SPECIAL EDUCATION CERTIFICATED POSITIONS - EXTENDED SCHOOL YEAR (ESY) 2017 APPLICATION

GROSSMONT UNION HIGH SCHOOL DISTRICT 1.

Completion and submission of this application to the ESY Director at Special Education is a declaration of interest and availability on the part of the individual for an ESY Special Education certificated position.

2.

ESY pay will be a daily rate based on 14 percent of an employee's proper class and step placement on the Certificated Salary Schedule for a 15-day assignment. (Reference GEA contract Article 5.) ESY is in session from 7:30 a.m. to 12:15 p.m. at most sites. (See variations below.) Time worked from 6/7/17 - 6/30/17 (ESY session #1) will be paid at the end of July. Time worked in July (ESY session #2) will be paid at the end of August. Your initials here indicate that you have read and understood this information:_______

3.

Your application must be turned in to the ESY Director at the Special Education office by Friday, May 5, 2017.

4.

When you receive an offer of employment for ESY, you have five (5) days to accept or reject it. All ESY contracts are conditional on enrollment throughout the duration of the session.

NAME

6-DIGIT EMPLOYEE ID NUMBER

(Last) HOME ADDRESS

(First)

(MI) PHONE (

)

CURRENT SCHOOL ASSIGNMENT List the program you taught this year (i.e. Mild/Moderate, Moderate/Severe, Adult Transition): List the subject(s), grade level(s), and number of periods you taught this year: Last year you taught ESY:

Subject(s) taught:

Location:

List (1) program and (2) subject you wish to teach, for which you are both credentialed and NCLB highly qualified: (1)

(2)

LIST ALL AUTHORIZED CREDENTIALS: PROGRAM PREFERENCE –  Mild/Moderate

 Moderate/Severe

 Adult Transition

 Other

LOCATION PREFERENCE – List your site preference: (1) ______________________, (2) _______________________, (3) _______________________ ALL DISTRICT SITES Mild/Mod will be held at ALL comprehensive school sites (excluding AMP, PLUS & students requiring transportation) Regionalized Programs

DATES

HOURS

06/12 – 06/30 DATES

7:30 AM - 12:15 PM** HOURS

Grossmont Granite

Mod/Severe, Mod, Adult Transition, AMP

06/12 – 06/30

7:30 AM - 12:15 PM

Mod/Severe, Mod, Adult Transition, and Adult Transition at Foothills Adult School

06/12 – 06/30

7:30 AM - 12:15 PM

Mod/Severe, Mod, Adult Transition, PLUS

06/12 – 06/30

9:00 AM - 1:45 PM

Mod/Severe, Mod, Adult Transition, PLUS

06/12 – 06/30

9:00 AM - 1:45 PM

Mod/Severe, Mod, Adult Transition, PLUS Charter Schools & Alternative Ed All Programs *Student time is 4.25 hrs; Teachers are required to be on campus 4.5 hrs. All Programs All Programs

06/12 – 06/30 DATES

7:30 AM - 12:15 PM HOURS

06/07 - 06/27 06/12 – 06/30 06/12 – 06/30

8:00 AM - 12:15 PM 7:30 AM - 12:15 PM 7:30 AM - 12:15 PM

All Programs All Programs *Student time is 4.25 hrs; Teachers are required to be on campus 4.5 hrs.

06/12 – 06/30

7:15 AM - 12:00 PM

06/12 – 07/25

9:30 AM - 1:45 PM

El Cajon Valley hosting Valhalla Monte Vista hosting Mount Miguel Santana hosting West Hills & El Capitan

Helix Charter** Steele Canyon Charter REACH Academy Chaparral/IDEA/MERIT Academy ELITE Academy

Signature: _______________________________________________ Applicant

Date

TO BE COMPLETED BY HUMAN RESOURCES______________________________________________________________________ SITE DATES ___ Comprehensive HS – June 12-June 30, 2017 ___ Chap./IDEA/REACH/MERIT – June 12-June 30, 2017 037 ELITE (6 wks.) – June 12-July 25, 2017

PROGRAM

SITE

_______ M/M___ M/S

022 Helix Charter – June 7-June 27, 2017 031 Steele Canyon Charter – June 12-June 30, 2017 ___ Other: ___________________________________

Class/Step _____/_____ Daily Rate: $_________ (Through June 30)

DATES

PROGRAM ______ ______ ______

Class/Step _____/_____ Daily Rate: $_________ (Effective July 1) HR Initials/Date

-

/

/17

ESY Teacher Application 2017-Fillable.pdf

Granite Mod/Severe, Mod, Adult Transition, and Adult Transition at Foothills Adult School 06/12 – 06/30 7:30 AM - 12:15 PM. El Cajon Valley. hosting Valhalla ...

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