11/4/2015

PaEducator.net

APPLICATION
ForTeachingPositionsinPennsylvaniaPublicSchools
Position(S)Desired
Name
Hartranft

LastName
PresentAddress

Street

City

Mary
FirstName

MiddleName

(AreaCode)Telephone
State

Zip

PermanentAddress 15PottiegerRd

Street

Bernville
PA

City
State

EmailAddress
mary.hartranft001@outlook.com

7172228761
(AreaCode)Telephone

19506
Zip

List,inorderofpreference,thegrades,subjectsand/orpositionsforwhichyouareapplying:
Position: EarlyChildhoodPK4
1.

Grade:
Subject:
Position: ElementaryK6

2.

Grade:
Subject:

3.
CERTIFICATION
(ListallareasinwhichyouholdvalidPennsylvaniaand/oroutofstateteachingcertificates.Note:ApplicantsholdingacertificatefromanotherstatemustobtainaPennsylvaniaCertificatein
ordertoteachinPennsylvaniaPublicSchools)

AreaofCertification
EarlyChildhoodPK4

IssuingState
Pennsylvania

DateIssued
6/1/2015

HaveyouacquiredtenureinPennsylvania?
Ifyes,inwhatschooldistrict?
Dateavailableforemployment

Ifyouarenotemplyedfulltime,areyouinterestedinbeingplacedonoursubstitutelist?
longterm?BerksCounty,LebanonCounty,SchuylkillCounty
shortterm?BerksCounty,LebanonCounty,SchuylkillCounty

No
June2015

Yes
Yes

EDUCATIONALBACKGROUND
SchoolType

SchoolorInstitutionandLocation

HighSchool
TulpehockenHighSchoolBernville,PA19605
CollegeUndergrad AlbrightCollegeReading,PA19604

https://www.paeducator.net/Applicant/PrintApplication.aspx

Major/Minor

EarlyChildhoodEducation/SociologyFamilyStudies

Diplomas,Degrees

GPA

HighSchoolDiploma

3.80
3.70

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EXPERIENCE
(Presentormostrecentfirst)

Dates

NameofEmployerandAddress
YourTitle
AlbrightCollegeResidentialLife
LeadResidentAssistant
1621N.13thStreet
Reading,PA19604
To
5/21/2015

(AreaCode)Telephone:
6109217641
WorkPerformed:
ReasonforLeaving:
Leadastaffoffiveresidentassistantsinoverseeingaresidentialhallof140residents.Leadbuildingmeetingsand
weeklystaffmeetings,planprograms,safetyofresidents,communitydevelopment.AlsoattendweeklyLead
ResidentAssistantmeetingsandweeklyoneononemeetingwithAssistantDirector.

Name&Titleof
JenniferMcCabe,AssistantDirector
FinalAnnual
7000
Salary:
Supervisor:
From

8/9/2012

Dates

NameofEmployerandAddress
YourTitle
BerksCountyHeritageCenter
TourGuide
1102RedBridgeRoad
Reading,PA19605
To
PresentPosition

(AreaCode)Telephone:
6103748839
WorkPerformed:
ReasonforLeaving:
GivetoursoftheGruberWagonWorksandoftheCanalCenter.Cashierinthesnackbarandthegiftshop.Plan
schedulesforschooltours,othertourgroups,andfestivals.ArtifacttoolsintheGruberWagonWorks.

Name&Titleof
CathyWegener,Supt.ofInterpretiveServices
FinalAnnual
2000
Salary:
Supervisor:

From

5/1/2010

Dates

NameofEmployerandAddress
YourTitle
ReadingSchoolDistrict
LongTerm4thGrade
From
8/24/2015
Sub
955PennStreet
Reading,PA19601
To
10/23/2015

(AreaCode)Telephone:
6103206994
WorkPerformed:
ReasonforLeaving:
LessonPlanning,Grading,Implementingnewcurriculum,classroommanagement,Parentcommunicationand
Lookingforacontractedpositionandthis
meetings,ESLdifferentiation,Levelingstudentsinreading,professionaldevelopment,districttesting
positionisnot

Name&Titleof
Rowbee'CKasisky,Principal
FinalAnnual
Salary:
Supervisor:

Pleaselistactivitiesthatyouarequalifiedtosuperviseorcoach:

GRADEORSUBJECTTAUGHT

Ifyouhavenotbeenpreviouslyemployedinateachingposition,pleasecompletethefollowing:
STUDENTORPRACTICETEACHING
NAMEANDADDRESSOFSCHOOL
1.

2.
K
All

GRADEORSUBJECTTAUGHT

1
All

https://www.paeducator.net/Applicant/PrintApplication.aspx

WhitfieldElementary
2700VanReedRoad
WestLawn,PA19609
NAMEANDADDRESSOFSCHOOL

MifflinParkElementarySchool
10S.WaverlyStreet
Shillington,PA19607

COLLEGESUPERVISOR
COOPERATINGTEACHER

1.

SheilaSimyak

2.

CarrieSpayd

1.

COLLEGESUPERVISOR

2.

COOPERATINGTEACHER

1.

SheilaSimyak

2.

NicoleHowe

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StudentTeachingReferences:Pleaseattachphotocopiesoflettersofreferenceand/orevaluationsfromcollege/universitystudentteachersupervisorsand
cooperatingteacher(s).
REFERENCES
Referencesshouldincludesuperintendents,principalsorprofessorswhohavefirsthandknowledgeofyourprofessionalcompetenceandyourpersonal
qualifications.Experiencedteachersshouldincludethesuperintendentandprincipalofthetwomostrecentschoolsinwhichemployed.Ifanyperson(s)listed
shouldnotbecontactedforreferenceatthepresenttime,indicateinthelefthandmarginthedatecontact(s)maybemade.
Name
Company
Position
Address
Telephone
SheilaSimyak
AlbrightCollege
InstructorofEducation
Reading,PA19604
4847225827
SusanSeidenstricker
AlbrightCollege
AssociateProfessorofEducation
Reading,PA19604
6109217564
JenniferMcCabe
AlbrightCollege
AssistantDirectorofResidentialLife
Reading,PA19604
4845776331
NicoleHowe
GovernorMifflinSchoolDistrict
CooperatingTeacher
Shillington,PA19607
6102232582

OtherQualifications
Summarizespecialjobrelatedskillsandqualificationsacquiredfromemploymentorotherexperiences(includingU.S.militaryservice)and/orstateany
additionalinformationyoufeelmaybehelpfulinconsideringyourapplication,i.e.honors,awards,activities,technologyskillsorprofessional
developmentactivities:
Iwasaleadresidentassistantandaresidentassistantforthreeyearsincollege.ThroughthisjobIlearnedhowtothinkonmyfeet,timemanagementskills,
organization,howtoleadastaff,planprograms,andberesponsibleforthesafetyofalargegroupofresidents.IhavevolunteeredinaHeadStartprograminNew
Orleansandlearnedabouttheprogramandworkinginanareathathasbeenthroughadisaster.Ihavevolunteeredinafterschoolhomeworkprogramsthatinvolve
helpingstudentsdevelopreadingdecodingstrategies.Ihavereceivedhonorsandawardsforgrades,achievementsineducation,andcommunityserviceincollege.I
havecreatedandtaughtSmartboardlessonsandusedNexustabletsintheclassroomwithQRcodesandeducationalapps.
GENERALBACKGROUNDINFORMATION
Youmustgivecompleteanswerstoallquestions.Ifyouanswer"Yes"toanyquestion,youmustlistalloffenses,andforeachconvictionprovidedateofconviction
anddisposition,regardlessofthedateorlocationofoccurrence.Convictionofacriminaloffenseisnotabartoemploymentinallcases.Eachcaseisconsideredon
itsmerits.Youranswerswillbeverifiedwithappropriatepolicerecords.
CriminalOffenseincludesfelonies,misdemeanors,summaryoffensesandconvictionsresultingfromapleaof"nolocontendere"(nocontest).
Convictionisanadjudicationofguiltandincludesdeterminationsbeforeacourt,adistrictjusticeoramagistrate,whichresultsinafine,sentenceorprobation.
Youmayomit:minortrafficviolations,offensescommittedbeforeyour18thbirthdaywhichwereadjudicatedinjuvenilecourtorunderaYouthOffenderLaw,
andanyconvictionswhichhavebeenexpungedbyacourtorforwhichyousuccessfullycompletedanAcceleratedRehabilitativeDispositionprogram.
Wereyoueverconvictedofacriminaloffense?
Areyoucurrentlyunderchargesforacriminaloffense?
Haveyoueverforfeitedbondorcollateralinconnectionwithacriminaloffense?
Withinthelasttenyears,haveyoubeenfiredfromanyjobforanyreason?
Withinthelasttenyears,haveyouquitajobafterbeingnotifiedthatyouwouldbefired?
Haveyoueverbeenprofessionallydisciplinedinanystate?
Professionaldisciplinedmeanstheannulment,revocationorsuspensionofyourteachingcertificationorhavingreceivedaletterofreprimandfromanagency,boardorcommissionofstategovernment,suchasthe
PennsylvaniaProfessionalStandardsandPracticesCommission.

Areyousubjecttoanyvisaorimmigrationstatus,whichwouldpreventlawfulemployment?

No
No
No
No
No
No
No

Note:Ifyouanswered"Yes"toanyoftheabovequestions,pleaseprovideadetailedexplinationonaseperatesheetofpaper,includingdates,andattachittothisapplication.Pleaseprintandsignyournameonthe
sheet,andincludeyoursocialsecuritynumber.

ACT34COMPLIANCE(BackgroundCheckofProspectiveEmployees)
EachPennsylvaniaresidentmustsubmitwithhis/heremploymentapplicationacopyofareportofCriminalHistoryRecordInformationfromthePennsylvania
StatePoliceorastatementfromthePennsylvaniaStatePolicethattheStatePoliceCentralRepositorycontainsnosuchinformationrelatingtothatperson.Each
outofstateapplicantmustsubmitwithhis/herapplicationforemploymentacopyofafederalcriminalrecordhistoryfromtheFederalBureauofInvestigation.
Thecriminalrecordhistoryreportmustbenomorethanone(1)yearold.TheapplicantMUSTsubmittheORIGINALreportpriortoemployment.
*****************************************
ACT151(PAChildAbuseHistoryClearance)
Eachcandidatemustsubmitwithhis/heremploymentapplicationacopyofanofficialclearancestatementobtainedfromthePennsylvaniaDepartmentofPublic
WelfareorastatementfromtheDepartmentofPublicWelfarethatnorecordexists.Theclearancestatementmustbenomorethanone(1)yearold.Theapplicant
MUSTsubmittheORIGINALreportpriortoemployment.
*****************************************

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CERTIFICATIONANDRELEASEAUTHORIZATION
Icertifythatallofthestatementsmadebymearetrue,completeandcorrecttothebestofmyknowledgeandbelief,andaremadeingoodfaith.Ifurthercertify
thatIamthesoleauthoroftheessay.Iunderstandthatanymisrepresentationofinformationshallbesufficientcausefor:(1)rejectingmycandidacy,(2)
withdrawingofanyofferofemployment,or(3)terminatingmyemployment.
Iherebyauthorizeanyandallofmypreviousemployersand/orsupervisorstoreleaseanyandallofmypersonnelrecords,andtorespondfullyandcompletelyto
allquestionsthatofficialsof________________(schooldistrict)mayaskregardingmypriorworkhistoryandperformance.Iwillholdsuchpreviousemployers
and/orsupervisorsharmlessofanyandallclaimsthatImightotherwisehaveagainstthemwithregardtostatementsmadetothisschooldistrict.Ifurtherauthorize
theseofficialstoinvestigatemybackground,noworinthefuture,toverifytheinformationprovidedandreleasefromliabilityallpersonsand/orentitiessupplying
informationregardingmybackground.However,Idonotauthorizetheproductionofmedicalrecordsorotherinformation,whichwouldtendtoactuallyidentifya
disabilitynordoIauthorizeinquirieswhichwouldincludeinformationrelatedtoanymedicalconditionormedicalhistory.Further,Idonotwaiveanyrights
whichImayhaveunderstateorfederallawrelatedtomyrighttochallengethedisclosureofunlawfulorinaccurateinformation,whetherbytheschooldistrictor
byentitiesorpersonsprovidingsuchinformationtotheschooldistrict,includinganyandallclaimsconcerningallegationsofemploymentdiscriminationbecauseof
race,color,sex,religion,nationalorigin,ancestry,ageordisability.
___________________________ ____________________________________________________
Date
SignatureofCandidate(inink)

[Mustbeoriginal]
Pennsylvaniaschooldistrictsshallnotdiscriminateintheireducationalprograms,activitiesoremploymentpracticesbasedonrace,color,nationalorigin,sex,disability,age,religion,ancestryoranyotherlegallyprotectedclassification.Thispolicyisinaccordancewithstateandfederal
laws,includingTitleVIoftheCivilRightsActof1964,TitleIXoftheEducationAmendmentsof1972,Sections503and504oftheRehabilitationActof1973,theAgeDiscriminationActof1975,theAmericanswithDisabilitiesActof1990andthePennsylvaniaHumanRelationsAct.
Informationrelativetospecialaccommodation,grievanceprocedure,andthedesignatedresponsibleofficialforcompliancewithTitleVI,TitleIX,andSection504maybeobtainedbycontactingtheschooldistrict.

ADDITIONALQUESTIONS:

PAFBIClearanceRegistrationNumber(CogentRegistration
Number):
NumberofYearsTeaching:
UndergraduateGPA:
GraduateGPA:
HighestDegreeObtained:
MusicNoPreference:
MusicStrings:
MusicInstrumental:
MusicVocal:
MiddleSchoolPreference:
InterestedinPartialDayEmploymentforaSemester/Year:
NationalBoardCertifiedTeacher:
Act48Creditscurrentasof:
NumberofCredits:
NumberofHours:

PAE1513841140305
0
3.7
0
1
Yes
No
No
No
No
Yes
No
0
0

ExtraDutyAssignmentAreas:
Clubs
StudentCouncil,Volunteering
PerformingArts
Theatre

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ESSAYTOPICS:
Weareinterestedinyourabilitytoorganizeandexpressthoughtsonaspecifictopicinasuccinctmanner.Pleaseselectoneofthefollowingtopicsandwriteanessayin
thespaceprovidedonthispage.
1.
TheMostImportantQualitiesofanOutstandingEducator.
2.
MyPhilosophyofStudentDiscipline.
3.
TheImportanceofContinuingProfessionalDevelopmentandHowIPlantoIncorporateItThroughoutMyCareer.
4.
EssentialElementsofInstruction,AdministrationorAreaofCertification.
5.
HowInformationTechnology(i.e.,computers,Internet)CanBeIntegratedintotheInstructionalProcessandCurriculum.

Essay
EssayTopic:ThetopicIhavechosenisthemostimportantqualitiesofanoutstandingeducator.Ifeelthattherearealotofqualitiesthatanoutstandingeducator
needs,thefirstqualityispassion.Iteacherneedstohavepassionfortheirjobandwhattheyareteaching.Havingpassionforteachingallowstheteachertobe
excitedandengagingforthestudents.Passionalsoallowstheteachertowanttogotheextramiletomeettheneedsofthestudentsthroughdifferentiation,learning
styles,andmakingahomeschoolconnectionwithparents.Havingpassionforteachingwillallowtheteachertobeandoutstandingeducatorbecausetheyare
goingaboveandbeyondtoprovidethebestlearningenvironmentforthestudent.Italsoshowstheloveforwhattheyaredoingeveryday,thisshowsthroughin
theirteachingandtheeffecttheyhaveontheirstudents.Leadershipisanotherqualitythatmakesapersonanoutstandingeducator.Beingaleadermeansthatyou
notonlyknowhowtobealeader,butthatyouknowhowtobeagoodlistener.Studentslooktoteacherstobeagoodlistenerandtobealeaderandprovidethem
withguidanceinhelpingthemwithmakingdecisions.Aneducatorisnotonlyaleaderintheclassroom,butintheschoolandthecommunity.Anoutstanding
educatorwilltakeleadershippositionsindifferentorganizationsintheschoolorbeanadviserinanafterschoolprogram.Inthecommunitytheysetagood
exampleandgetinvolvedincommunityprograms.Anotherimportantqualityofanoutstandingeducatorishavingeffectiveclassroommanagementstrategies.
Thesestrategieshelptomaketheclassroomasafe,organized,andeffectivelearningenvironment.Classroommanagementstrategiesshouldalsobeonesthat
promoteandencouragestudentresponsibilityfortheiractionsandfortheirownlearning.Partofclassroommanagementisorganizationandtimemanagement.To
beanoutstandingeducatoryouneedtobeorganizedandhavegoodtimemanagementsothattheclassroomcanrunsmoothly.Havingthequalityofbeingableto
useclassroommanagementeffectivelywilldeterminethelearningatmosphereandwhetherornotitisapositiveoneoranegativeone.Ifitispositivethenstudents
knowwhatisexpectedofthemandknowthatdoingtheirworkandbeingengagedisimportant.Havingknowledgeonwhatyouareteachingalsoisaqualitythat
outstandingeducatorshavebecauseinordertoteacheffectivelyyouneedtohaveabackgroundknowledgeonthematerialsothatyouareabletoteachittoyour
students.Itisalsoalrighttoshowyourstudentsthatsometimesteachersdon'tknoweverythingandshowthemresourcesforfindinganswers.Therearealotof
qualitiesthatittakestobeaneducator,whenlookingbackthroughmylistofqualitiestobeanoutstandingeducatorIrealizedittookgoingtheextramileto
ensurethatyouwereprovidingyourstudentswiththebestexperienceandeducationpossible.

Signature ______________________________________ Name ________________________________

Notetoapplicants:ThisapplicationcanbedownloadedfromtheDepartmentofEducation'shomepagewhichisaccessibleat:http://www.state.pa.us.
Thisapplicationwasdeveloped,inaccordancewithSection1204.1ofAct107of1996,bythePennsylvaniaDepartmentofEducationisconsultationwithorganizationsrepresentingschooladministrators,includingpersonneladministrators,teachersandschoolboards.Questionsshould
bereferredtoPDESchoolServicesUnitatVoiceTelephone(717)7874860,TextTelephoneTTY(717)7838445orFAX(717)7836802.Ifyouneedaccommodationincompletingthisapplication,includingalternateformat,pleasecontacttheschooldistrict.

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