Hamburg Public Schools

Superintendent Application Application Period: October 15 - November 15, 2016

Contact: Doretta A. Griffin 870/853-9851 or dgriffin@hsdlions.org 10/11/2016

Superintendent Application

Hamburg School District

- Applications will be accepted October 15, 2016 through November 15, 2016 - Complete Applications will include:

o Superintendent Application Form (feel free to modify for additional information) o Complete Resume o All Transcripts o KSA’s o Additional Documentation or Narrative (optional)

- Applications must be received in person, by mail, or electronically by November 15, 2016. o In Person or by mail (Attention: Doretta Griffin):

Hamburg School District Administration Building 202 E. Parker St. Hamburg, AR 71646

o Email dgriffin@hsdlions.org

Personal Data

Name of Applicant ___________________________________________________________ Present Position ___________________________________________________________ Address ___________________________________________________________ Phone Numbers Office ___________________________ Home ___________________________ Cell ___________________________ E-mail Address ___________________________

College Education Institution ____________________________________________________________ Location ____________________________________________________________ Dates Attended ____________________________________________________________ Degree Received ____________________________________________________________ Institution ____________________________________________________________ Location ____________________________________________________________ Dates Attended ____________________________________________________________ Degree Received ____________________________________________________________

Institution ____________________________________________________________ Location ____________________________________________________________ Dates Attended ____________________________________________________________ Degree Received ____________________________________________________________ Institution ____________________________________________________________ Location ____________________________________________________________ Dates Attended ____________________________________________________________ Degree Received ____________________________________________________________ Undergraduate Teaching Major/Minor __________________________________________ Master’s Degree Major __________________________________________ Doctoral Degree Major __________________________________________

Experience 1. Professional: List below all professional positions held in chronological order with most

recent position first and ending at Undergraduate Degree. Position ____________________________________________________________ School District ____________________________________________________________ City ____________________________________________________________ Dates ____________________________________________________________ Position ____________________________________________________________ School District ____________________________________________________________ City ____________________________________________________________ Dates ____________________________________________________________ Position ____________________________________________________________ School District ____________________________________________________________ City ____________________________________________________________ Dates ____________________________________________________________ Position ____________________________________________________________ School District ____________________________________________________________ City ____________________________________________________________ Dates ____________________________________________________________ Position ____________________________________________________________ School District ____________________________________________________________ City ____________________________________________________________ Dates ____________________________________________________________

Position ____________________________________________________________ School District ____________________________________________________________ City ____________________________________________________________ Dates ____________________________________________________________

2. Related Work Experience: Include a narrative description of and other relevantexperience:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Organizations 1. Professional: List below all professional organizations in which you hold membership.

Note offices held and dates.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Civil and Community Organizations: Same as above________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Honors Received:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Additional data, activities, or experience pertinent to the application:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Information about Present Position 1. Student Population ____________ _______ 2. Present Annual Salary ___________________ 3. Car Furnished or Allowance ___________________ 4. Other Benefits ___________________ 5. End Date of Present Contract ___________________ 6. Total Years in the Teaching Profession _____________

References Name __________________________________________

Position _______________________________________ Phone Number _______________________________________ Cell Number _______________________________________ E-mail Address _______________________________________ Name __________________________________________

Position _______________________________________ Phone Number _______________________________________ Cell Number _______________________________________ E-mail Address _______________________________________

Name __________________________________________

Position _______________________________________ Phone Number _______________________________________ Cell Number _______________________________________ E-mail Address _______________________________________

Name __________________________________________

Position _______________________________________ Phone Number _______________________________________ Cell Number _______________________________________ E-mail Address _______________________________________

Name __________________________________________

Position _______________________________________ Phone Number _______________________________________ Cell Number _______________________________________ E-mail Address _______________________________________

Knowledge, Skills, and Abilities (Answer on the following pages. Take up to 1 page to address your experience related to each KSA)

KSA #1: What experience do you have in leading your school district forward during periods of level and/or declining enrollment? KSA #2: While preserving anonymity, and mindful that your answer may be subject to disclosure under FOI law, please generally describe situations where an employee’s job performance did not meet expectations and the specific steps taken by you to address the employee/situation? What was the ultimate resolution of each described situation? KSA #3: What innovative measures have you as an educator incorporated to reach subpopulations who are not achieving? KSA #4: What experience do you have in advancing student achievement in Math, Science, and Literacy?

KSA #1: What experience do you have in leading your school district forward during periods of level and/or declining enrollment?

KSA #2: While preserving anonymity, and mindful that your answer may be subject to disclosure under FOI law, please generally describe situations where an employee’s job performance did not meet expectations and the specific steps taken by you to address the employee/situation? What was the ultimate resolution of each described situation?

KSA #3: What innovative measures have you as an educator incorporated to reach subpopulations who are not achieving?

KSA #4: What experience do you have in advancing student achievement in Math, Science, and Literacy?