Board of School Directors Vacancy Application Form

Board of School Directors Vacancy Application Form

Lewisburg Area School District
You may submit your application form through the use of this online form, by mail, or hand deliver to Lewisburg Area School District, Superintendent’s Office, 1951 Washington Avenue, Lewisburg PA 17837. If you need an accommodation in the application process or if you have questions about this application process, please call Vincent Hoover at (570) 522-3264. Persons with a disability, who need assistance in the application process, or who need this application form in an alternative format may call Vincent Hoover at (570) 522-3264.
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Business Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Telephone Number*
Format: (000) 000-0000.
Office Telephone Number*
Format: (000) 000-0000.
Mobile Telephone Number*
Format: (000) 000-0000.
Email Address*
example@example.com
Occupation (if retired, please indicate former occupation or profession)

Education

Professional and/or community activities, including boards and commissions.
List any experience that would assist you in serving on a Board of School Directors.
Why are you interested in serving on the Board of School Directors?
Describe your experience and involvement with the school district.
What do you consider to be three (3) of the most pressing issues facing the district?
Additional Information
By signing this application, I am certifying that the information contained in this application is correct to the best of my knowledge and that:
- I am of good moral character.
- I will be at least eighteen (18) years of age prior to my appointment.
- I will have been a resident of the school district for at least one (1) year prior to my appointment.
- I do not hold any office or position as specified in the Pennsylvania School Code 24 P.S.Sec. 3-322.
- I am not a member of a municipal council.
- I have not been removed from any office of trust under federal, state or local laws for any malfeasance in such office.
- I have not been engaged in a business transaction with the district, been employed by the district, or received payment for services by the district except as provided in the Public Official and Employee Ethics Act, 65 Pa. C.S.A. Sec. 1101 et seq. and the Pennsylvania School Code 24 P.S. Sec. 3-324.
Signature

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