Personal Information:

First Name
Last Name
Middle Initial
Business Address		Home Address
City		City
State/Province		State/Province
Zip Code		Zip Code
Country		Country
Business Phone		Home Phone
E-mail Address
Website URL

School Level Position(s): (You may select more than one)

Elementary School Assistant		Elementary School Principal
Middle School Assistant		Middle School Principal
High School Assistant		High School Principal
Other Position Sought

Present Experience:

Present Position
District Student Enrollment		District Annual Budget
School Building Enrollment			Building Annual Budget
Salary During Current Year			Number of Month Contract

Professional Education: (Enclose copy of Transcripts conferring Degree)

Highest Degree Earned

 

Educational Institution		Location	Major/Minor	Degree
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4.
5.

Summary of Experience: (List last experience first. Include both school and non-school experience.)

School Institution Name		Position	From/To	Years	Size/Unit
1.
2.
3.
4.
5.
6.
7.
8.

Types of TN License Held

Questions:

1.  Why do (did) you want to become a School Principal or Director?

2.  What about being a School Principal or Director has been (will be) most rewarding to you?

3.  As a School Principal or Director, what communication approaches or systems are (would be) most effective for you?

4.  What do you consider to be your major strengths as a School Principal or Director?

5. In your previous experience, in what ways have you most influenced your school and community.

6.  How do you delegate responsibilities to others?

7.  What methods or approaches do you use most to bring about change in a school or office environment?

Applicant's Agreement: 

1. I hereby certify that, if my previous employer was another Tennessee Public School system and if any termination was voluntary, my resignation was, or will be submitted at least 30 days prior to the first day of employment with Williamson County Schools; or, if within 30 days, that the previous board has waived its right to such notice. A copy of my letter of resignation or the said board action is attached or will be provided.
   
   
2. I understand that no employee shall unlawfully manufacture, distribute, dispense, possess or use on or in the workplace, any narcotic drug, hallucinogenic drug, amphetamine, barbiturate, marijuana, alcohol, or any other controlled substance, as defined in federal law. “Workplace” shall include any school building or property, any school-owned or school-leased vehicle used to transport students to and from school activities; off school property during any school-sponsored or school-approved activity.  I understand that as a condition of employment, I will notify my supervisor of my conviction of any criminal drug statute for violation occurring in a workplace, as defined above, no later than five (5) days after conviction. I understand that if I violate the terms of this policy, I will be suspended , and I am subject to dismissal.
   
   
3. I understand that all employees who are required to drive any school-owned or school-leased vehicle during the performance of their duties are prohibited from using, possessing, distributing, dispensing, manufacturing, or having controlled substances, abused prescription drugs or any other mind altering or intoxicating substances present in their system while at work or on duty. I understand that if I violate this provision of the policy, I shall be subject to discharge.
   
   
4. I understand that all employees who are required to drive any school-owned or school-leased vehicle during the performance of their duties shall be tested for specific substances in the following order: pre-employment; reasonable cause situations; randomly; post-accident; and re-certification. I understand that if I fail to report an accident or submit to substance screening where required by law or this policy, I shall be subject to discharge.
   
   
5. I                      Have Have Not been previously employed with Williamson County Schools. If yes, please provide dates.
   
   
6. I                      Do Do Not advocate the overthrow of the American form of government nor am I a member of a political party, which advocates the overthrow of the American form of government. I shall support the constitution of Tennessee and the United States.
   
   
7. I                      Do Have Do Not Have the legal right to work in the United States.
   
   
8. I authorize all previous employers to furnish the Williamson County Board of Education, to the extent permitted by Federal or State law, my reason for leaving and all other information they may have concerning me. I release them and the employer from all liability that may arise from such investigation. I understand that neither this form nor statements by representatives of the Williamson County Board of Education constitutes an employment contract. I am available for employment and upon employment, I also agree to the following:
   
• Meeting employability requirements of the Federal Immigration and Naturalization Service and submitting appropriate documents to satisfy the requirements for completing the INS Form I-9.
• Application forms and materials are the property of the Williamson County Board of Education
• Abiding by all rules, regulations and performance standards of the Williamson County Board of Education
  
  
9. Do you have any relatives working for Williamson County School District. 
   YES NO (If YES is indicated, please list below)
   
   

   Name	Department	Relationship

The Williamson County School District offers equal opportunity to all qualified employees and applicants for employment without regard to race, sex, color, religion, national origin, age, disability, or veteran status.

References: Please list three people you believe have the best insight about your administrative or director style: 

Name	Telephone	Working Relationship

APPLICATION ADDENDUM
(You will not be considered for employment unless this part of the form is completed)

It is imperative that you read this section carefully. Williamson County Schools requires full disclosure of any prior criminal record and any prior dismissals from employment for cause. 

Knowingly falsifying information shall be sufficient grounds for termination of employment and shall also constitute a Class A misdemeanor which must be reported to the District Attorney General for prosecution.  The accuracy of your information may be verified by fingerprint and criminal history records check conducted by the Tennessee Bureau of Investigation (TBI) and the Federal Bureau of Investigation (FBI).

1. Have you ever been convicted of a misdemeanor or a felony in this state or in any other state?                     No Yes  

    If YES is indicated, explain fully the details.