Application for Employment - Administrative Position

Personal Data
First Name:		Middle Name:		Last Name:
Address:		City:		State:		Zip:
Primary Phone Number:			Cell Phone Number:
Email Address:		Date Available for Employment:

Administrative Position Being Sought
Position:
Grade Level:
List Major Teaching Area(s):
List Minor Teaching Area(s):

Educational Data
Type of Institution	Name and Location	Major/Minor	Degree	Years Attended	# of Semester Hours
High School
College
Graduate School
Other

Administrative / Teaching Experience
Name and Location of School (Begin with most recent)	Assignment	Date From / To	Principal or Superintendent

Total Years of Administrative Experience
Teaching Experience
Are you currently under contract	Yes No
If YES, List Employer

Experience Other Than Teaching (Including military service)
Name and Location	Occupation	Date

Position of Responsibility and Leadership Held (High School, College, and Community)
Position	Location

Special Honors Received
Position	Location

Activities (List extra-curricular activities in which you participated or supervised)
Activities	High School / College	Type of Participation

References (These should be individuals qualified to evaluate your personal and administrative qualifications. Please include administrators, supervisors, employers, and/or college professors)
Name	Address	Position/Occupation	Telephone Number

Certification (Applicants must possess a valid Indiana Administrative Certificate or Present evidence showing Eligibility for an Indiana Certificate.)
Type / Kind of Certificate	Expiration Date	Serial Number	Classification / Level

Indiana Teachers Retirement Number:

Additional Information Add here any additional employment, training, or autobiographical information, which has not been previously listed on this application that will assist us in evaluating your qualifications. This might include travel, honors, publications, advance study, participation in special programs, civic and / or special interests.

This Application must include the following items to be complete: 1) Letter of interest; 2) Current Resume; 3) Copy of College Transcript(s); 4) Copy of current Indiana Administrative Certificate; 5)Three (3) Letters of Recommendation.
You may attach Multiple Electronic files to this Application (Hold Ctrl for Windows OR Command for OSX to Select Multiple Files)

The Greenfield-Central Community School Corporation is committed to its students and is similarly committed to hiring Employees who are most suitable for work with our students. We ask that you complete the questions below to help us evaluate your suitability for employment. All applicants for employment are expected to provide us with this information.
1. Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer?	Yes No
2. Have you ever been reprimanded, disciplined, discharged or asked to resign from a prior position?	Yes No
3. Have you ever resigned from a prior position without being asked, but under circumstances where your employer was investigated you for inappropriate conduct?	Yes No
4. Have you ever been arrested for or convicted of a crime that has not been expunged by a court?	Yes No

If you answered "yes" to any of the above questions, please explain the circumstance of each in detail.

Conviction of a crime or any affirmative form is not an automatic bar to employment. The school system will consider the nature of the conviction or alleged conduct underlying an affirmative response, date of the conduct in question, your intervening conduct and the relationship between an offense or alleged conduct underlying the affirmative response and the position for which you are applying. Any misrepresentation or omission of fact on this application shall be fully sufficient grounds for disqualification from further consideration or for termination form employment regardless of when the misrepresentation or omission is discovered. Your signature below denotes your understanding of these conditions. Authorization and Release My signature below also constitutes authorization for the Greenfield-Central Community School Corporation to check my employment history, including without limitation, evaluations, criminal arrest and conviction records, reference check, and release of investigator information possessed by any private or public employer or any state, local or federal agency. I further authorize those persons, agencies, or entities that the Greenfield-Central Schools contacts in connection with my employment application to fully provide the Greenfield-Central Schools any information on the matter set forth above. I expressly waive in connection with any request for or provision of such information, any claims, including without limitations, defamation, emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against the Greenfield-Central Schools, its agents and officials or against any provider or such information.
Please Type your Name:		I Agree	By Checking this box you agree to the above conditions and signify that this is your electronic signature

I certify that the information on this application is true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons for all liability in responding to inquirer in connection with this application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may be sufficient cause for dismissal.
Please Type your Name:		I Agree	By Checking this box you agree to the above conditions and signify that this is your electronic signature

Please Check over your Application. Once you Submit your Application, you will no longer be able to edit your information!