SUPERINTENDENT APPLICATION Directions: Complete the application below in full (type or print). Applications must be filled completely and signed. In addition to the application, please attach a current resume and a letter indicating why you are interested in the superintendent position for York One. Address any educational issues, personal factors or other information you believe relevant for the board to consider in assessing your qualifications for the position for superintendent in your letter. The letter should be no more than one page typed, double spaced and 12-point font. Finally, submit at least three references, one from a supervisor and one from a community member. If selected as a finalist for the position, you will be asked to submit an enlarged photocopy of your driver s license for a background check as well as a recent headshot photo for press releases. Application packets may be mailed or emailed. Application packets must be received no later than July 13, 2018. For additional information or to submit your application packet, which includes the application, resume, letter of interest, and references, please contact: Dr. Rainey Knight 430 Oakdale Drive Hartsville, SC 29550 raineyhk@gmail.com 843-230-6360 The Board will consider only applicants that have submitted all components of the application packet. Note: Applicant must hold or be eligible for a South Carolina Superintendent Certificate. 1
APPLICANT INFORMATION Full Name: Last First Middle Nickname Current (Home) Address: Street Address City State Zip Code Cell Phone: ( ) Email: Home Phone: ( ) Current (Office) Address: Street Address City State Zip Code EMPLOYMENT HISTORY Institution Degree Date Completed Doctorate: Masters: Bachelors: Certification(s): 2
CURRENT EMPLOYMENT Present Employer: Address: Street Address City State Zip Code Phone: Title/Position: ( ) Dates of employment: Do you have or are you eligible for a South Carolina Superintendent certificate? YES NO PREVIOUS EMPLOYMENT HISTORY Beginning with your most recent employment, other than your current employment, list full time employment history, both within and outside the field of education. I. Position: 3
II. Position: III. Position: IV. Position: 4
COMMUNITY INVOLVEMENT Please list current and former leadership positions. PROFESSIONAL ACTIVITIES Please list any publications, research projects, leadership positions, honors, etc. REFERENCES Please attach at least three references, including at least one person who has been your supervisor and one community leader. Please do not include relatives. ADDITIONAL INFORMATION Attach Resume and Letter of Interest, as per directions above If your answer is YES to any of the following, please attach a detailed explanation. 1. Have you ever been convicted or charged with a violation of any criminal federal, state, county or municipal law, regulation or ordinance; including Driving Under the Influence/Driving While Intoxicated charge? Include charges that were dismissed or if you were found not guilty. YES NO 5
2. In regards to your professional employment, have you ever YES NO been terminated, had your contract non-renewed, or have been asked to resign? 3. Please provide your social media accounts such as Facebook, Twitter, Instagram, etc. and include any aliases you may have used. By my signature below, I authorize the York School District One Board, its agents, and employees to make any investigation of my personal, financial or employment history, expressly included but not limited to federal and/or state criminal, law enforcement or traffic records. I further authorize any former employer, person, firm, corporation, credit agency, administrative body or government agency to give to the York School District One Board, its agents or employees any information they have regarding me. In consideration of the review of my employment application, I hereby release York School District One Board, its agents or employees and any other providers of information from liability as a result of furnishing or receiving this information. I certify that I have fully read the application and that all answers to questions are true and complete to the best of my knowledge. I authorize you to investigate all references as I have provided, conduct a criminal background check and to secure additional information as necessary. Date Signature York School District I is an equal opportunity employer. The York 1 School District does not discriminate on the basis of race, color, national origin, sex, handicap or genetic information in admission to, treatment of or employment in its programs and activities. 6