ARCHDIOCESE OF PHILADELPHIA



ARCHDIOCESE OF PHILADELPHIA

PARISH ELEMENTARY SCHOOL PRINCIPAL APPLICATION

Name: __________________________________________________________________

{Last, First, Middle / (Maiden)}

Social Security Number: ___________________________________________________

Address: ________________________________________________________________

{Street, City, State, Zip}

Telephone: ____________________ Alternate Telephone:___________________

{Include area code}

Parish: _________________________________________________________________

{Name, Pastor}

EDUCATIONAL BACKGROUND

College or University

Name & Location of School Degree Major/Minor

Field of Study

_______________________________________ _________ __________________

_______________________________________ _________ __________________

_______________________________________ _________ __________________

Education Certification

_____________ ______________________ ______________________________

{State} {Type} {Subject}

________________________ ______________________________

{Certification Number} {Date Issued}

(Copy must be attached with this application and original must be shown to potential employer)

Religious Education Certificate {if applicable}

______________________________ __________________

{Diocese} {Date Issued}

Number of Religion Credits {Catholic College or University}_______________

Personal Background

What is your religion? Catholic_______ Non-Catholic______

Are you a practicing Catholic? (“A practicing Catholic is one who participates in the Life of the Church by attending Mass on Sundays and Holydays of Obligation, by receiving the sacraments of Reconciliation and Holy Eucharist and by living a life that is in conformity with the Teachings of the Church”) ____________________________

Is there a Church other than your home parish that we can contact for the purpose of a reference?__________ If yes please name_____________________________

If you are married, please state whether you are married in accordance with the laws of the Church. Yes_________ No___________

If employment is offered, can you submit a birth certificate, social security card, certificate of US citizenship or other verification of your legal right to work in the United States? Yes_________ No___________

If employment is offered, can you submit current (within one year) Pennsylvania State Police Request for Criminal History Record Information, Pennsylvania Child Abuse History Clearance, and an FBI Fingerprint Card? ______

If employment is offered, can you submit your certificate for having attended the Archdiocesan Safe Environment Workshop? _______________________________

Have you ever been convicted of a crime? (exclude minor traffic violations) ______

If yes, please explain: ___________________________________________________

Do you currently use illegal drugs? ________________________________________

Except for vacation and holidays, how many work days were you late or absent during the past calendar?_______________________________________________________

Have you taken part in the Archdiocese of Philadelphia Principals Program (Elementary Administrators’ Development Program)? Yes _____ No _______

If so, what year _________

Who was the Office of Catholic Education Leader of the Program?

________________________________________________________________________

Employment Record

{Teaching, Administrative; List employment starting with present or most recent}

Name Address Position From/To

_________________ _________________ _________________ ______________

_________________ _________________ _________________ ______________

_________________ _________________ _________________ ______________

_________________ _________________ _________________ ______________

Were you ever discharged or requested to resign from any position you have ever held? If yes, state the reason ____________________________________________________

______________________________________________________________________

List membership in Professional Organizations: _______________________________

________________________________________________________________________

Personal References

{Who may be contacted to provide information concerning character and reputation?}

Name four persons {not relatives} more than twenty-five years of age, of good standing in their communities, who have known you well for the past five years.

________________________________________________________________________

{Name} {Address} {City, State}

________________________________________________________________________

{Name} {Address} {City, State}

________________________________________________________________________

{Name} {Address} {City, State}

________________________________________________________________________

{Name} {Address} {City, State}

1. Please describe your Philosophy of Education

2. How do you view your role as a Principal in a Catholic School? How is this like

or different from a teacher’s role?

3. How important do you consider your own Catholic attitudes and practices in your role as Principal?

4. What are your concepts of leadership and management?

5. What do you see as the relationship between school and parish?

Applicant: Please read carefully before signing

I certify that the information submitted by me in this application, on my resume, and during any personal interview is true and complete to the best of my knowledge. I understand that any false information provided in this application, on my resume or during any personal interview may result in the denial of my application or, if I am employed, discharge at any time. I agree that the representatives of the Archdiocese of Philadelphia, Secretary for Catholic Education, may contact my previous employers, neighbors, friends, associates, and/or government agencies in order to obtain information regarding my prior job performance or my qualifications for employment, including information concerning my character, general reputation, personal characteristics, mode of living, employment background, and public record history. I release the Archdiocese of Philadelphia, the Secretary for Catholic Education and his representatives, as well as all parties contacted by them for any and all liability whatsoever concerning the information supplied to the Archdiocese of Philadelphia, the Secretary for Catholic Education, and their representatives. My understanding of the above is indicated by my signature below.

Dated:__________________________ Name: ______________________________

{Please print}

Signature: ___________________________

ARCHDIOCESE OF PHILADELPHIA

222 North Seventeenth Street Philadelphia, PA 19103-1299

Voice: 215/587-3743 Fax: 215/587-2414 Email: dbachor@

catholicschools-

OFFICE OF CATHOLIC EDUCATION

Deborah Bachor

Executive Director for Elementary Educational Services

Dear Applicant:

Thank you for your interest concerning the availability of administrative openings in the parish and regional elementary schools within the Archdiocese of Philadelphia. Before we can give you consideration, we require that you provide us with the following:

1. A completed application

2. A minimum of five (5) years teaching experience

3. An official transcript from your highest level of education

4. A copy of PA certification (or other state certificate)

5. A Current resume stating your professional training and experience

6. A letter of recommendation from the pastor of your home parish

7. A letter of recommendation from the pastor of the school within which you are now teaching or serving as an administrator

8. Two letters of recommendation from persons with whom you have served in an educational position

9. A current processed Pennsylvania State Police Request for Criminal History Record Information Form (SP4-164); Pennsylvania Child Abuse History Clearance Form (CY-113); and an FBI Fingerprint Clearance. Please see “Fingerprint Procedure” link below, or call 215-587-3743 for information about the process

10. Please include cover letters to the pastors of the parishes to which you are applying. Please notify us and forward a cover letter for any openings that arise after you have submitted your application packet

Please mail the completed application, which includes all of the documents listed above, Deborah Bachor at the Office of Catholic Education, 222 N. 17th Street, Philadelphia, PA 19103. All information must be mailed in one packet. (Only pastor recommendation may be mailed directly to this office) Do not mail the application packet directly to the parish. The Office of Catholic Education is not responsible for materials sent separately. Applications will not be processed until all required materials have been submitted.

If you would like to discuss any aspect of the information on this sheet, please do not hesitate to telephone my office at 215-587-3743.

Sincerely in Christ,

Deborah Bachor

Executive Director for Elementary Educational Services

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