mary bubenheimer app

Duval County Public SchoolsApplicationlnforrnation Form

Jacksonville, FloridaPosition: Superintendent

Title: 0 Dr.

Name:Home Address:

o Mr. v Ms. 0 Mrs.

Mary Miller (Bubenheimer)

4085 Dimsdale Road

JacksonvilleFL32257

o (other-please list) _

Telephone

Office: (904) 783-6635

Home: (904) 262-2602Cell: (904) 514-7048

E-mail: mbubenheimer@yahoo.comZip Code:

Record of Professional Education (in reverse chronology)

Institution Graduation Date

Florida State UniversityFlorida State University

Florida Community College atJacksonville

Orange Park High School

December, 1990December, 1990

June, 1988

MajorAccounting

Finance

Business

Degree

B.S.

B.S.AA.

June, 1986 General Diploma

Record of Professional Experience (in reverse chronology)

Title Dates District State Enrollment

Consultant 05/12 to Now Duval FL N/A

Consultant 12/11 to 04/12 Duval FL N/A

Controller 12/09 to 07/11 Duval FL N/A

Controller 11/06 to 03/09 Duval FL N/A

Controller 05/04 to 10/06 Duval FL N/A

Do you have a Superintendent Endorsement for the state represented bythe position listed on this Application Information Form?

(If you have questions regarding the requirements to be a superintendent in theState of Florida, contact the Florida Department of Education)

Yes No

I certify that the information provided herein is true and complete to the best of my knowledge.

I am aware that the Florida Sunshine Act will require that all applicantinformation is public and can be released to the media upon request

Applicant hereby waives his/her right to confidentiality with regard to his/her work record or criminalrecord and consents to and authorizes the release of information from current or former employersand/or law enforcement personnel upon inquiry under this application.'

Signature of Applicant: ~-r4~~~~-+~~:.:::!i:::::=:::':::!.-Printed name of Applicant: Date: G..\M W ~This application must be COMPLETED and RETURNED by: MONDAY, JULY 23,2012

Duval County Public SchoolsMcPherson & Jacobson, L.LC.

Executive Recruitment and Development7905 L se, Suite 310

Omaha, Nebraska 68127Phone: (402) 991-7031/(888) 375-4814

E-mail: apps@macniake.comFax: (402) 991-7168

ANEEO Employer

Duval County F>ublic Schools, Jacksonville, FL Closing date July 23,2012