03.11 AP.111



PERSONNEL 03.11 AP.25

- Certified Personnel -

Recommendation for Employment

To: Superintendent

From:

Date:

After consulting with the School Based Decision Making Council on ____/____/____, I have selected

_________________________________ to fill the position of _________________________________.

Start Date: ____/____/____ Rank: _____ Years Experience: _____ Previous District: _______________

Fund/Budget to be charged: _____________________________________________________________

Is this person being transferred from another position within the school system? ( Y ( N

If yes, please specify position and location employee is transferring from: _________________________

Is this an intern teacher? ( Y ( N

How was “Highly Qualified” status determined? ( KTIP ( PRAXIS ( HOUSSE

Date vacancy was posted ____/____/____. Was vacancy posted for thirty (30) days? ( Y ( N

(If not, was an emergency hiring waiver requested? ( Y ( N. This person cannot start work until an emergency hiring waiver has been granted from the KDE unless certain exceptions apply.)

Is this person’s certification on file at the Board of Education? ( Y ( N

| |American|Asian/Pa|Black, |Hispanic|White, |Other |Ethnicit|

|TEACHER HIRING INFORMATION |Indian |cific |Not | |NOT | |y Not |

| | |Islander|Hispanic| |Hispanic| |Specifie|

| | | | | | | |d |

|*Ethnicity information as marked by the applicant on their application. | | | | | | | |

| | | | | | | | |

|Total Number Interviewed: ____________ | | | | | | | |

|Received one interview and were HIRED. | | | | | | | |

|Received multiple interviews and were HIRED. | | | | | | | |

|Received one interview and were NOT hired. | | | | | | | |

|Received multiple interviews and were NOT hired. | | | | | | | |

|Received one interview and DECLINED position. | | | | | | | |

|Received multiple interviews and DECLINED position. | | | | | | | |

_______________________________________________________

Signature Date

Review/Revised:7/25/2005

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The Board of Education does not discriminate on the basis of race, color, national origin, age, religion, sex, or disability in employment, educational programs or activities as set forth in Title IX and VI, and in Section 504.

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