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 Staff
Volunteer Staff (unpaid coach or other unpaid volunteer staff)
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The administrator submitting the recommendation for new, certified staff must ensure each of the following have been uploaded to Skyward and have been reviewed/verified prior to submitting the recommendation. If these have not been uploaded or reviewed/verified, come back to this form after that is completed.
Uploaded in Skyward
Application
Educator License
Transcripts
Resume
The administrator submitting the recommendation for new, non-certified (support) staff must ensure the application has been uploaded to Skyward or is on file in the Superintendent's Office and the application has been reviewed. If the application is not on file and/or has not been reviewed, come back to this form after that is completed.
Uploaded in Skyward or on file in the Supt Office
Application
The administrator submitting the recommendation must ensure each of the following are completed prior to submitting a recommendation for volunteer staff. If these have not been completed, come back to this form after they have been completed.
COMPLETED
Limited Criminal History Check
MyCase Check
Dox Pop Check
Any recommendation of an athletic coach or assistant ECA band staff (not incl. varsity coach or full-time band teacher) requires collaboration with and a signature of that program's varsity coach or band director. If this recommendation meets that criteria, select YES below and this recommendation form will be automatically routed to the varsity coach or band director for their signature after you submit. If this recommendation is for a varsity position or is not an athletic coaching or assistant ECA band staff position, select NO below.
YES
NO
Varsity Coach or Band Director Name
First Name
Last Name
Email Address of Varsity Coach or Band Director
example@example.com
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RECOMMENDED STAFF Details
Name of Recommended Staff
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Date of Birth
*
/
Month
/
Day
Year
Date
Race (Required info for background check but will not be visible on the Rec Form)
*
Asian or Pacific Islander
Alaska Native or American Indian
Black
Multi-Racial
White
Unknown
Gender (Required info for background check but will not be visible on the Rec Form)
*
Female
Male
Email of Recommended Staff
*
example@example.com
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POSITION Details
Position Title
*
Location of Position
*
Johnson Elem
Lexington Elem
Scottsburg Elem
Vienna-Finley Elem
Scottsburg MS
Scottsburg HS
Early Learning Acad.
Central Office
All Buildings
Multiple Buildings
Specify the # of Paid Hours Per Day & Days Per Year
*
# Paid Hours Per Day
# Days Per Year
Paid Hours & Days
Select Part-Time or Full-Time
Please Select
Part-Time
Full-Time
Start Time
Lunch Duration (30 min, 1 hr, etc.)
End Time
Person Replaced
*
Salary Discussed with Recommended Staff?
*
Yes
No
Salary Amount
*
Verified Years of Experience
*
N/A
0 Yrs Exp
1 Yrs Exp
2 Yrs Exp
3 Yrs Exp
4 Yrs Exp
5 Yrs Exp
6 Yrs Exp
7 Yrs Exp
8 Yrs Exp
9 Yrs Exp
10 Yrs Exp
11 Yrs Exp
12 Yrs Exp
13 Yrs Exp
14 Yrs Exp
15 Yrs Exp
16 Yrs Exp
17 Yrs Exp
18 Yrs Exp
19 Yrs Exp
20 Yrs Exp
21 Yrs Exp
22 Yrs Exp
23 Yrs Exp
24 Yrs Exp
25 Yrs Exp
26 Yrs Exp
27 Yrs Exp
28 Yrs Exp
29 Yrs Exp
30 Yrs Exp
30+ Yrs Exp
Post-Secondary Degree (Highest Earned)
*
N/A
Associates Degree
Bachelor's Degree
Master's Degree
Doctoral Degree
Start Date
*
/
Month
/
Day
Year
Date
Administrator Comments
Administrator Signature
*
Administrator Email
*
example@scsd2.k12.in.us
Date
*
/
Month
/
Day
Year
Date
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Varsity Coach Signature
*
Date
*
/
Month
/
Day
Year
Date
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***** Business Office Use Only *****
Position:
Specify the # of Paid Hours Per Day & Days Per Year
# Paid Hours Per Day
# Days Per Year
Paid Hours & Days
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***
SUPT ADMIN ASST: Mark the completion of each below upon receipt of recommendation
COMPLETED/ON FILE?
Limited Criminal History Check
YES
NO
MyCase Check
YES
NO
Dox Pop Check
YES
NO
SUPT ADMIN ASST: Mark the completion of each below upon Board approval
DATE ON FILE
STATUS
DCS Check
REQUESTED
ALREADY ON FILE
NOT REQUIRED
Federal Criminal History Check (SafeHiring)
REQUESTED
ALREADY ON FILE
NOT REQUIRED
School Board Approval Date:
/
Month
/
Day
Year
Date
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Notifications are ENABLED and a
copy of your submission will be emailed to you
.
Preview PDF
SUBMIT
Should be Empty: