WAVERLY CENTRAL SCHOOLS
DIRECTOR OF MANAGEMENT SERVICES
15 Frederick Street
Waverly, NY 14892
REQUIRED DOCUMENTS:
Cover Letter (Letter of Application)
Completed District Application Form
Resume (Including personal information, educational and professional training, work experience and references)
Copy of Transcripts (with earned grades)
College Placement Folder If Available
Three Letters of Recommendation (college placement folder)
SEND MATERIALS TO:
Director of Management Services
Waverly Central School District
15 Frederick Street
Waverly, NY 14892
THE HUMAN RIGHTS OF THE STATE OF NEW YORK PROHIBITS DISCRIMATION IN EMPLOYMENT BECAUSE OF AGE, RACE, COLOR, NATIONAL ORIGIN, SEX, MARITAL STATUS, HANDICAP OR DISABILITY. THE WAVERLY CENTRAL SCHOOL DISTRICT IS AN EQUAL OPPORTUNITY EMPLOYER.
WAVERLY CENTRAL SCHOOLS
DIRECTOR OF MANAGEMENT SERVICES
15 Frederick Street
Waverly, NY 14892
Date of Application______
Social Security Number______
NAME______
(Last) (First)
PERMANENT ADDRESS______PHONE______
CITY______STATE______ZIP______
TEMPORARY ADDRESS______PHONE______
CITY______STATE______ZIP______
APPLICANT FOR THE POSITION OF ______
DATE OF AVAILABILITY______
I. PREPARATION
A. High School Dates of Attendance Program
1.______
2.______
B. College or University Dates of Attendance Degree or Credits
(Chronological Order)
1.______
2.______
3.______
C. Major Field D. Minor Field
Undergraduate______Undergraduate______
Graduate______Graduate______
D. Certificates Held State of Issue Certificate No.
______
______
______
If you do not hold a valid New York State teaching certificate, have you submitted your credentials to the State Education Department for evaluation?
______Yes ______No If Yes, Date of Application______
II. A. TEACHING EXPERIENCE (Especially that relate to position desired):
Dates: To/From Employer City State Position
1.______
2.______
3.______
4.______
Have you been awarded Tenure by a Public School District in New York State? ______Yes ______No
If yes, please state the date ______, Name of District______
______and Tenure Area______.
III. EXTRACURRICULAR ACTIVITIES:
A. (Travel, community, college, hobbies, or any activity related to work with children)
______
______
B. Activities/Sports that you would be able to advise or coach:
______
______
IV. A. Are you a citizen of the United States? ______Yes ______No
B. Are you a veteran of the United States Armed Forces? ______Yes ______No
C. Did you receive a Discharge other than honorable? ______Yes ______No
D. Do you hold a current valid Driver’s License? ______Yes ______No
E. Have you ever been convicted of a crime (Misdemeanor or Felony) in New York State or any other State? ______Yes ______No
If so, give specifics______
______
______