Personnel Recommendation Form (New Hires, Transfers & ECA)

STAFF RECOMMENDATION FORM

(New Hires, Transfers & ECA)
Type of Position*

NEW Certified Paid Staff (teacher, counselor, admin, or other position requiring educator licensure)NEW Non-Certified Paid Staff (aide, office staff, custodian, maintenance, lay coach/lay ECA staff, or other paid position not requiring educator licensure)TRANSFER Certified or Non-Certified Paid StaffVolunteer Staff (unpaid coach or other unpaid volunteer staff)

RECOMMENDED STAFF Details
Name of Recommended Staff*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Race (Required info for background check but will not be visible on the Rec Form)*
Gender (Required info for background check but will not be visible on the Rec Form)*
Email of Recommended Staff*
example@example.com

POSITION Details
Position Title *
Location of Position*

Select Part-Time or Full-Time
Start Time
Lunch Duration (30 min, 1 hr, etc.)
End Time
Person Replaced*
Salary Discussed with Recommended Staff?*
Salary Amount*
Verified Years of Experience*
Post-Secondary Degree (Highest Earned)*
Start Date*

MonthDayYear
Date
Administrator Comments
Administrator Signature*

Clear
Administrator Email*
example@scsd2.k12.in.us
Date*

MonthDayYear
Date

Varsity Coach Signature*

Clear
Date*

MonthDayYear
Date

***** Business Office Use Only *****
Position:

Number of Years of Experience:
Hourly Rate:
Annual Salary:
NAME OF BUSINESS OFFICE STAFF SUBMITTING SALARY INFO
Name of Business Office Staff Completing Salary Info
***Supt Office Only***

School Board Approval Date:

MonthDayYear
Date

Notifications are ENABLED and a copy of your submission will be emailed to you.
Should be Empty: