Online Interview

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First Name






Last Name






Address







City





State





ZIP Code





Phone





Email





Employment History

Current Employer:
Current Position:
Previous Employer:
Previous Position:


Education:




How many years of education have you completed?
4-year degree
Masters degree
multiple Masters or credits beyond
Ph.D. or Educational Doctorate




Are you state certified in Educational Administration?
Yes
No




Are you state certified in Counseling?
Yes
No


Experience:




How many years experience do you have in the field of education?
New to field or less than 1 year
Atleast 1 but less than 3 yrs.
Atleast 3 but less than 5 yrs.
Atleast 5 but less than 10 yrs.
More than 10 years




How many years experience do you have as an Administrative or supervisory role?
new to this role
less than 1 year
1 to 2 years
3 to 5 years
5 to 10 years
more than 10 years




At which level do you have most of your experience in?
Elementary
Middle School
Secondary
District level




Which of the following areas best describe your area of expertise or background?
Human Resources
Finance / Operations
Special Education/Services
Media/Technology
Curriculum,Instruction, Assessment
Community Service/Education
Transportation,Buildings,Grounds
Athletics




Do you have experience working with children from diverse backgrounds?
Yes
No




Do you have experience or training in planning,developing,implementing, evaluating district or school inst. & staff devel programs?
Yes
No




Do you have experience or training in coordinating local or state student assessment programs?
Yes
No




Do you have any experience or training with the coordination of instructional services in a district or school?
Yes
No




Do you have experience or training maintaining liaison with social, professional, civic, volunteer, or other comm. agencies/groups interested in the schools?
Yes
No




Do you have experience establishing and maintaining a program of consultant services to schools?
Yes
No




Do you have experience establishing a program for the ongoing evaluation of instruction and curriculum?
Yes
No




Do you have experience in the development & coordination of the sections of the budget that pertain to dept.,curr., and instruction?
Yes
No




Do you have experience or training in assisting principals and staff in the interpretation & utilization of test data?
Yes
No




Do you have experience utilizing multi-media or other instructional technology either in a classroom and/or distance learning environment?
Yes
No




Please select the environment you are seeking employment in:
school level
district level
either environment




Select the area that best describes your area of expertise in Special Education:
Special Ed. Is not my area
Student support
Hearing Impaired
Compliance
Physically/Visually Impaired
Speech and Language
Autistic
Technology


Work/Salary:




What type of employment are you willing to accept?
Full time
Part time
Temporary/Interim
Any


General:




Are you currently employed?
Yes
No




Would you relocate to another state?
Yes
No




Are you at least 16 years of age and eligible to work in the United States?
Yes
No




Are you at least 18 years of age and eligible to work in the United States?
Yes
No




In addition to English, in which language are you most fluent?
Spanish
French
Italian
German
Russian
Chinese
Japanese
Other
None




Are you bi-lingual or multi-lingual?
Yes
No




If extended an offer of employment, when would you be available to begin work?
Immediately
1 to 2 weeks
3 to 4 weeks
Start of the next school year




Would you consent to pre-commencement testing, if required, including drug screening, medical testing and/or skill-related testing?
Yes
No




Would you consent to pre-employment background checks, if required, including past employment information, education verification, and/or reference checks?
Yes
No




How many miles from your home are you willing to travel to work?
Up to 5 miles
Up to 10 miles
Up to 20 miles
Over 20 miles




Are you now or have you been a member of the United States Military, National Guard or Reserves?
No
I am a Veteran of the United States military
I am currently a member of the United States military
I am currently a member of the National Guard or Reserves
I was a member of the National Guard or Reserves



Please take a moment to briefly share any additional information about yourself that you feel a prospective employer would like to know. We do not recommend pasting of resumes or cover letters.


Additional Info:
 

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