COLLINSVILLE I.S.D. ONLINE APPLICATION

FOR EMPLOYMENT (Superintendent)

Click Here To Read The Notice Of Vacancy & Position Profile

Note: No Faxed Applications Or Materials Will be Accepted.

Name (First Middle Last)
Address: 
City State & Zip: 
Phone: 
E-Mail: 

Number of Years Of Superintendent Experience

Number of Years Of Administrator Experience

Number of Years Of Teaching Experience

Do You Hold A Valid State Of Texas Superintendent Certificate?

List Current Certifications & State Of Issue

 
Have you ever had a certificate suspended or revoked? YES NO
 
If yes, what action was taken: 
deniedsuspended revoked not applicable
What State? 

 

References

(List people who have firsthand knowledge of your experience in Education)

Name Title Phone Number School Name

 

 

Education

Major Minor University Graduated
Associates
Bachelors
Masters
Doctorate

 

Administrator Experience (List Most Recent First)

 
Dates Type Of Work Location Position

 

Teaching Assignments (List Most Recent First)

 
Date Grade/Subject Location School Name

 

 

Please pay special attention on how to rename your files before you attach them to this form.

No files over 1MB can be taken by this form (it will prompt you for username and password) if you have a file over 1MB please email that file to Mrs. Stopher here.

Attach Your Letter Of Intent (ReName Your Letter Of Intent File YourName_Intent.doc or YourName_Intent.pdf before you attach & upload)

Attach Your Resume (ReName Your Resume File YourName_Resume.doc or YourName_Resume.pdf before you attach & upload)

Attach Your Transcripts (ReName Your Transcripts File YourName_Transcripts.doc or  YourName_Transcripts.pdf before you attach & upload)

Attach Your Certification Or Letter Of Permit Eligibility (ReName Your Transcripts File YourName_Certification.doc or  YourName_Certification.pdf before you attach & upload)

 

Note: If you do not have an electronic copy of your required items you may mail them to

Collinsville I.S.D    c/o Scott Johnson/Dan Fallin     Interim Superintendent of Schools/ Board President   Box 49    Collinsville, Tx 76233

Electronic Signature

    I hereby certify that the information presented in this application to the best of my knowledge is true, accurate, and complete.  Any false statements in this application will be sufficient reason for dismissal from, or refusal of employment.  I hereby authorize the Collinsville Independent School District to contact the references listed on this application.  I agree that all information obtained from the references contained herein shall be confidential and shall not be made available to me.  I also authorize CISD to obtain any criminal history record information relevant to this application for employment from any pertinent source in accordance with the Texas Education Code 21.917, and I further authorize any law enforcement agency, including, but not limited to, any police department of the Department of Public Safety as well as the Texas Department Of Corrections to furnish CISD with any such record.

Date Completed

If you have trouble with this form please contact Mrs. Stopher here.