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Swedesboro-Woolwich Application for the Position of:
                                             SUPERINTENDENT
1.     PERSONAL INFORMATION

                                                                 Current District
        Name:
                                                                 & Position:
        Home Address                                             Home Phone

        City                                                     State                         Zip

        Office Address                                           City                          State/Zip

        Office Phone                                             Cell Phone

        E-mail Address

        Preferred Method of Contact

       May we use this office phone? Yes____ No ___ (We will call only to schedule appointments or to get essential
       information and will identify the purpose of the call as personal.)


        The Board of Education expects the information requested to be supplied according to the application format.
        If there is insufficient space for your answer, attach an additional page with your name on it and indicate which
        number(s) you are continuing. If you are unable to provide any of the required information, please include an
        explanation.

        Applicants are requested not to contact individual board members. Application materials and inquiries should
        be directed to:
                                   Superintendent Search – SWEDESBORO-WOOLWICH
                                            New Jersey School Boards Association
                                                      413 West State Street
                                                       Trenton, NJ 08618
        Phone (609) 695-7600                                                                   Fax (609) 695-1577


2.     CERTIFICATION -- Required

       I hold a New Jersey School Administrator Certificate issued by the Department of Education, Division of Teacher
       Preparation and Certification Yes: ________
       OR
       I hold a Certificate of Eligibility for School Administrator issued by the Department of Education, Division of
       Teacher Preparation and Certification Yes: ________




NJSBA                                                                                         Swedesboro-Woolwich 09
Revised 12/08
Page 2 of 5
3.     EMPLOYMENT RECORD: In chronological order with most recent position first

                                                                          Employment (mo./yr.)
        Title
                                                                          From:                      To:
        District                                                    District phone
        District address
                                                       Type of District
        Grade organization                   # of schools                 Urban _____    Suburban ____     Rural ____
                                                 District-Wide Information
        # of students                        # of certified staff                    Annual budget
        # of staff you supervise                                 Name of your supervisor
        Major responsibilities (including grades and number of students you supervise)

        Current salary                                              Why do you wish to leave?


                                                                          Employment (mo./yr.)
        Title
                                                                          From:                      To:
        District                                                    District phone
        District address
                                                       Type of District
        Grade organization                   # of schools                 Urban _____    Suburban ____     Rural ____
                                                 District-Wide Information
        # of students                        # of certified staff                    Annual budget
        # of staff you supervised                                Name of your supervisor
        Major responsibilities (including grades and number of students you supervised)

        Last salary                                                 Why did you leave?


                                                                          Employment (mo./yr.)
        Title
                                                                          From:                      To:
        District                                                    District phone
        District address
                                                       Type of District
        Grade organization                   # of schools                 Urban _____    Suburban ____     Rural ____
                                                 District-Wide Information
        # of students                        # of certified staff                    Annual budget
        # of staff you supervised                                Name of your supervisor
        Major responsibilities (including grades and number of students you supervised)

        Last salary                                                 Why did you leave?



NJSBA                                                                                           Swedesboro-Woolwich 09
Revised 12/08
Page 3 of 5

4.     OTHER EMPLOYMENT EXPERIENCE IN EDUCATION: (include previous teaching)

        Position                    Dates (mo./yr.)             Employer and Location         Field and Grade Level




5.     RELATED INFORMATION:
       Have you ever been dismissed, denied tenure or not renewed for any reason including reduction on force?
       Please explain:




6.     EDUCATIONAL AND PROFESSIONAL PREPARATION:

        Degree Received                                         Institution (Name/Location)




       Most recent educational/professional preparation:

        Course                               Institution                           Dates




NJSBA                                                                                      Swedesboro-Woolwich 09
Revised 12/08
Page 4 of 5

7.     PROFESSIONAL ORGANIZATIONS: (Indicate offices held, if any)




8.     HONORS, AWARDS, ACCOMPLISHMENTS: (e.g. books or articles authored, honorary degrees, special
       recognition for professional activities, lectureships, major addresses)




9.     REFERENCES: List four references, preferably recent employers. Please note: reference checking is
       recommended for finalists only, but will not be limited to those people you list. If you wish reference
       confidentiality at this time, please indicate below.

        Name                         Title                       Address                      Telephone




       Limits on contact of references




NJSBA                                                                                        Swedesboro-Woolwich 09
Revised 12/08
For Office Use Only #19
                                                 Return by 5:00PM on Monday,                    December 28, 2009
                            SUPERINTENDENT APPLICATION SUPPLEMENT FOR
                                      SWEDESBORO-WOOLWICH

10.    POSITION: How did you become aware of this job opportunity?__________________________________

11.    CERTIFICATION: Attach copies of all applicable certifications and please include an official transcript for all
       post-CSA certification coursework.

12.    RELATED INFORMATION: What are your salary requirements for this position?__________________

13.    PROFESSIONAL EVALUATIONS: NOTE: YOUR APPLICATION MAY NOT BE PROCESSED ABSENT
       THESE EVALUATIONS OR APPROPRIATE EXPLANATION.

       A.       Please submit copies of all written evaluations of your performance which were conducted during the
                past year.

       B.       Please attach copies of two (2) written evaluations of subordinates which you have conducted during
                the past year. Please include one positive evaluation and one showing need for improvement. Block out
                names or other identifying references so that the confidentiality of these individuals is protected.
       If you are unable to provide either of the above, please explain why.

14.    LEADERSHIP:
       Specifically describe your administrative and educational leadership experience in each of the following. We
       are looking for actual accomplishments rather than theoretical proposals.

                a.     Curriculum development, implementation, evaluation and articulation
                b.     Facilities management, development and utilization
                c.     Community relations and outreach
                d.     Labor relations
                e.     Strategic and long range planning

       Attach your answer on a separate sheet, labeled with your name and question number.

15.    ESSAY:
       Describe what you believe to be the most effective working relationship between the superintendent and the
       board. What would you do to establish and maintain this relationship?

       Attach your answer on a separate sheet, labeled with your name and question number

                                                           ************
       I understand that prior to employment but after an employment offer has been extended, I may be required to
       undergo, at board expense, a complete physical examination. I understand that during the final stages of the
       search, references beyond those listed on the application, will be contacted. I have included all requested
       information. I certify that all of the statements made by me are true, complete and correct to the best of my
       knowledge and belief, and are made in good faith. I understand that any omission or misrepresentation of
       information shall be sufficient cause for: (1) rejecting my candidacy, (2) withdrawing of any offer of employment,
       or (3) terminating my employment. I further understand that the Swedesboro-Woolwich Board of Education
       will meet in private session to discuss applicants for superintendent unless specifically notified in writing by any
       candidate who wishes his/her deliberations to be held in public.


       Date ____________________________                Signature _______________________________________

                                             An Equal Opportunity Employer                                  Page 5 of 5
NJSBA                                                                                          Swedesboro-Woolwich 09
Revised 12/08

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0 ap ptosend-swe

  • 1. Swedesboro-Woolwich Application for the Position of: SUPERINTENDENT 1. PERSONAL INFORMATION Current District Name: & Position: Home Address Home Phone City State Zip Office Address City State/Zip Office Phone Cell Phone E-mail Address Preferred Method of Contact May we use this office phone? Yes____ No ___ (We will call only to schedule appointments or to get essential information and will identify the purpose of the call as personal.) The Board of Education expects the information requested to be supplied according to the application format. If there is insufficient space for your answer, attach an additional page with your name on it and indicate which number(s) you are continuing. If you are unable to provide any of the required information, please include an explanation. Applicants are requested not to contact individual board members. Application materials and inquiries should be directed to: Superintendent Search – SWEDESBORO-WOOLWICH New Jersey School Boards Association 413 West State Street Trenton, NJ 08618 Phone (609) 695-7600 Fax (609) 695-1577 2. CERTIFICATION -- Required I hold a New Jersey School Administrator Certificate issued by the Department of Education, Division of Teacher Preparation and Certification Yes: ________ OR I hold a Certificate of Eligibility for School Administrator issued by the Department of Education, Division of Teacher Preparation and Certification Yes: ________ NJSBA Swedesboro-Woolwich 09 Revised 12/08
  • 2. Page 2 of 5 3. EMPLOYMENT RECORD: In chronological order with most recent position first Employment (mo./yr.) Title From: To: District District phone District address Type of District Grade organization # of schools Urban _____ Suburban ____ Rural ____ District-Wide Information # of students # of certified staff Annual budget # of staff you supervise Name of your supervisor Major responsibilities (including grades and number of students you supervise) Current salary Why do you wish to leave? Employment (mo./yr.) Title From: To: District District phone District address Type of District Grade organization # of schools Urban _____ Suburban ____ Rural ____ District-Wide Information # of students # of certified staff Annual budget # of staff you supervised Name of your supervisor Major responsibilities (including grades and number of students you supervised) Last salary Why did you leave? Employment (mo./yr.) Title From: To: District District phone District address Type of District Grade organization # of schools Urban _____ Suburban ____ Rural ____ District-Wide Information # of students # of certified staff Annual budget # of staff you supervised Name of your supervisor Major responsibilities (including grades and number of students you supervised) Last salary Why did you leave? NJSBA Swedesboro-Woolwich 09 Revised 12/08
  • 3. Page 3 of 5 4. OTHER EMPLOYMENT EXPERIENCE IN EDUCATION: (include previous teaching) Position Dates (mo./yr.) Employer and Location Field and Grade Level 5. RELATED INFORMATION: Have you ever been dismissed, denied tenure or not renewed for any reason including reduction on force? Please explain: 6. EDUCATIONAL AND PROFESSIONAL PREPARATION: Degree Received Institution (Name/Location) Most recent educational/professional preparation: Course Institution Dates NJSBA Swedesboro-Woolwich 09 Revised 12/08
  • 4. Page 4 of 5 7. PROFESSIONAL ORGANIZATIONS: (Indicate offices held, if any) 8. HONORS, AWARDS, ACCOMPLISHMENTS: (e.g. books or articles authored, honorary degrees, special recognition for professional activities, lectureships, major addresses) 9. REFERENCES: List four references, preferably recent employers. Please note: reference checking is recommended for finalists only, but will not be limited to those people you list. If you wish reference confidentiality at this time, please indicate below. Name Title Address Telephone Limits on contact of references NJSBA Swedesboro-Woolwich 09 Revised 12/08
  • 5. For Office Use Only #19 Return by 5:00PM on Monday, December 28, 2009 SUPERINTENDENT APPLICATION SUPPLEMENT FOR SWEDESBORO-WOOLWICH 10. POSITION: How did you become aware of this job opportunity?__________________________________ 11. CERTIFICATION: Attach copies of all applicable certifications and please include an official transcript for all post-CSA certification coursework. 12. RELATED INFORMATION: What are your salary requirements for this position?__________________ 13. PROFESSIONAL EVALUATIONS: NOTE: YOUR APPLICATION MAY NOT BE PROCESSED ABSENT THESE EVALUATIONS OR APPROPRIATE EXPLANATION. A. Please submit copies of all written evaluations of your performance which were conducted during the past year. B. Please attach copies of two (2) written evaluations of subordinates which you have conducted during the past year. Please include one positive evaluation and one showing need for improvement. Block out names or other identifying references so that the confidentiality of these individuals is protected. If you are unable to provide either of the above, please explain why. 14. LEADERSHIP: Specifically describe your administrative and educational leadership experience in each of the following. We are looking for actual accomplishments rather than theoretical proposals. a. Curriculum development, implementation, evaluation and articulation b. Facilities management, development and utilization c. Community relations and outreach d. Labor relations e. Strategic and long range planning Attach your answer on a separate sheet, labeled with your name and question number. 15. ESSAY: Describe what you believe to be the most effective working relationship between the superintendent and the board. What would you do to establish and maintain this relationship? Attach your answer on a separate sheet, labeled with your name and question number ************ I understand that prior to employment but after an employment offer has been extended, I may be required to undergo, at board expense, a complete physical examination. I understand that during the final stages of the search, references beyond those listed on the application, will be contacted. I have included all requested information. I certify that all of the statements made by me are true, complete and correct to the best of my knowledge and belief, and are made in good faith. I understand that any omission or misrepresentation of information shall be sufficient cause for: (1) rejecting my candidacy, (2) withdrawing of any offer of employment, or (3) terminating my employment. I further understand that the Swedesboro-Woolwich Board of Education will meet in private session to discuss applicants for superintendent unless specifically notified in writing by any candidate who wishes his/her deliberations to be held in public. Date ____________________________ Signature _______________________________________ An Equal Opportunity Employer Page 5 of 5 NJSBA Swedesboro-Woolwich 09 Revised 12/08