APPLICATION FOR THE PRESIDENCY

North Iowa Area Community College is an Equal Opportunity, Affirmative Action Employer

North Iowa Area Community College Complete application includes:

Department of Human ResourcesLetter of Application addressing the Presidential Profile

500 College Drive Application

Mason City, IA 50401Responses to the three Supplemental Questions

641-422-4285 Resume or CV

Listof five references with contact information

Personal Information

Name______

LastFirstMiddle

Address______

Street/P.O. BoxCityStateZip

Social Security Number:______

Telephone #: Home (______)______Cell (______)______Work (______) ______Ext. ____

E-mail or FAX, if available:______

Have you previously been employed by NorthIowaAreaCommunity College?☐ Yes☐ No

If yes, when? ______What position? ______

Are you related to anyone now employed by NorthIowaAreaCommunity College?☐ Yes☐ No

If yes, provide name and relationship: ______

Are you legally authorized to work in the United States?*☐ Yes☐ No

*As required by federal law, NorthIowaAreaCommunity College will employ only United States citizens and aliens authorized to work in the United States. All new employees will be required to complete an “Employment Eligibility Verification” [Form I-9] and produce requested documentation after employment.

Have you ever been convicted of, or pleaded guilty or “no contest” to, or received a deferred judgment or suspended sentence relating to a criminal offense, excluding traffic offenses? ☐ Yes☐ No

If you answered yes, please briefly explain: (A “yes” response will not automatically disqualify you from employment.)

______

______

Military or other war service in the Armed Forces of the United States

Please give inclusive dates, branch of service, and final rank. Iowa Veteran’s Preference Law applies to honorably discharged persons who served in the military or naval forces of the U.S. in certain specified periods of time.

Active ______

Reserve ______

Does NorthIowaAreaCommunity College have your authorization to go into closed session for the purpose of discussing your candidacy for President of NIACC? Yes ______No ______

Employment Application Provisions

North Iowa Area Community College is committed to the policy that all persons shall have access to its programs, facilities, and employment without discrimination based upon race, religion, color, creed, sex, sexual orientation, gender identity, national origin, marital status, age, physical or mental disability as required by Title VII of the 1964 Civil Rights Act, Title IX of the 1972 Education Amendments and Section 504 of the Federal Rehabilitation Act of 1973.

Inquiries regarding compliance with Title IX, Title VII, or Section 504 may be directed to Shelly Schmit, EEO/AA Officer, Human Resources, 500 College Drive, Mason City, Iowa50401 or via telephone at 641-422-4211. Inquiries may also be directed, in writing, to the Mason City Human Rights Commission, Iowa Civil Rights Department, or to the Director of the Region VII Office of Civil Rights, Department of Education, Kansas City, Missouri.

This application is only for a specific position and will be kept in an inactive file for one (1) year. The applicant must contact the Human Resources Office to reactivate the filed application for another position opening.

I hereby consent to the College verifying all the information I have provided on this application form. I also agree to sign, as a condition of employment or continued employment, any additional written authorizations necessary for the College to obtain access to and copies of records pertaining to this information, including, a waiver authorizing a check of my criminal history if necessary for position which applying. I hereby release and discharge the College and any other person, firm, agency, or corporation from any and all claims which I may ever have or claim to have relating to information provided to the College as part of my application for employment.

I hereby certify that the statements made by me in this application and all related information which I have provided are true, accurate, and complete to the best of my knowledge. I understand that if I provide any false, inaccurate, or incomplete information, I will not be eligible for employment, or, if I am hired, I will be subject to disciplinary action or dismissal regardless of the date on which the College discovers the violation of its policy regarding application form dishonesty.

I understand that, if an employment relationship is established and a written contract is entered into between the College and me, the College can terminate my employment pursuant to the terms of the contract and Iowa law. If an employment relationship is established and no written contract is entered into between the College and me, I will be considered an employee at will and my employment relationship can be terminated by either the College or me at any time.

Date ______Signature of Applicant______

Next page: Supplemental Application Questions

North Iowa Area Community College

Supplemental Application Questions

1. Please describe how you meet the criteria in the North Iowa Area Community College profile for the next President of the college.
2. Please provide an example of a project that you have executed that demonstrates your leadership and management style.
3. How will the community college of 2025 be different than today’s community college?