School Leadership Licensure Assessment (SLLA)

Qualifications for SLLA raters:

be a U.S. citizen, a resident alien, or authorized to work for remuneration in the U.S.
hold a certification/license and at least two years recent or current experience as a principal, vice principal, assistant principal, superintendent, assistant superintendent or deputy superintendent or teaching graduate level courses in an accredited educational leadership program.
previous scoring experience preferred
willingness to accept established ETS essay scoring standards and procedures
openness to the concepts and principles of holistic scoring

Complete and submit this application if you wish to be considered for the position of rater for SLLA. If you need additional information, please e-mail SLLARater@ets.org.

ETS is an Equal Opportunity Employer. In compliance with federal and state laws, all qualified applicants are considered for employment regardless of race, sex, color, national origin, ancestry, religion, age, sexual orientation, disability, veteran status or marital status, or any other basis of discrimination by law.

Submitting this application does not constitute your appointment as a rater. If your application is approved, you will receive information by e-mail regarding the online tutorial and certification process. Successful certification is required to begin scoring

ATTENTION MICROSOFT INTERNET EXPLORER USERS! Hitting the ENTER key at any time while filling out this form will cause the form to be automatically submitted.

* Denotes a Required Section
** One of Two Sections is Required

United States Employment Eligibility

Are you a U.S. citizen?*

Yes
No

If the answer is "no" to the previous question, are you authorized for employment in the U.S. by virtue of being one of the following:

a permanent resident
an alien who obtained amnesty under one of the 1986-1988 programs
an alien admitted as a refugee
an alien granted asylum

Yes
No

Have you ever been convicted or pleaded guilty to a crime?*
(Conviction itself is not an absolute bar to employment.)

Yes
No

If Yes,

When?

Where?

What for?

Legal Name*

Last Name:
First Name:
Middle Initial:

Address**

Home Address (Legal Residence)

Address:

City:
State:
Zip:
Phone:	(with area code)
Phone:	(where you can be reached while online)
Fax:
E-mail:

Current Institution Address*

Institution:
Address:

City:
State:
Zip:
Phone:	(with area code)
Alternate or Cell Phone:
Fax:
E-mail:

Current Professional Status*

Yes	No
		Full-time Certified Principal
		Full-time Certified Vice Principal
		Full-time Certified Assistant Principal
		Superintendent
		Assistant Superintendent
		Deputy Superintendent
		Professor teaching graduate level courses in school administration or leadership
		Recently Retired from one of the above	Year of Retirement

Academic Degree/Certification*

Degree	Major Field of Study	Minor Field of Study	Institution (Name and Location)	State

To complete the application process, copies of all Certificates and Licenses must be sent as supporting documents to:

Education Testing Service
Constructed Response Scoring Recruitment Department
Attn: SLLA Application
MS 09-Z
225 Phillips Blvd
Ewing, NJ 08628

Email to SLLARater@ets.org

Faxed with a cover sheet to: SLLA Application Processor at 609.406.5260

Professional School Leadership Experience*

From	To	Institution	Position & School Level (elementary, middle, high school, college)

Recent Courses Taught

From	To	Organization	Course

Other Educational Experience

From	To	Organization	Function/Position

Professional Organizations

From	To	Organization	Function/Position

How did you learn about this opportunity to become a rater?*

Have you served as a rater/faculty consultant or worked in any other capacity for ETS?*

Yes
No

If Yes, please specify your role and the program for which you served.

Please provide any experience you have in scoring essays or other types of constructed response assessments.

Hardware and Software Questionnaire

The questions in this section pertain to the PC you will use for scoring in OSN. You must choose one button for each question asked. An answer is required for each question.

References

Please provide two professional references who can speak about your work.

Reference 1
Name:*
Title:*
Institution:*
Address:
E-mail:
Telephone:

Reference 2
Name:*
Title:*
Institution:*
Address:
E-mail:
Telephone:

Comments

Do you have any agreement(s) with present or former employer(s), including, but not limited to, a non-competition agreement, which might be interpreted to restrict your ability to work at ETS?*

Yes
No

SLLA Applicant Agreement*

I have read and fully understand the questions asked in this application. I certify that all answers given by me are true, accurate, and complete and understand that in the event of employment, the omission and/or misrepresentation of any fact may be cause for discipline up to and including termination.

I authorize investigation of all statements contained in this application. I hereby authorize and request any present or former employer, or other professional references listed having knowledge about me to furnish bearer with any and all information in their possession regarding me, in order that my employment qualifications may be evaluated. I hold said persons and/or organizations blameless and without liability for statements or opinions made regarding my character, experience or qualifications. I am willing that a photocopy of this authorization be accepted with same authority as original.

If hired, I agree to abide by ETS policies and procedures. In serving as a Reader, I will be an employee of ETS for tax purposes. ETS is responsible for withholding and payment of Social Security under the Federal Insurance Contribution Act (FICA) and income tax, but not in connection with the Federal Unemployment Tax Act (FUTA). While ETS considers me an employee for tax purposes, I agree that I shall not be entitled to any benefits under any of ETS' health, retirement, pension, benefit or welfare plans, including, without limitation, the Educational Testing Service Section 403(b) Match and Supplemental Retirement Plan. I hereby further agree that should I ever be deemed entitled to any such benefits, I hereby irrevocably waive any present or future entitlement to any benefits under any of ETS' health, retirement, pension, benefit or welfare plans, and I agree to hold ETS harmless against any loss or expense that may result from my collection or attempted collection of such benefits for any reason.

ETS is an "employment-at-will" company. ETS is committed to treating its employees with respect and in accordance with all legal requirements. Employment at will means that there is no expressed or implied contract between ETS and the employee, and that both/either the employee and/or ETS can terminate the employment relationship with or without cause at any time and with or without notification to the other.

In addition, I understand that my employment is contingent upon signing a Confidentiality Agreement for Essay Raters.

I authorize ETS to contact any references for full information and release the Company from any liability or action based upon such request.

I accept
I don't accept

Return to contents

Skip "In This Section"

In This Section

Return to "In This Section"

Do you have an IBM compatible PC running Windows ME/2000/XP/Vista?	Yes	No
Do you have at least a 15" monitor with 1024 x 768 resolution? TIP: Go to Control Panel, select Display, Settings, then Desktop Area.	Yes	No
Does your PC have at least 128MB RAM? TIP: Go to My Computer, right-click, select Properties - General.	Yes	No
Does your PC have at least 10MB of free disk space? TIP: Go to C: right-click, select Properties - General.	Yes	No
Do you have a cable modem or Digital Subscriber's Line (DSL) to connect to the internet?	Yes	No
Is your browser one of the following: Internet Explorer Version 5.5 (With IE version 5.5 SP2 must be loaded in order to download data from OSN) or higher or Netscape version 7.x and higher (Netscape 6.x is not supported by OSN)? TIP: Open a new browser window, click on Help - About. If you need to change or upgrade your browser, visit the application's free download page.	Yes	No
Do you have one of the following JRE/VM versions Sun JRE v.1.4.2_08 or v.1.5.0_11 or v.1.6.0_01? Please use the link to check your JRE version: http://www.java.com/en/download/help/testvm.xml.	Yes	No
Do you have a telephone that can be used for making and receiving calls while you are connected to the Internet scoring system?	Yes	No
Do you have call waiting or voicemail?	Yes	No
Do you have a headset or a speaker to listen to audio stimuli connected with the listening portion of integrated writing tasks?	Yes	No