Cleveland Metropolitan School District …

                           Cleveland Metropolitan School District
                                  School Board Application
                                           Application Information

Dear Citizen,

On behalf of the Nominating Panel, we would like to thank you for your interest in being appointed to the
School Board. Anyone who is a resident of the Cleveland Metropolitan School District (CMSD) can be
appointed to the School Board, however, for this appointment, applicants must be a resident of the City of
Cleveland. Employees of the School District and elected public officials are prohibited by State law from
serving on the School Board.

Applications must be filled out completely. Please answer all questions in the space provided. Typed
applications are preferred; however, applications that are printed in ink will be accepted. You must mail
in your application. Applications that are faxed, delivered, or given to school employees or board
members will not be accepted. All applications must be mailed to:

           Nominating Panel of the Cleveland Metropolitan School District, Attn: Monyka Price
                                           City of Cleveland
                                    601 Lakeside Avenue, Room 227
                                         Cleveland, Ohio 44114

Applications are due no later than Friday, April 18th, 2008. If there are any further questions, feel free
to call the Nominating Panel at (216) 420-8087.
I. PERSONAL DATA
1. Name of applicant:                                                Telephone:

   Name of applicant's spouse:                                       Spouse's Employer:

2. Current address:                                              City:                           Zip:

3. How long have you been a resident of the Cleveland Metropolitan School District?                  years


4. Where do you reside? (select one)    Cleveland    Bratenahl     Linndale    Garfield Hts.    Newburgh Hts.


5. How many children do you currently have in the CMSD?

6. How many children do you currently have enrolled in non-CMSD schools?

7. How many of your children have ever attended the CMSD?

8. Do you have any relatives (by marriage or by blood) employed by the CMSD? (select one)            Yes      No

        If Yes, who and what position:

9. Have you, or any family members, ever applied for a position with the CMSD? (select one)             Yes     No

        If Yes, who and what position:

10. Have you ever been convicted of a crime other than a traffic violation? (select one)       Yes      No
II. EDUCATIONAL BACKGROUND
Please list high school and colleges attended and diplomas or degrees earned.
Names of Schools               Diploma/Degree Received                                 Year Received




III. COMMUNITY INVOLVEMENT
Please describe your current and prior community and civic involvement.




IV. EMPLOYMENT HISTORY

Please provide the following information for your current and your last previous employer.
1. Current
Name of current employer:

Address:                                                                        Telephone:

Your title or position:                                               Dates of employment:


2. Previous
Name of previous employer:

Address:                                                                        Telephone:

Your title or position:                                               Dates of employment:


3. Please describe your prior experience and expertise in the fields of education, finance, and business
management.




V. RELATED EXPERIENCE AND INFORMATION
1. Please describe your experience or skills working directly with youth, issues affecting youth, and
   parenting.
V. RELATED EXPERIENCE AND INFORMATION (cont.)
2. Please describe your vision of community outreach for the School Board.




3. Please describe why you are interested in serving as an appointed School Board Member.




4. What do you believe are the most important responsibilities of a School Board member?




5. What do you believe are the most critical issues facing the CMSD, and how would you contribute as a
   School Board member?




6. How can the CMSD increase participation by parents in their children's education?
V. RELATED EXPERIENCE AND INFORMATION (cont.)
7. What are the primary strengths you would bring to the position of School Board member?




8. Given the multicultural and multi-ethnic diversity of the children in the schools, how can the CMSD
   foster sensitivity and cooperation?




9. The CMSD has many programs for children with special educational, bi-lingual, vocational, and other
   specific needs. How should the CMSD assess and improve those areas?




10. How would you describe the ideal organizational structure of the School Board?




11. What is your expectation of the time requirements of School Board membership?
APPLICANT AUTHORIZATION AND CONSENT FOR RELEASE OF INFORMATION

All applicants who are under consideration for an appointment to the Board of
Education of the Cleveland Metropolitan School District are subject to a criminal re-
cords check by the Ohio Bureau of Criminal Identification and Investigation (BCII).
You must provide fingerprint impressions on a form specified by the BCII and you must
give the BCII permission to obtain a copy of any arrest or conviction record. If you have
not lived in Ohio for five years or are unable to provide proof of residency, the Panel
may ask the BCII to perform a nationwide check through the Federal Bureau of Investi-
gation (FBI). The Panel reserves the right to still request a nationwide FBI check if you
do present such proof of residency for five years.

The Nominating Panel may, in its sole discretion, consider you conditionally pending
satisfactory completion of the records check. If the records check is not satisfactory, or
reveals that you have been convicted or pled guilty to certain criminal offenses, the
Panel will terminate consideration of your application.

I certify that information provided by me in connection with this application is true and
accurate. I understand that any misrepresentation or omission of facts is sufficient
cause to reject my application and cause my removal from the School Board if selected.

I authorize the Nominating Panel to verify, by references or otherwise, any information
provided in this application. I authorize the companies, schools and persons named in
my application to provide information regarding me and hereby release them from all
liability in connection with the release of this information.

I authorize the Nominating Panel to perform background checks into the records of any
law enforcement agencies for records of criminal convictions, into the records of the
Bureau of Motor Vehicles or other motor vehicle records, and into any workers'
compensation records. I acknowledge and understand that any adverse information
obtained in conducting background checks will be considered in the decision whether or
not to nominate and/or appoint me and may be the basis for a decision not to nominate
and/or appoint me.

I authorize any individual or entity to reveal to the Nominating Panel, orally and/or in
writing, the results of this verification process. I release the Nominating Panel, the
Cleveland Metropolitan School District, the City of Cleveland, the State of Ohio, and
any individual or entity providing or receiving information regarding this application
from any claims, damages, losses, liabilities, costs and expenses related to gathering
and reporting information pursuant to this release and from any other charge or com-
plaint related to obtaining and/or reporting any information pursuant to this release.



Name Printed                                  Signature


Social Security Number                        Date