Elementary or Secondary Principal
Application Package – Fall 2013
Commitment to Equity:
The Peel District School Board is committed to equity in employment. We are committed to equitable hiring
practices that allow us to hire/promote qualified staff who reflect the full diversity of the Region of Peel. We
will make any reasonable accommodation, based on any of the human rights protected grounds, to support
candidates to participate in the hiring/promotion process.
We will provide employment accommodation (i.e. an accessible location, rescheduling of interviews that fall
on holy days) if we are advised of an applicant's needs in advance of any part of the selection process.
Your completed application package must include the following items, in order:

Principal application completed.

Copy of your College of Teachers Certificate of Registration, showing completion of
Parts I and II of the Principals’ Qualification Program.

Most recent performance appraisal in current position (within last 5 years).

Written response to the question in the “Readiness for Leadership” section of the
application.

Finalized Peel Leadership Framework for Instructional Staff identifying supporting
evidence, reflection and impact on student achievement and well-being within a
diverse school community.

Completed Reference Check Form

Completed Placement Information Form
Your completed application package must be submitted by the deadline to be considered
for the promotion process.
Submit your original package, plus two copies to your superintendent if you are a Peel
applicant. If you are an external applicant, please submit the package, plus two copies to
Jerry Powidajko, Superintendent of Leadership Development and School Support Services,
Peel District School Board, 5650 Hurontario Street, Mississauga, ON L5R 1C6.
Principal Application
Name
(last)
(first)
(street)
(city)
(province)
(postal code)
Address
Phone
(home)
(school)
Email
(home)
Employer
(name of school)
I am applying for the position of:
elementary principal
(school board)
secondary principal
Applicant's signature
Date
- - - - - - - - - - - - - - - - - - May 2, 2013
Working Format
Resume of
Post-secondary education
Institution
Location
Year(s)
Degree
OCT qualifications
Certificate
Date granted
Other qualifications
Division (Subject)
Teaching/administrative experience
Board
Location
Date(s)
Position
Other related experience
References
Each of your three referees must be able to provide strong support for your leadership and
application for promotion to Principal. Referees may be asked to comment on your
leadership with reference to evidence and impact of your work with staff, students, parents
and community members; how you build authentic, trusting relationships and contribute to
a positive climate for learning and working; your instructional leadership and capacity.
A variety of questions may be also be asked such as:
 How long have your worked with the candidate and in what capacity?
 Describe what the candidate has done to demonstrate leadership in the school.
 In what ways has the candidate demonstrated effectiveness in working within a
diverse school community?
 What additional growth opportunities does this candidate require?
For this process, referees
 must include your current Principal/Supervisor
 may include:
o a former Principal
o any Supervisory Officer
o one other professional referee who can speak to your leadership and
readiness for the role
 may not include another Vice-Principal
Please include your references here:
Readiness for Leadership Written Submission
Please respond to the following question based on the eight competencies
identified in Peel Leadership Framework for Instructional Staff and clearly
identify specific supporting evidence.
This written submission will be assessed and used as one tool in
determining leadership readiness.
Your submission should demonstrate and describe:
 your leadership capacity in action as it positively impacts
student achievement and well-being;
 your ability to work effectively within a diverse school
community;
 your ability to affect change that outlives your direct leadership
influence;
 your written communication skills.



Use no more than two pages for this question.
Double-space your answers, use readable font.
Clearly include the question below at the top of the first page.
“Successful school leaders build collaborative teaching and learning cultures
and contribute to a positive climate for learning and working. For one recent
location, illustrate how your unique leadership style enabled you to positively
impact student achievement and well-being within a diverse school community
and affect a change that has outlived your direct leadership influence.”
1
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community.
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2
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community.
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3
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community.
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4
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community.
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5
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community.
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6
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community
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7
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community
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8
Please include supporting evidence, reflections, and the impact on student achievement and well-being within
a diverse school community
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9
REFERENCE CHECK CONSENT FORM
REFERENCE CHECK CONSENT FORM
For Promotion Process Candidates (Vice-Principal/Principal - Phase 1 and 2)
I____________________________________________ authorize the Peel District School Board to contact the
persons or organizations listed below for the purposes of obtaining reference information. These persons are
authorized to disclose such information directly related to my application for the position of
__________________________ and the information disclosed will be used solely for the purpose of evaluating my
application. The information may be disclosed to members of the promotion committee.
Please note: One reference must be from your current Principal.
All references may be contacted.
1) Current Principal’s Name: _____________________________
Employer –School, Board or Organization: _______________________________________________________
Telephone: (
)_______________________
2) Name: _________________________________ Position Title: ____________________________________
Employer –School, Board or Organization: _______________________________________________________
Telephone: (
)_______________________
3) Name: ________________________________ Position Title: ____________________________________
Employer –School, Board or Organization: _______________________________________________________
Telephone: (
)_______________________
For External Applicants Only
If you are not currently employed by the Peel District School Board, please note
and respond to the following:
Are you over the age of 18?
________yes ________no
Are you legally entitled to work in Canada? ________yes ________no
Have you ever been terminated from a position for any reason other than a conviction for which you have
subsequently been granted a pardon? ________yes ________no
If the answer is yes, please complete the following:
Employer: ______________________________ Position Title: ____________________________________
Dates Employed: ________________________ Reason for Termination: _____________________________
All new hires must provide a satisfactory Criminal Record Check prior to the commencement of any employment. The Criminal Record Check (CRC)
must have been completed within the preceding 6 months of hire, be an original, and include a 'Vulnerable Sector Screening’ as part of the process.
The Peel District School Board will not accept a CRC that does not meet the requirements outlined in the board's policy, and the information outlined in
the ‘Information Sheet for the Applicant’ provided to you as part of the interview process. Should an applicant submit a CRC showing evidence of police
contact, confirmation of employment may be postponed pending a review of the information. You are also required to submit a medical examination (if
required), and an ‘External Applicant Disclosure Form’”
To my knowledge, the foregoing is true and correct. I understand that a false or misleading statement given by me during the course of the
interview/hiring process may disqualify me from employment, or may result in dismissal, and that if I am an external applicant, any recommendation to
be hired will be conditional upon receipt and review of a satisfactory criminal record check, results of a satisfactory medical examination (if required), and
completion and submission of an ‘External Applicant Disclosure Form’.
Date: ________________________
Signature: _______________________________________________
Updated: May 1, 2013
PLACEMENT INFORMATION
NAME:
DATE:
If I am successful in the promotion process, please consider the following information when choosing
a school placement for me as a Principal:
Preferred Family of Schools Geographic Location (indicate 1st, 2nd and 3rd choice)
Mayfield, Humberview, Brathwaite
Meadowvale, Streetsville, West Credit
North Park, Chinguacousy, Bramalea
Stephen Lewis, Applewood School, John Fraser
Sandalwood Heights, Louise Arbour
Rick Hansen, Mississauga, Woodlands
Lincoln Alexander, Castlebrooke
Glenforest, Applewood Heights, Gordon Graydon
Fletcher’s Meadow, Heart Lake, Parkholme
Cawthra Park, Port Credit, T. L. Kennedy
David Suzuki, Brampton Centennial, Roy McMurtry
Lorne Park, Clarkson, Erindale
Turner Fenton, Central Peel, Judith Nyman
(Maps are available at www.peelschools.org, click on schools then maps for school family locations)
Preferred Characteristics of School Community
Other
Signature:
__________________________________