Return form to the Personnel Office by 04/17/15 CO-CURRICULAR ASSIGNMENTS _____ Auditorium/LGI Coordinator _____ Quiz Team - Barry _____ Quiz Team - Parker _____ Quiz Team - Randall _____ Quiz Team - Smith _____ Quiz Team - Virgil _____ Safety Patrol - Barry _____ Safety Patrol - Parker _____ Safety Patrol - Randall _____ Safety Patrol - Smith _____ Safety Patrol - Virgil _____ Student Council - Barry _____ Student Council - Parker _____ Student Council - Randall _____ Student Council - Smith _____ Student Council – Virgil _____ Senior Class Advisor _____ Junior Class Advisor _____ Sophomore Class Advisor _____ Freshman Class Advisor _____ GO Bookkeeper _____ Student Council (Senior High) _____ Student Council (Junior High) _____ Muse-ings Advisor _____ Yearbook Advisor _____ National Honor Society _____ Photography Club Advisor _____ Junior Statesmen of America _____ Science Olympiad _____ Mock Trial _____ Radio Guild _____ SADD Advisor _____ Stage Craft _____ Quiz Team (Senior High) _____ Senior High Newspaper (7 max) $ per issue _____ Junior High Newspaper (7 max) $ per issue _____ Language Clubs (3 max) _____ Senior Ski Club _____ Junior Ski Club _____ Elementary Art Club – Barry _____ Elementary Art Club – Parker _____ Elementary Art Club – Randall _____ Elementary Art Club – Smith _____ Elementary Art Club – Virgil _____ Pay It Forward _____ Zonta _____ Drug Abatement _____ Rotary Club Interact _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Senior High Musical Director (1 show) Senior High Drama Director (1 show) Winter Color Guard Head Instructor Jazz Band Director Junior High Drama Director (1 show) Musical/Instrumental Musical/Vocal Winter Color Guard Drill Instruction Music Ensemble Senior Swing Choir Pep Band Director Elementary Select Band Elementary Select Orchestra Music Ensemble Junior Winter Color Guard Assistant Parade Band Director Winter Color Guard Drill Design Pep Band Assistant Director Elementary Select Band Assistant Marching Instructor Parade Band Parade Band Assistant Director Parade Band Color Guard Instructor Tri-M Advisor One Act Play Video Coordinator Head Teacher - Barry Head Teacher - Parker Head Teacher - Randall Head Teacher - Smith Head Teacher – Virgil Head Nurse Name (please print): ___________________________________ Signature: ___________________________________________ The School District does not discriminate in employment or in the education programs and activities which it operates on the basis of sex, sexual orientation, age, ethnicity, religion, race, or handicap in violation of Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendment of 1972, or § 504 of the Rehabilitation Act of 1973 and the New York State Human Rights Law. Return form to the Personnel Office by 04/17/15 INTERSCHOLASTIC SPORTS ACTIVITIES _____ Varsity Football Assistant Coach _____ Head Coach Junior Varsity Football _____ Junior Varsity Football Assistant Coach _____ Junior High Football Head Coach _____ Junior High Football Assistant Coach _____ Head Coach Varsity Field Hockey _____ Head Coach Junior Varsity Field Hockey _____ Head Coach Junior High Field Hockey _____ Head Coach Girls Gymnastics _____ Head Coach Girls Swim Team _____ Assistant Coach Girls Swim Team _____ Head Coach Varsity Cross Country _____ Head Coach Junior High Cross Country _____ Head Coach Varsity Boys Soccer _____ Head Coach Junior Varsity Boys Soccer _____ Head Coach Junior High Boys Soccer _____ Head Coach Varsity Girls Soccer _____ Head Coach Modified Girls Soccer _____ Head Coach Junior High Girls Soccer _____ Head Coach Varsity/JV Fall Cheerleading _____ Head Coach Varsity Boys Basketball _____ Head Coach Junior Varsity Boys Basketball _____ Head Coach Freshman Boys Basketball _____ Head Coach 8th Grade Boys Basketball _____ Head Coach 7th Grade Boys Basketball _____ Head Coach Varsity Girls Basketball _____ Head Coach Junior Varsity Girls Basketball _____ Head Coach 8th Grade Girls Basketball _____ Head Coach 7th Grade Girls Basketball _____ Head Coach Varsity Wrestling _____ Head Coach Junior Varsity Wrestling _____ Head Coach Junior High Wrestling _____ Head Coach Varsity Ice Hockey (with Homer) _____ Head Coach Varsity Volleyball _____ Head Coach Junior Varsity Volleyball _____ Head Coach 8th Grade Volleyball _____ Head Coach 7th Grade Volleyball _____ Head Coach Varsity/JV Winter Cheerleading _____ Head Coach Varsity Baseball _____ Head Coach Junior Varsity Baseball _____ Head Coach Junior High Baseball _____ Head Coach Varsity Boys Lacrosse _____ Assistant Coach Varsity Boys Lacrosse _____ Head Coach Junior Varsity Boys Lacrosse _____ Assistant Coach Junior Varsity Boys Lacrosse _____ Head Coach Junior High Boys Lacrosse _____ Assistant Coach Junior High Boys Lacrosse _____ Head Coach Varsity Tennis _____ Assistant Coach Junior Varsity Tennis _____ Head Coach Varsity Golf _____ Head Coach Varsity Boys Track _____ Head Coach Varsity Girls Track _____ Assistant Coach Varsity Track _____ Head Coach Junior High Track _____ Assistant Coach Junior High Track _____ Head Coach Varsity Girls Lacrosse _____ Head Coach Junior Varsity Girls Lacrosse _____ Head Coach Junior High Girls Lacrosse _____ Head Coach Varsity Girls Softball _____ Head Coach Junior Varsity Girls Softball _____ Head Coach Junior High Girls Softball _____ Head Coach Boys/Girls Bowling CO-CURRICULAR ASSIGNMENTS Grade Level Leaders (requires 2 letters of support if 1st year of application) _____ Kindergarten _____ 1st _____ 2nd _____ 3rd _____ 4th _____ 5th _____ 6th Department Leaders 7-12 _____ Foreign Language _____ Business _____ Technology _____ Guidance _____ Health & FCS Core Department Leaders 7-12 _____ English _____ Math _____ Social Studies District Department Leaders K-12 _____ Music _____ LMS _____ Art Liaison _____ _____ _____ _____ _____ _____ Speech Special Education (Elementary) Special Education (Secondary) Reading Social Worker School Psychologist District _____ Wellness Coordinator Name (please print): ____________________________________ Signature: ____________________________________________ The School District does not discriminate in employment or in the education programs and activities which it operates on the basis of sex, sexual orientation, age, ethnicity, religion, race, or handicap in violation of Title VII of the Civil Rights Act of 1964, Title IX of the Education Amendment of 1972, or § 504 of the Rehabilitation Act of 1973 and the New York State Human Rights Law.