President Search Application

ALERT: There is no way to save progress on this application. Please make sure you have all of your documents and information ready to enter before starting this application. All documents uploaded MUST BE IN .PDF format. DOC/DOCX/JPEG/PNG/ETC WILL NOT BE ACCEPTED.

Basic Information

First Name

Last Name

Middle Initial

Phone Number (Mobile) [format: 111-111-1111]

Phone Number (Home) [format: 111-111-1111]

E-Mail

Mailing Address

Mailing City

Mailing State
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Mailing Zip

Demographic Information

Gender
-Gender-MaleFemaleNon-BinaryPrefer not to say
Race
-Race-ChineseAsian IndianJapaneseKoreanLaotianCambodianVietnameseOther AsianBlack/African AmericanFilipinoMexican, Mex-Amer, ChicanoCentral AmericanSouth AmericanOther HispanicAmerican Indian/AlaskanGuamanianHawaiianSamoanOther Pacific IslanderWhiteUnknown
Disability Status
-Disability-Yes, I have a disabilityNo, I do not have a disabilityDeclined to self identify
Veteran Status
-Veteran Status-Yes, I am a veteranNo, I am not a veteranDeclined to self identify

Education

Institution Name #1

Institution State #1
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #1

Degree Earned #1

Institution Name #2

Institution State #2
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #2

Degree Earned #2

Institution Name #3

Institution State #3
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #3

Degree Earned #3

Institution Name #4

Institution State #4
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #4

Degree Earned #4

Institution Name #5

Institution State #5
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #5

Degree Earned #5

Institution Name #6

Institution State #6
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #6

Degree Earned #6

Institution Name #7

Institution State #7
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Degree Major #7

Degree Earned #7

Employment History

Please list your employment history in order from most recent to least recent
Institution Name #1

Institution State #1
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Title Held #1

Name While Employed #1 (optional)

Start Date #1

End Date #1

Supervisor Name #1

Supervisor Title #1

Supervisor E-Mail #1

Supervisor Primary Phone #1 [format: 111-111-1111]

Institution Name #2

Institution State #2
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Title Held #2

Name While Employed #2 (optional)

Start Date #2

End Date #2

Supervisor Name #2

Supervisor Title #2

Supervisor E-Mail #2

Supervisor Primary Phone #2 [format: 111-111-1111]

Institution Name #3

Institution State #3
-State-AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Title Held #3

Name While Employed #3 (optional)

Start Date #3

End Date #3

Supervisor Name #3

Supervisor Title #3

Supervisor E-Mail #3

Supervisor Primary Phone #3 [format: 111-111-1111]

Reference

These are the types of references that MUST be present:

• Supervisor (2x)
• Faculty (2x)
• Community or Business Leader (2x)
• Subordinate – Management/Administrative (1x)
• Subordinate – Classified/Direct Support Staff (1x)

Reference Type #1
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #1

Reference Name #1

Reference Title #1

Reference E-Mail #1

Reference Mobile Phone #1 [format: 111-111-1111]

Reference Home Phone #1 [format: 111-111-1111]

Reference Type #2
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #2

Reference Name #2

Reference Title #2

Reference E-Mail #2

Reference Mobile Phone #2 [format: 111-111-1111]

Reference Home Phone #2 [format: 111-111-1111]

Reference Type #3
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #3

Reference Name #3

Reference Title #3

Reference E-Mail #3

Reference Mobile Phone #3 [format: 111-111-1111]

Reference Home Phone #3 [format: 111-111-1111]

Reference Type #4
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #4

Reference Name #4

Reference Title #4

Reference E-Mail #4

Reference Mobile Phone #4 [format: 111-111-1111]

Reference Home Phone #4 [format: 111-111-1111]

Reference Type #5
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #5

Reference Name #5

Reference Title #5

Reference E-Mail #5

Reference Mobile Phone #5 [format: 111-111-1111]

Reference Home Phone #5 [format: 111-111-1111]

Reference Type #6
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #6

Reference Name #6

Reference Title #6

Reference E-Mail #6

Reference Mobile Phone #6 [format: 111-111-1111]

Reference Home Phone #6 [format: 111-111-1111]

Reference Type #7
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #7

Reference Name #7

Reference Title #7

Reference E-Mail #7

Reference Mobile Phone #7 [format: 111-111-1111]

Reference Home Phone #7 [format: 111-111-1111]

Reference Type #8
-Reference Type-SupervisorFacultyCommunity or Business LeaderSubordinate – Management/Administrative Subordinate – Classified/Direct Support Staff

Reference Institution/Organization Name #8

Reference Name #8

Reference Title #8

Reference E-Mail #8

Reference Mobile Phone #8 [format: 111-111-1111]

Reference Home Phone #8 [format: 111-111-1111]

Document Upload

Maximum File Size (per file) is 49mb. If your file is larger than 49mb, please compress it.

Resume Upload (.PDF files ONLY)

Transcript Upload (.PDF files ONLY)

Cover Letter Upload (.PDF files ONLY)

Certification

Please check this box to certify all information presented here is true and accurate, under penalty of disqualification from the application process:

The El Camino Community College District is committed to providing an educational and employment environment in which no person is subjected to discrimination on the basis of actual or perceived race, color, ancestry, national origin, religion, creed, age (over 40), disability (mental or physical), sex, gender (including pregnancy and childbirth), sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military and veteran status, or retaliation; or on any other basis as required by state and federal law.

Applicants with disabilities requiring special accommodations must contact Human Resources at least five (5) working days prior to the final filing date.
https://elcamino.formstack.com/forms/reasonable_accommodation_request_form

If you have any questions about the application process, please email bduran@pplpros.com and lsugimoto@pplpros.com.
If you are experiencing technical difficulties, please email grant@25comm.com