Catholic Independent Schools of Vancouver Archdiocese

CATHOLIC INDEPENDENT SCHOOLS OF VANCOUVER ARCHDIOCESE

4885 Saint John Paul II Way Vancouver, BC V5Z 0G3
Tel: 604-683-9331 Fax: 604-687-6692

E-mail:

SCHOOL YEAR 2017-2018 - SECONDARY

SCHOOL:

ADDRESS:

TELEPHONE:FAX:

E MAIL:

The following personal information is collected, used and disclosed for the purpose of CISVA “contact information” (see PIPA, Introductory Provisions, Definitions).

PASTOR:
ADDRESS:
PHONE: / FAX: / E-MAIL:
CHAIRPERSON:
ADDRESS:
PHONE: / BUS:
FAX: / E-MAIL:
TREASURER:
ADDRESS:
PHONE: / BUS:
FAX: / E-MAIL:
DELEGATE:
ADDRESS:
PHONE: / BUS:
FAX: / E-MAIL:

Education Committee’s meetings are held on:

SCHOOL INFORMATION:

PRINCIPAL:
ADDRESS:
PHONE: / E-MAIL:
VICE-PRINCIPAL: / E-MAIL:
VICE-PRINCIPAL: / E-MAIL:
VICE-PRINCIPAL: / E-MAIL:
SCHOOL CHAPLAIN: / E-MAIL:
BOOKKEEPER:
E-MAIL: / FT PT 
OFFICE MANAGER:
E-MAIL: / FT PT 
SECRETARY:
E-MAIL: / FT PT 
SECRETARY:
E-MAIL: / FT PT 
BENEFIT PLAN REP: / Daytime Ph #:
E MAIL:

SCHOOL ENROLLMENT

GRADE / CATHOLICS / NON-CATHOLICS / TOTAL
B / G / B / G / B / G
8
9
SubTotal
10
11
12
SubTotal
B = Boys
G = Girls / TOTAL STUDENTS: 8 - 12

FOREIGN STUDENTS: ____ FIRST NATIONS STUDENTS (with Federal Subsidy): ______

HOME SCHOOLED: ______

SPECIAL NEEDS STUDENTS: Number of low incidence students (Category A-H) ______

Number of high incidence students (Category K, P, Q, R) ______

Number of students receiving learning assistance ______

Number of students on Evergreen program ______

TOTAL NUMBER OF FAMILIES IN SCHOOL:

Enrollment compared to last year:

Increase of ______Decrease of ______

REASON:______

SCHOOL FEES INFORMATION:

TUITION FEES PER YEAR:

One Child / Two Children / Three+ Children
Subsidized Feeder Parishes / $ / $ / $
Catholics from other Parishes / $ / $ / $
Non-Catholics / $ / $ / $

PARTICIPATION FEE PER YEAR (for families choosing not to participate): $______

REGISTRATION FEE: (per student) $______

OTHER FEES CHARGED TO STUDENT/FAMILY: Please supply specific details.

______

______

______

SCHOOL BUS INFORMATION:

Number of school buses: Seating capacity:

Does the school offer a pick-up / drop-off route?Yes  No 

If yes, cost per month: ______

FACILITY INFORMATION:

BINGO:Yes  No NIGHT HELD:

PREP:Yes  No NIGHT HELD:

EDUCATION ASSISTANTS SALARY INFORMATION:

Do you employ Education Assistants at your school? Yes  No 

If yes, please specifically indicate which type of education assistant you employ, their name and their salary.

Teacher

/

Certified

/

Student

/

Uncertified

/ $ per hour
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:
NAME:
Email:

TEACHERS ON LEAVE OF ABSENCE

PART YEAR FULL YEAR

ANY OTHER PAID STAFF: (ie bus driver, maintenance person, etc)

This information is needed for Criminal Record Checks

NAME / POSITION
NAME / POSITION
NAME / POSITION

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION:

NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12
NAME: / EMAIL:
CAT 4: CAT 5:CAT 6:  TOTAL YRS TEACHING EXPERIENCE:
FT:PT:  %:______ST:  / 8 / 9 / 10 / 11 / 12
SUBJECTS TAUGHT:
Department Head:
Athletic Department Learning Support
Business Ed Mathematics
Computer Science Modern Languages
Counseling (Academic) Physical Education
Counseling (Clinical) Religion
English Science
Fine Arts Social Studies
Home Economics / Campus Ministry Contact
French Coordinator
IT Coordinator
Librarian
Learning Support Contact
Teacher Rep
Pro-D Coordinator
Lead Learner
Grade Level Coordinator
89  10
11 12

HIGH SCHOOL TEACHER INFORMATION: