Vice/Assistant Principal Application Form

Applicant Information

ARCHDIOCESE OF KANSAS CITY IN KANSAS DEPARTMENT OF EDUCATION OFFICE OF THE SUPERINTENDENT CERTIFIED ASSISTANT/VICE PRINCIPAL APPLICATION
Date of Filing Application*
MM slash DD slash YYYY
Date When Available:
MM slash DD slash YYYY
Check this box if you are currently working in the Archdiocese
Name*
First Middle Last
Other Names used in past employments
PRESENT ADDRESS
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
PERMANENT ADDRESS
Check here if same as above
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
Preferences
Check the type(s) of position(s) sought:
- Elementary
- Secondary
Check the box for any regions where you are willing to work:*
- SOUTHERN
- WYANDOTTE/LEAVENWORTH
- NORTHERN
- TOPEKA
- JOHNSON COUNTY
List any preferred school building:

EDUCATIONAL AND PROFESSIONAL TRAINING
Education - 1
Degree*
Date Received*
MM slash DD slash YYYY
Dates of Attendance*
MM slash DD slash YYYY
Education - 2
Degree
Date Received
MM slash DD slash YYYY
Dates of Attendance
MM slash DD slash YYYY
Education - 3
Degree
Date Received
MM slash DD slash YYYY
Dates of Attendance
MM slash DD slash YYYY
Education - 4
Degree
Date Received
MM slash DD slash YYYY
Dates of Attendance
MM slash DD slash YYYY
Educational Information
College Minor
Masters Degree
Doctorate
Number of hours in Major
Number of hours in Minor
Number of hours in Education
Total college hours
Number of hours in Administration

INTERNSHIP EXPERIENCE

For each internship experience, list District, School and City, Grade/Level Position, Inclusive Dates, and Number of Teachers in the School.
Internship Experience - 1*
Internship Experience - 2
Internship Experience - 3
For each teaching/administrative experience please list the Name of District, School and City, Grades or Subjects Taught, Inclusive Dates, and Number of Teachers in the School.
Teaching/Administrative Experience - 1*
Teaching/Administrative Experience - 2
Teaching/Administrative Experience - 3
Teaching/Administrative Experience - 4
Teaching/Administrative Experience - 5
Experience Other Than Teaching

For each experience other than teaching please list the Name of Firm and Location, Type of Work, and Inclusive Dates.
Experience other than teaching - 1
Experience other than teaching - 2
References

Three professional references are required for employment: current pastors, superintendents, principals or supervisors who have firsthand knowledge of your spirituality/faithlife, personality, scholarship, professional ability, and parish involvement. While a current pastor reference is required, we recognize that in some circumstances, the pastor may not be able to provide such a reference in a timely fashion. In such cases, the pastor's designee or other parish leader would be acceptable. Provide Name, Position, and Telephone for each reference:
Reference 1*
Reference 2*
Reference 3*

PLEASE COMPLETE THIS DESCRIPTION OF YOUR PHILOSOPHY:

Assistant/Vice Principals in Catholic Schools are expected to understand the concept and accept the responsibility of leading the school in both the transmission of the teachings of the Catholic Church and faith formation of the members of the school community. Please describe your philosophy regarding: a. the purpose of Catholic Education; b. your reason for desiring a position as an assistant/vice principal in the Catholic Schools:
Statement of Philosophy*
INFORMATION FOR APPLICANT:

Because all staff in Catholic Schools are called to bear witness to Jesus in both their life and teaching, the Catholic Schools in Archdiocese of Kansas City in Kansas hire practicing members of the Roman Catholic Church, who are registered members and actively participate in the faith-life of their parishes through their gifts of time, talent and treasure. School leaders, i.e. Presidents of Secondary Schools and Principals and Assistant/Vice Principals of both secondary and elementary schools, must be practicing Catholics. Employees shall not be discriminated against in employment opportunities or practices on the basis of race, color, national origin, gender (unless in conflict with Catholic moral teachings), age, disability, veteran status, genetics or any other characteristic protected by law. MINIMUM PREPARATION: A Bachelor's Degree (Master's Degree or working towards a Master's Degree is strongly preferred) is required for placement in both the secondary and elementary schools. CERTIFICATION/LICENSURE: A degree certification/license issued by the Kansas State Board of Education is required. Applicant should communicate with the Director of Certification, State Department of Education, 120 E. 10th, Topeka, KS 66612, regarding state certification/licensure.

Applicant's Email Address*

SIGNATURE

By filling in my name below, I affirm that the facts I have given on this employment application are true and complete to the best of my knowledge. I understand that this application may be withdrawn or my employment may be terminated if I have given false or misleading information on this application or during my interview(s). I also understand that my employment is contingent upon satisfactory results from my background check and my successful completion of child protection training (Virtus) prior to the first contract day. By filling in my name below, I authorize the Archdiocese (School) to investigate all statements in the application, including contacting all references to seek job-related information about me to allow the Archdiocese (School) to make an employment decision. I release the Archdiocese (School) and all other persons and companies from liability for furnishing or obtaining such information. NOTE: If you are hired, you will be required to produce documents about your eligibility for employment in order to complete an I-9 Form.
Are you legally eligible for employment in this country?*
- Yes
- No
Name*
Check your entries above to make sure there are no mistakes. Then, click the Submit button to send application to the Archdiocesan Office of Catholic Schools.
Name
This field is for validation purposes and should be left unchanged.

Step 1 of 7

Applicant Information

PRESENT ADDRESS

PERMANENT ADDRESS

Preferences

PERSONAL DATA

PROFESSIONAL DATA

EDUCATIONAL AND PROFESSIONAL TRAINING

INTERNSHIP EXPERIENCE

PLEASE COMPLETE THIS DESCRIPTION OF YOUR PHILOSOPHY:

INFORMATION FOR APPLICANT:

SIGNATURE