Lake Shore Board of Education
APPLICATION FOR VACANT POSITION
Name
First and last name
Your answer
Email *
Your answer
Phone number
Your answer
Current Employer (Include Position and Years Employed)
Your answer
Previous Employer (Include Position and Years Employed)
Your answer
Education High School and Year Graduated
Your answer
Education College and Degree
Your answer
Are you a registered voter in the Lake Shore School District?
Have you ever served on a School Board? (please explain)
Your answer
Have you ever served on the governing body of any organization? (please explain)
Your answer
Civic/Charitable Involvement (please list any volunteer services or activities you have had with civic, church, or charitable organizations. Include leadership roles)
Your answer
School District Improvement (please list any volunteer services or activities you have had with Lake Shore Public Schools and include any leadership positions you have held)
Your answer
Provide a brief statement as to why you wish to serve on the Lake Shore Board of Education.
Your answer
Briefly describe any special skills or attributes you would bring to the Board of Education.
Your answer
What do you see as the single most important issue facing the Lake Shore School District?
Your answer
Board/Special Meetings
The Lake Shore Board of Education holds regular meetings at 7:30 p.m. on the fourth Monday of every month, year-round, with special meetings held throughout the year as necessary. In addition, Board members may serve on a sub-committee which meets once a month, generally on Monday.
Do you have any commitment(s) which would prevent you from attending these meetings? If yes, please explain.
Your answer
Application Process
Applications must be returned to the Superintendent’s Office, Lake Shore Administrative Center, on or before Wednesday, August 21, 2019 at 4:00 p.m.

A cover letter and resume may be included with your application. You will be contacted in regard to the next step in the appointment process. Thank you for your interest in serving your community’s schools.

**Note: All replies must be completed on this form**

Please email a copy of your resume and cover letter to Dr. Joseph DiPonio, Superintendent at jdiponio@lsps.org
Non Discriminatory Disclaimer
The Board of Education does not discriminate on the basis of race, color, national origin, sex, (including sexual orientation and transgender identity), disability, age, religion, height, weight, marital or family status, military status, ancestry, genetic information or any other legally protected category, (collectively, "Protected Classes"), in its programs and activities, including employment opportunities.
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