Lyons
Central
School
District
Mission
Statement
The
Lyons
Central
School
District,
including
its
entire
staff
and
community,
is
dedicated
to
the
education
of
the
total
student.
Together,
we
are
committed
to
the
development
of
the
students'
academic,
emotional,
social
and
physical
well
being.
Our
educational
system
supports
the
individual
student
as
a
whole
person
and
affords
students
the
opportunity
to
develop
their
potential
to
become
productive,
responsible
members
of
society.
Application
of
Last
Name
First
Name
Present
Address
Street
City
Phone
(
)
Permanent
Address
Street
City
Phone
(
Administrative
Position
Sought
I.
Education
Administrative
Application
for
Lyons
Central
School
District
Middle
Name
State
Zip
State
Zip
Availability
Date
A.
College
or
University
Dates
of Attendance
Degrees
or
Credits
1.
2.
3.
B.
Fields
Hours
Major
1. Undergraduate
2.
Graduate
Minor
Hours
C.
All
Certificates
Held
and
Subjects
of
Certification:
(please
provide
copies)
D
Certificate
of
Qualification
If you
do not
have
an
SAS/SDA
Certificate,
have
you
applied
for
one?
If certified in another state, please describe.
Other licenses held: type and issuing authority
(please provide copies)
Expiration
Date
D
Certificate
of
Qualification
Expiration
Date
D
Certificate
of
Qualification
Expiration
Date
DYes
D
No
Exp.
Date
School
Address
City, State, Zip
Position held
Dates
Number of Years
Immediate
Supervisor
n.
Experience (DO NOT STATE "See Resume")
School
Address
City, State, Zip
Position held
Dates
Number of Years
Immediate Supervisor
School
Address
City, State, Zip
Position held
Dates
School
Address
City, State, Zip
Position held
Dates
Number of Years
Number of Years
III.
Immediate Supervisor
Immediate Supervisor
IV.
V.
Personal Data:
A.
Social Security Number
B.
N.Y.S. Retirement Number
c.
From
what
secondary
school
did
you
graduate?
School
Address
City,
State,
Zip
Present
Salary.
Year
Expected Salary
D.
E.
List
persons
working
for
us
who
know
you.
Tenure
Status
A.
Were you ever appointed to tenure in a public school district in N.Y.S.
If yes, complete:
0
Yes 0
No
Tenure
Area
Date
Tenure
Granted
Name
of
school
where
tenure
was
granted
Address
B.
City,
State,
Zip
Were
you
ever
dismissed
from
the
school
district
c~nferring
tenure
pursuant
to
Education
Law
section 3020a?
0
Yes
D
No
Other
Information
A.
Have
you
ever
been
released
or
asked
to resign
from
an
employment
position?
Please
explain:
B.
Have
you
ever
been
convicted
of
a crime
in
the
past
ten
years,
excluding
minor
traffic
offenses?
If
yes,
please
explain
on
a separate
sheet.
c.
Are you legally eligible for employment in this country?
0
Yes
0
No
(Upon employment you will be asked to produce two original forms of identification.)
VI.
Candidate's Statements (Complete Section VI in your own handwriting.)
(Attach additional sheets if needed).
A.
Describe your Philosophy of Leadership.
B.
List your accomplishments as an Administrator or as a Teacher.
C.
What
recent
innovation
in education
seems
to be
most
exciting
and
promising?
Why?
D.
Briefly
explain
your
supervisory
experience.
E.
Describe
how
you
promote
parental/community
involvement?
F.
Describe your vision of the areas for which you are applying.
\0.
G.
Is there any other information you may desire to offer which will assist us to properly evaluate your promise as an
administrator in the Lyons Central School District?
VII.
Professional References
Please include current supervisor, TeacherAssociation President, Community/Board
Member
A.
Current Superivisor
Address
City, State, Zip
Phone Number (
Position
B.
Teacher
Association
President
Address
City, State, Zip
Phone Number (
)
c.
Community/Board Member
Address
.~
City,
State,
Zip
Phone
Number
(
VIII.
My
placement
folder
may
be
obtained
from
Lyons Central School District is an Equal Opportunity Employer and is in compliance with Title IX, Regulations of the Education,
Amendment of 1972, which prohibits discrimination on the basis of sex.
Signature
Please return to:
Superintendent of School
Lyons Central School District
9 Lawrence Street
Lyons, New York 14489
\C.
Lyons is located in Wayne County, upstate New York, between Rochester and Syracuse.
The town and
village have a population of approximately 6,200.
Over 2/3 of the population
live in the village of
Lyons.
Lyons is the seat of county government.
Chief occupations are in manufacturing, county
government and agriculture.
Lyons
Central
School
District
is
a comprehensive
public
school
with
an
enrollment
of
1,100
in
grades
K12
and
employs
approximately
120 professional
staff.
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