berkeley unified school district伯克利学区

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1、ForOfficeUseOnlyDateReceived_________________Initials___________FAIRFIELD-SUISUNUNIFIEDSCHOOLDISTRICTHumanResourcesDepartment2490HilbornRoad,Fairfield,California94534Phone:(707)399-5016Fax:(707)399-5139CERTIFICATEDMANAGEMENTAPPLICATIONPOSITIONAPPLIEDFOR

2、:PERSONALINFORMATIONLASTNAMEFIRSTNAMEMIDDLENAMEOtherName(s)E-mailAddress:(Pleaseprovideanyadditionalinformationrelativetochangeofname,useofanassumednameornickname,necessarytoenabletocheckonyourworkofschoolrecord).PermanentAddressCityStateZipCodeTelephon

3、eNo.()WhenWillYouBeAvailable?AreYouCurrentlyUnderContract?ExpirationDateofContractHaveyoueverbeenemployedorareyoupresentlyemployedbytheFairfield-SuisunUnifiedSchoolDistrict?NoYesIfyes,listposition/title:CREDENTIALSANDCERTIFICATIONCredentialorCertificati

4、onStateDateofExpirationCredentialtowardwhichyouareworking___________________________________________________________________________Dateofanticipatedcompletionofrequirements_______________________________________________________________________Ifyouaree

5、nrolledinanAdministrativeServicesCredentialprogram,youmusthavecompletedthecourserequirementspriortothestartofthenewschoolyear.HaveyoutakenandpassedtheCBEST?NoYesDatePassed_______________________________________________6CertificatedMgmtEmploymentApplicat

6、ion–060507SCDoyouhavefluencyinlanguagesotherthanEnglish?YesNoLanguage(s):__________________________________Read?_____________Write?_____________Speak?______________Language(s):__________________________________Read?_____________Write?_____________Speak?

7、______________6CertificatedMgmtEmploymentApplication–060507SCEDUCATIONALANDPROFESSIONALEXPERIENCEAccreditedCollege/UniversityNameofInstitutionAttendedStateDatesAttendedSubjectsGraduationMo/YrMo/YrFromToMajorMinorADMINISTRATIVEEXPERIENCEListallfull-timeA

8、dministrativepositionsyouhaveheld.Listpositionsbychronologicaldatewithyourpresentormostrecentjobfirst.JobTitleEmployerDatesSalaryImmediateContactMo/YrMo/YrSupervisorNumberTEACHINGANDOTHERRELATEDEXPERIENCEListallfull-timeTeachinga