Request for Transfer -2007
District
employees who wish to be considered for transfer to a different school within
the district should complete this form and file the original with the Human
Resources Department within 5 days of posting. Licensed personnel who are
applying for transfer are requested to submit an updated professional resume
and encouraged to submit letters of reference with their request. A completed form must be filed for each
position.
Name_________________________________________________________ Date _________________
Home Address_________________________________________________ Phone _______________
Summer Address (if different) _____________________________________ Phone _______________
Present Position ________________________________________________________________________
Present Supervisor _____________________________________________________________________
Present Assignment (grade level, subject
area, etc.) _________________________________________
____________________________________________________________________________________
Assignment Change Requested _________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Building Change Requested
Reasons for Requesting Change _________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature of Supervisor__________________________________________ Date__________________
Part II
Past Positions/Assignments Held (please
indicate years) _____________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Please complete both sides of this
request.
Educational
Background: Degree ________________ Year ______________
Degree_________________ Year_______________
Years
Experience in RE-1J _____________
Years
Experience Out of District
Licensure: Type______________________________________________ Expiration ______________
Endorsement
area(s): _____________________________ /____________________________________
Why do you feel you are the best applicant
for the assignment requested?______________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature of Applicant _________________________________________ Date ___________________
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* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
TO BE
COMPLETED BY RECEIVING PRINCIPAL:
Recommendation: Approval of Transfer/Denial of Transfer
Number of Applicants _______ In-District ______ Out of
District (If available a minimum of three (3) in-district applicants shall be
interviewed)
Interviewee
notified of decision by: Telephone/In Person
Interviewee
notified in writing within 5 days of position being filled: Yes/No
Signature
of Receiving Principal
_______________________________________Date___________________
TO BE
COMPLETED BY DEPARTMENT OF HUMAN RECOURCES:
ACTION: _________________________________________________________________________________
Assistant
Superintendent of Human Resources ____________________________Date________________
Revised: August
2004