You have opened the application form for the

Superintendent
of

Duval County Public Schools

Jacksonville, Florida In order to be considered for this position, you must submit the following:

This signed application form (signed with questions answered) A letter of application A rsum Credentials (transcripts, certification of teaching/supt. degree, letters of recommendation, etc.) by

Monday, July 23, 2012*

*If we do not receive a sufficient number of qualified applicants by July 23, 2012, the Duval County School Board has agreed to extend the search timeline. All materials must be received by the above date in order to be included in the determination of qualified candidates. Application materials may be sent to: McPherson & Jacobson, L.L.C. 7905 L St., Suite 310 Omaha, Nebraska 68127 or Faxed to: (402) 991-7168 or Emailed to: apps@macnjake.com

Duval County Public Schools

Application Information Form
Title: Name: Home Address: Dr. Mr. Ms. Mrs.

Jacksonville, Florida
Position: Superintendent
(otherplease list) _________________ Telephone Office: ( Home: ( Cell: ( ) _______________ ) _______________ ) _______________

_____________________________ _____________________________ _____________________________ _____________________________

Zip Code:

____________

E-mail: ______________________

Record of Professional Education (in reverse chronology) Institution _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Graduation Date ____________ ____________ ____________ ____________ ____________ Major _______________ _______________ _______________ _______________ _______________ Degree _______________ _______________ _______________ _______________ _______________

Record of Professional Experience (in reverse chronology) Title ______________ ______________ ______________ ______________ ______________ Dates _____ _____ _____ _____ _____ to to to to to _____ _____ _____ _____ _____ District ______________ ______________ ______________ ______________ ______________ State _____ _____ _____ _____ _____ Enrollment _________ _________ _________ _________ _________ Annual Salary _________ _________ _________ _________ _________

Give names, titles, and telephone numbers of three administrators and/or school board members familiar with your career that we may contact. This will be done confidentially. Name ______________ ______________ ______________ Title ______________ ______________ ______________ Business Phone ______________ ______________ ______________ Home Phone ______________ ______________ ______________ Cell Phone ______________ ______________ ______________

Duval County Public Schools, Jacksonville, FL

Closing date July 23, 2012

The School Board has identified the following qualities for the superintendent of schools. Please respond to each of the qualities stressing your experience, strengths, and abilities in each area, limiting your responses to between 200 and 300 words for each item.

1. A leader who solicits, respects and values the input of stakeholders at all levels of the organization and who has demonstrated leadership in utilizing that input to create and sustain a culture of shared decision-making. 2. A leader who supports and empowers principals, teachers and staff to improve organizational and student performance outcomes. 3. A proactive visionary, able to consider, plan and implement systemic change that increase the district's ability to recognize and respond to current and future challenges as they arise. 4. Someone with strong organizational and leadership skills, able to collaboratively align and focus internal and external stakeholders efforts to accelerate progress on achieving the district's goals for student and organizational performance. 5. A person of integrity who is trustworthy and who's relationships, with the board and across the district, are predicated on honest and open communications.

Duval County Public Schools, Jacksonville, FL

Closing date July 23, 2012

Do you have a Superintendent Endorsement for the state represented by the position listed on this Application Information Form?
(If you have questions regarding the requirements to be a superintendent in the State of Florida, contact the Florida Department of Education)

Yes ____

No ____

I certify that the information provided herein is true and complete to the best of my knowledge. ________ (initials) I am aware that the Florida Sunshine Act will require that all applicant information is public and can be released to the media upon request.

Applicant hereby waives his/her right to confidentiality with regard to his/her work record or criminal record and consents to and authorizes the release of information from current or former employers and/or law enforcement personnel upon inquiry under this application.

Signature of Applicant: ______________________________ Printed name of Applicant: ___________________________ This application must be COMPLETED and RETURNED by: Date: __________________ MONDAY, JULY 23, 2012

Duval County Public Schools McPherson & Jacobson, L.L.C. Executive Recruitment and Development 7905 L St., Suite 310 Omaha, Nebraska 68127 Phone: (402) 991-7031/(888) 375-4814 E-mail: apps@macnjake.com Fax: (402) 991-7168

AA/EEO Employer

Duval County Public Schools, Jacksonville, FL

Closing date July 23, 2012