SOUTH NEWTON SCHOOL CORPORATION APPLICATION PROCEDURE

1. Completed application and supporting materials to be mailed to:

Mr. Warren Johnson, Jr. School Board President

6392 W 625 S Morocco, IN 47963

2. Submit the following:

• personal letter of intent • completed application • current resume and supporting materials • copy of a valid Indiana Superintendent’s license and transcripts • confidential file forwarded by the applicant’s university at the request of

the applicant 3. Closing date for application materials is February 2, 2007. 4. The Board will accept applications from within and outside of the

corporation.

5. Applicants are asked not to contact school officials and/or board members except with permission.

6. All applicants will be treated confidentially subject to applicable law.

7. The review and selection process will begin the week of February 5, 2007. 8. The selection process will be conducted by a search committee composed

of school board members.

9. Projected selection date is April 2, 2007.

10. Starting date will be no later than July 1, 2007.

APPLICATION FOR SUPERINTENDENT OF SCHOOLS

South Newton School Corporation

13232 S. 50 E. Kentland, Indiana 47951

The South Newton School Corporation does not discriminate in hiring for employment on the basis of race, color, gender, handicap, religion or national origin. No question on this form is intended to secure information to be used for such discrimination. BACKGROUND INFORMATION (Please type or print clearly) Name: Home Address: Home Phone: Email Address: Business Address: Business Phone: Present Position: Present Salary: Expected Salary: Total Employees in System: Date Available: Address/Phone Preference and Best Time for Contact: May we contact your present employer? Yes______ No______ REFERENCES Please list the names of five persons who know your professional background and qualifications. These should include school board members, university professors, and members of the community. Name and Position Address Office Phone Home Phone

EDUCATIONAL EXPERIENCE Undergraduate: Institution Dates Attended Major/Minor Degree & Date Graduate: Institution Dates Attended Major/Minor Degree & Date Additional Educational Preparation: (Including specialized seminars, workshops, etc.) Institution Dates Attended Major/Minor Degree & Date Certificates Held: (Type and State) Honors, Awards, Recognitions: Community Involvement: PROFESSIONAL EXPERIENCE AND/OR EMPLOYMENT RECORD: (Please list most recent first) Position Organization Size Dates

APPLICATION QUESTIONS

In order to help us evaluate each candidate we ask that you respond to the following questions on a separate sheet of paper. I. Describe why you should be selected as the next superintendent of

South Newton School Corporation, including but not limited to the strengths, qualifications and professional characteristics you will bring to our school system and community?

II. Summarize your leadership style as it relates to the position of

superintendent and the relationship with various groups within the school system and community?

III. What are your beliefs regarding the role of the school board and that of

the superintendent in the management of the school corporation? IV. What are your three most significant professional accomplishments? V. In what areas do you feel least qualified?

PERSONAL CONDUCT Yes No 1. Are you currently being investigated or under a procedure to consider your discharge for misconduct by your present employer? Yes No 2. Have you been reprimanded, disciplined, discharged, or asked to resign from a prior position? Yes No 3. Have you ever resigned from a prior position without being asked, but under circumstances involving your employer’s investigation of sexual conduct with another person, mishandling of funds, or criminal conduct? Yes No 4. Have you ever been charged with or investigated for physical or sexual abuse of another person? Yes No 5. Have you ever been charged with, pled guilty or “no contest” to, harassment or been convicted of any crime involving sexual abuse or sexual harassment of any person or any other crime of moral turpitude? Yes No 6. Have you ever been convicted of a misdemeanor and/or felony or ever entered a plea of guilty or a plea of “no contest”, or has any court ever deferred further proceedings without entering a finding of guilty or placed you on probation for a crime? If you have answered yes to any of the above questions, please explain on a separate paper including the date of the incident, charge, any court action taken, the offense in question, and the address of any court involved.

AUTHORIZATION AND RELEASE

I authorize the South Newton School Corporation to check my employment history, including without limitation, reference checks, and to seek the release of investigatory information, including a “limited criminal history”, possessed by any private or public employer or any local, state, or federal agency. I authorize these private or public employers, or local, state, or federal agencies to provide the South Newton School Corporation any information they may request; and I will cooperate to the extent necessary to obtain the release of this information. I expressly waive in connection with any request for, or provision of such information, any claims or causes of action, including with limitation, defamation, infliction of emotional distress, invasion of privacy or interference with contractual relations that I might otherwise have against the South Newton School Corporation, its officials, employees, trustees, or agents, or against any individual, corporate, and/or agency provider of such information. I have read this authorization and release of all claims, and I expressly agree to the terms set out herein. Signature Date

This EmployerParticipates in E-Verify

This employer will provide the Social Security Administration

(SSA) and, if necessary, the Department of Homeland Security

(DHS), with information from each new

employee’s Form I-9 to confirm work

authorization.

IMPORTANT: If the Government cannot

confirm that you are authorized to work,

this employer is required to provide you

written instructions and an opportunity

to contact SSA and/or DHS before taking

adverse action against you, including

terminating your employment.

Employers may not use E-Verify to pre-screen job applicants or

to re-verify current employees and may not limit or influence the

choice of documents presented for use on the Form I-9.

In order to determine whether Form I-9 documentation is valid,

this employer uses E-Verify’s photo screening tool to match

the photograph appearing on some

permanent resident and employment

authorization cards with the official U.S.

Citizenship and Immigration Services’

(USCIS) photograph.

If you believe that your employer has

violated its responsibilities under this

program or has discriminated against

you during the verification process

based upon your national origin or

citizenship status, please call the Office of Special Counsel at

1-800-255-7688 (TDD: 1-800-237-2515).

N O T I C E:

Federal law requires all employers

to verify the identity and employment eligibility

of all persons hired to work in the United States.

For more information on E-Verify, please contact DHS at:

1-888-464-4218

IF YOU HAVE THE RIGHT TO WORK, Don’t let anyone take it away.

If you have a legal right to work in the United States, there are laws to protect you against discrimination in the workplace.

You should know that –

No employer can deny you a job or fire you because of your national origin. Unless mandated by law or government contract, employers cannot require you to be a U.S. Citizen or permanent resident or refuse any legally acceptable documents.

If any of these things have happened to you, you may have a valid charge of discrimination that can be filed with the OSC. Contact the OSC for assistance in your own language.

Call 1-800-255-7688. TDD for the hearing impaired is 1-800-237-2515.

In the Washington, D.C., area, please call 202-616-5594, TDD 202-616-5525

Or write to: U.S. Department of Justice Office of Special Counsel - NYA 950 Pennsylvania Ave., N.W. Washington, DC 20530

U.S. Department of Justice Civil Rights Division

Office of Special Counsel for Immigration-Related Unfair Employment Practices