APPLICATION FORM FOR
SUPERINTENDENT POSITION
MINNEOTA PUBLIC SCHOOLS
1.
Please forward your completed application to:
John Kraker
Superintendent Search Committee
Minneota Public School
PO Box 98
Minneota, MN 56264
2. Please include a complete resume with your letter of application,
and have your college or university career services office forward your
credentials and transcript.
3.
Applicants are requested not to contact members of the school
board except as requested. Applicants will be notified when
arrangements for interviews have been completed.
APPLICATION DEADLINE:
FEBRUARY 22, 2008
PERSONAL INFORMATION:
Name
Home Phone
Home Address
Street
City State Zip
Present Position
Annual District Budget Current Budget Responsibility Student
Enrollment
Business
Address
Phone
Number of People
Supervised Salary for 2007-2008
Salary Expected For This Position
Are you eligible for superintendent
certification in Minnesota? Yes
EMPLOYMENT HISTORY:
List full-time experience in the field of
education only, present position first, last six years only.
From/To Annual Reason
School &
Location Position
(Years) Salary For leaving
PROFESSIONAL PREPARATION:
Date Of
Degree College
or University From/To
Degree Major/Minor
REFERENCES: (Please include at least
one present or past board member)
Name and
Position
Phone Present Address
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CURRENT
STATUS:
1. Do you
currently hold a valid Minnesota Superintendent’s
license? Yes
2. Are you
currently under contract with any school district for next
year? Yes
3. Have you
ever been terminated or bought out of a
contract? No
4. Have you
ever been convicted of a
felony?
No
I hereby
certify that the information given in this application is
correct and true.
I
acknowledge that the position of superintendent is a position of
public trust and I specifically authorize the board, or its
agents, to contact references, to investigate my background, and
to make other inquiries as the board in its discretion deems
relevant to assess my qualifications for the position of
superintendent. I authorize former employers, my references or
any other person contacted by the board or its agents in
investigation of the merits of my application to disclose
personnel records and appraisals of my performance or
information about my qualifications for the position of
superintendent, and release them from any liability for such
disclosure.
Signature
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