, supervising teachers, and college professors)NameAddressPosition FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       FORMTEXT        FORMTEXT       FORMTEXT       Is there any additional information you feel you would like to add in regard to this application?  FORMTEXT       FORMTEXT   Note: This application is not complete without a signature below. This signature certifies that to the best of knowledge and belief of the applicant, the information provided herein is complete and true. DateSigned  Your placement and the registrar's offices should be contacted for a transcript and official credentials which should be sent to the address listed on the first page. This should include student teaching experiences. 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