Fillable APPLICATION PROCESS EMERGENCY SUBSTITUTE TEACHING PERMIT FOR PROSPECTIVE

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APPLICATION PROCESS EMERGENCY SUBSTITUTE TEACHING PERMIT FOR PROSPECTIVE

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Revised 01/21/2021 (Online)
Office of Mary C. Barlow
Kern County Superintendent of Schools
Credentials Office – 1330 Truxtun Ave (Corner of Truxtun Ave & L St)
(661) 636-4197
Advocates for Children
EMERGENCY SUBSTITUTE TEACHING PERMIT FOR PROSPECTIVE TEACHERS
APPLICATION PROCESS
The Emergency Substitute Teaching Permit for Prospective Teachers authorizes the holder to serve as a day-today substitute
teacher in any classroom, including preschool, kindergarten, and grades 1-12 inclusive. The holder may serve as a substitute for no
more than 30 days for any one teacher and may only serve for a maximum of 90 days during the school year. In a special education
classroom the holder may serve for no more than 20 days for any one teacher during the school year. The permit is valid for one
year and may be renewed only once.
To apply, complete the application process following the steps in the order listed below:
1) Contact the KCSOS Credentials Office to determine your eligibility. The Credentials Office is available by email at
credentials@kern.org
or by phone at 661-636-4197.
2) Schedule a Live Scan (Fingerprint) appointment online through the KCSOS Human Resources website:
www.kern.org/hr
; click on Live Scan/Fingerprint Appointments
3) Report to the Credentials Office (Enter through the Credentials Office door to the right) for your live scan appointment with
the following:
Credit or Debit Card to pay live scan processing fees and valid government issued picture I.D.
Live Scan Request form(s) – obtain from the KCSOS Credentials Office
Information Necessary for Substitute Teaching form
4) Apply online for a Certificate of Clearance (minimum 2 business days after completing live scan)
(Skip this step, if you currently hold a valid Certificate of Clearance [COC] or permit). You can submit a direct online
application using the CA Commission on Teacher Credentialing (CTC) website, instructions provided within, or schedule an
appointment online to come into the KCSOS Credentials Office if you need assistance.
5) When the Certificate of Clearance has been granted, schedule an appointment online with the KCSOS Credentials
Office at (https://kern.org/credentialing/credentialing-office/) to submit the following:
Fingerprint Clearance: CTC Certificate of Clearance and KCSOS County-wide Fingerprint Clearance form (1/2 sheet)
Official Transcripts from a four year California college/university verifying completion of 90 semester or 135 quarter
units, and proof of current enrollment. (Current enrollment may be verified by courses in progress on the transcript or with
an official letter from the registrar’s office.) All completed coursework must be passed with a grade of “C” or better, per
California Administrative Code Title 5, Section 80454. The university’s accreditation must be accepted by CTC (see page
2). E-Scripts are accepted. They must be emailed directly by the university/college or e-script service provider to
KCSOS Credentials Office at:
transcripts@kern.org (Note: It takes 24-48 hours for e-scripts to be received and
downloaded)
Official results verifying passage of the Basic Skills Requirement
Completed Certificate of Completion of an Adult Tuberculosis Risk Assessment Questionnaire, Negative Tuberculosis Skin
Test/Blood Test or Chest X-Ray
completed within 60 days of application or valid TB clearance verified by a school district
The Certificate of Completion of an Adult Tuberculosis Risk Assessment Questionnaire must be signed by a Licensed Physician, Physician’s
Assistant, Nurse Practitioner, or Registered Nurse. The TB or Chest X-Ray results must be signed by a Licensed Physician, Physician’s
Assistant, or Nurse Practitioner.
Completed Certificate of Medical Examination of Applicants form
Completed KCSOS County-Wide Substitute Teacher Eligibility List Requirements form
Certificates of Completion: Child Abuse Neglect and Reporting Act (CANRA) and Sexual Harassment Prevention online
training
Completed Application 41-4
$100 money order or cashier’s check payable to Commission on Teacher Credentialing (CTC)
CERTIFICATION DIVISION
1900 CAPITOL AVENUE, SACRAMENTO, CA 95811-4213
Credential Information
Alert
DATE: February 13, 2014
NUMBER: 14-05
SUBJECT: Prospective Substitute Permits
Summary:
It has come to the Commission’s attention that clarification is needed regarding the 90 semester unit
requirement to qualify for a Prospective Substitute Permit. This Credential Information Alert (CIA)
addresses only the Prospective Substitute Permit and no other emergency permits.
Key Provisions:
The 90 semester units required for the Prospective Substitute Permit must be posted on the official
transcript of a regionally accredited four-year California college or university and may include those
transferred from other colleges or universities. This information was provided in CIA 08-16 which
was distributed on October 2, 2008. A link to the CIA may be found in the References section.
Clarification may be needed because of the manner in which the transferred units from another
college or university are posted on official transcripts.
ABC University:
Prior Schools Attended Credits Earned
HIJ University 36.00
EFG Community College 42.00
ABC University Credits Earned
U.S. History 4.00
Biological Science 4.00
Algebra 4.00
Total Cumulative Credits 12.00
In the example above, the Commission cannot verify that the 78 semester units transferred are
bachelor’s degree applicable and accepted by ABC University since they are not included in the
university cumulative total.
Credential Information Alert 14-xx: Prospective Substitute Permits page
2
CERTIFICATION DIVISION
1900 CAPITOL AVENUE, SACRAMENTO, CA 95811-4213
One requirement for the Prospective Substitute Permit is verification of current enrollment in a
California regionally accredited four-year university. An enrollment statement from the college’s or
university’s registrar may be accepted as verification for current enrollment.
If the official transcript does not provide a cumulative total of all coursework completed at other
colleges and universities, an enrollment statement from the college or university’s registrar may be
accepted as verification for current enrollment. The enrollment statement must also include the
name(s) of the college(s) or university(s), the number of accepted units transferred, and the total
number of cumulative units completed from all colleges or universities. If this information is not
provided in the enrollment statement, the Commission may accept a separate letter that verifies the
required information on official letterhead from the college or university.
A link to the Prospective Substitute Permit Information leaflet may be found in the References
section.
Important Dates:
This is effective the date of this Credential Information Alert.
Source:
Education Code section 44225(d) and (e)
Title 5 section 80025.2
References:
Credential Information Alert 08-16:
http://www.ctc.ca.gov/credentials/cig2/alerts/2008_alerts/0816.pdf
Prospective Substitute Permit Information Leaflet:
http://www.ctc.ca.gov/credentials/leaflets/cl505d.pdf
Contacts/Questions
Commission’s Information Services Unit by telephone at 916-322-4974, Monday through Friday from
12:30 pm to 4:30 pm or by email at credentials@ctc.ca.gov.
Rev. 11/13/2019
Office of Mary C. Barlow
Kern County Superintendent of Schools
1300 17
th
Street –CITY CENTRE/Bakersfield, CA 93301-4533
(661) 636-4000
Advocates for Children
Live Scan (Fingerprint) Fees
Fingerprint clearance through the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI)
is required from every applicant for any credential, permit, or certificate. For privacy protection, fingerprints are not
transferrable/shared between agencies.
Appointment Scheduling
Fingerprinting is by appointment only. Appointments are made online through the Kern County Superintendent of
Schools Human Resources website: www.kern.org/hr; click on Live Scan/Fingerprint Appointments
Fees
Commission on Teacher Credentialing (CTC) and County-Wide Substitute Teacher Employment Prints
$49.00 DOJ/FBI fee (CTC)
$32.00 DOJ fee (Employment)
$15.00 Processing fee
$96.00 Total
County-Wide Substitute Teacher Employment Prints
$32.00 DOJ fee (Employment)
$15.00 Processing fee
$47.00 Total
Commission on Teacher Credentialing (CTC) Prints
$49.00 DOJ/FBI fee (CTC)
$15.00 Processing fee
$64.00 Total
Note: If fingerprints are dropped for any reason, a new fee will need to be paid.
Payment Method
Credit/Debit Card only
Required Documents
Request for Live Scan form(s) - (provided in your application packet or from the KCSOS Credentials Office)
Unexpired government issued picture identification.
Process
1. Arrive to your appointment with the following: credit/debit card, valid picture ID, Request for Live Scan form(s).
*(County-Wide Substitute Teacher applicants will also need the Information Necessary for Substitute Teaching form)
2. A receipt of payment and copy of the Live Scan Request Form(s) will be provided to you. It is important that you
retain the copies for your records.
3. Fingerprints are scanned and submitted electronically to DOJ/FBI and results are provided to requesting
agency.
4. County-Wide Substitute Teacher applicants will receive a fingerprint clearance form, mailed to their home,
approximately 2-10 days after live scan appointment.
Rev. 6/8/2020
Office of Mary C. Barlow
Kern County Superintendent of Schools
1300 17
th
Street – CITY CENTRE
Bakersfield, CA 93301-4533
Advocates for Children
INFORMATION NECESSARY FOR SUBSTITUTE TEACHING
Please type or print answers to all questions in ink and return to the Human Resources/Credentials Office.
Applicant’s Legal Name: _______________________________________________________________________
Last First Middle
Social Security Number: XXX-XX-__________
(Last four (4) only)
Mailing Address: ____________________________________________________________________________
Street City State Zip
Contact Number: ( ) _____-_________ E-Mail:
For questions 1-2 answered “Yes,” please explain on a separate piece of paper and attach.
1. Has any teaching credential you have held ever been suspended or revoked? □ Yes □ No
2. Have you ever been dismissed or asked to resign from any teaching or administrative position? □ Yes □ No
3. Are you retired from the California State Teachers Retirement System (CalSTRS)? □Yes □ No
I prefer to substitute teach in the following areas (Select no more than two 2. Please refer to Area Definitions):
___BAKERSFIELD ___N. KERN ___W. KERN ___E. KERN ___DESERT ___KERN VALLEY ___MOUNTAINS
___KCSOS (Alternative Education, Special Education, and Valley Oaks Charter School)
For questions 4-7 answered “Yes,” please provide explanation on Criminal Records Response.
4. Have you ever been convicted of a misdemeanor? □ Yes □ No
5. Have you ever been convicted of a felony? □ Yes □ No
6. Have you ever entered a plea of No Contest or Guilty to a misdemeanor? □ Yes □ No
7. Have you ever entered a plea of No Contest or Guilty to a felony? □ Yes □ No
A conviction will not necessarily disqualify you from employment. Each prospective employee must undergo a background
clearance through the Department of Justice prior to employment. Fingerprint clearance is pursuant to Education Code
Section 45125(a) as amended by AB 1610, Stats 1997.
I hereby certify that all statements made in this application are true. I agree and understand that any misstatement of material
facts herein will cause (a) rejection of my application and (b) forfeiture on my part to any employment or payment as an
employee in the service of the school districts in Kern County. I further agree to be fingerprinted, to submit to a complete
medical examination, and upon employment, to furnish such proof of age and citizenship as may be directed.
____________________________________________________ _______________________________
Applicant’s Signature (Mandatory) Date
KCSOS Office Use Only
Type of Credential/Permit:
Temporary County Certificate Expiration: Granted Credential/Permit Expiration:
Medical Exam Form: Exempt On file STRS
Eligible to substitute teach on:
TB Expiration Date:
Scanned & Updated Entered on Sub List
DOJ Clearance Date:
QCC-C/W Id #:
BSR Passed:
CANRA: On file:
SHP: On file:
Verified by: KCSOS
Rev. 6/8/2020
CRIMINAL RECORDS RESPONSE
NAME______________________________________________DATE_____________________________
Position applied for:_____________________________________________________________________
Date of infraction:_______________________________________________________________________
Penal Code(s) if known: __________________________________________________________________
Brief explanation of infraction: ____________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Do not list any convictions for violation of Health and Safety Code Sections 11357(b) or (c), 11364, or 11365
if the date of conviction for these sections is more than two (2) years prior to date of application.
A conviction will not necessarily disqualify you from employment.
Rev. 6/8/2020
AREA DEFINITIONS
Select no more than two (2). Your selection does not keep you from applying to any district. Please mark
your selections on the Information Necessary for Substitute Teaching form.
BAKERSFIELD:
Bakersfield City, Beardsley, Fairfax, Fruitvale, General Shafter, Greenfield, Panama-Buena Vista, North of River
Consortium (Lakeside, Norris, Rio Bravo-Greeley, Rosedale), Standard, and Kern High
NORTH KERN:
Delano Elem, Delano JUHSD, Maple, Richland, Semitropic, Wasco Elem., Wasco HS, and
North Kern Vocational Training Center
WEST KERN:
Belridge, Buttonwillow, Lost Hills, Maricopa, McKittrick, Midway, Taft City, Taft High
EAST KERN:
Arvin, Lamont, Tehachapi, Caliente, Edison, DiGiorgio, Vineland
DESERT:
Mojave, Muroc, Southern Kern (Rosamond), Sierra Sands (Ridgecrest)
KERN VALLEY:
Blake (Woody), Linns Valley-Poso Flat (Glennville), South Fork (Weldon)
MOUNTAINS:
El Tejon USD (Lebec, Frazier Park & Pine Mtn Club)
KCSOS
Alternative Education and Special Education programs, and Valley Oaks Charter School run by the County
Office of Education (KCSOS)
Office of Mary C. Barlow
Kern County Superintendent of Schools
Advocates for Children
How to Apply for a Certificate of Clearance
Step 1: Go to www.ctc.ca.gov
Step 2: Click on the symbol titled Apply for a New Document
Step 3: Click on Submit an Online Application box
Step 4: Click on Submit Your Application Online box
Step 5: Click on Create User ID and Password. (If you have already created a User ID and Password skip to Step 8)
Step 6: Enter your SSN and Date of Birth, then click OK. You will be prompted to enter this information twice.
Step 7: Enter your personal information including the selection of a User ID and Password, and create 3 Challenge
Questions and Answers (Important: the name you enter on your educator profile must match the name listed on
your Live Scan form. Name mismatch will cause the issuance of your application to be delayed)
Step 8: After creating your User ID and Password you will be directed back to the login screen. Use your new User ID and
Password. After logging in, you will see the Commission’s Legal Disclaimer page. Click “Next” in the upper right
corner to proceed.
Step 9: On the Personal Information page, you will verify that the information on your personal profile page is up to date.
(Note: you only have access to change your phone number, email address and mailing address) Click “Next”
Step 10: Under the heading “Apply for a Certificate of Clearance or Activity Supervisor Clearance Certificate,” click the
“Create New” to start.
Step 11: Document/Authorization Pick
General Application Category: Click on box to select Certificate of Clearance
Document/Authorization Title: Click on box to select Certificate of Clearance
Click “Next”
Step 12: Read the entire Disclosure and Professional Fitness Questions (PFQs) page. Click “Next”
Step 13: Answer each of the Professional Fitness Questions
Step 14: Child Abuse Neglect Reporting Act – Check the box acknowledging that you have read and understand reporting
duties.
Step 15: Complete the Oath and Affidavit – Check the box, and fill in City, County, State and Country, and Click on Submit
Payment only once (bottom right)
Step 16: Click on Process Payment button; Click on Continue button to acknowledge payment amount of $52.50; Add your
credit card information (address must match billing address of credit card); Click on Continue button.
Step 17: Verify all payment information is correct; Click on Complete Payment button once. Wait for Confirmation Page to
be displayed. Print a copy of the confirmation of payment page as your receipt.
The Commission on Teacher Credentialing (CTC) will email the Certificate of Clearance within 15 business days, unless you
answered “yes” to one or more of the Professional Fitness Questions. If you had yes answer(s), you will need to mail
required documents to CTC. Ask for a Professional Fitness Explanation form.
Professional Fitness Questions
The Commission’s new online application system will display any affirmative responses to these questions that you
provided after May 29, 2012. However, you must disclose any information not previously provided. You will be asked:
a. Have you ever been dismissed, non-reelected, or suspended without pay for more than ten days, or retired or resigned
from, or otherwise left school employment because of allegations of misconduct or while allegations of misconduct were
pending? Do not disclose: Resignation or retirement from school that was NOT the result of misconduct.
NOTE: If you answer “yes”, you must provide copies of the following documents: district investigation reports, police reports,
Statement of Charges, Accusations, request for hearing, final decision, letter of resignation or retirement, settlement agreements,
and/or any other related documents. Failure to provide documentation will result in your application being denied.
YES
NO
b. Have you ever been convicted of any felony or misdemeanor in CA or any other place? Disclose: All misdemeanors and
felonies; convictions based on a plea of no contest or nolo contendere; convictions dismissed pursuant to Penal Code Section
1203.4; driving under the influence (DUI) or reckless driving convictions, no matter how much time has passed. Do not disclose: If
you were under 18 years old and convicted in Juvenile Court: Misdemeanor marijuana-related convictions that occurred more than
two years prior to this application, except convictions involving concentrated cannabis, which must be disclosed regardless of the
date of such a conviction, in accordance with Health & Safety Code Sections 11361.5 and 11361.7; or Infractions: In fractions
include many traffic, moving violations and a handful of other criminal offenses. Driving under the influence is NOT an infraction.
NOTE: If you answer “yes”, you must provide a copy of the investigative report and a certified copy of the court docket regarding
the incident(s) below. Failure to provide documentation will result in the rejection of your application.
YES
NO
c. Are you currently the subject of any inquiry or investigation by a state or federal law enforcement agency or a licensing
agency in CA or any other state? Do not disclose: Criminal convictions or final licensing actions. Criminal convictions should
be disclosed in question b. Final licensing actions should be disclosed in questions e or f.
NOTE: If you answer “yes”, you must provide a copy of the investigative report and a certified copy of the court docket (if any)
regarding the incident(s) below. Failure to provide documentation will result in the rejection of your application.
YES
NO
d. Are any criminal charges currently pending against you? Do not disclose: Convictions, criminal convictions should be
disclosed in question b.
NOTE: If you answer “yes”, you must provide a copy of the investigative report and a certified copy of the court docket (if any)
regarding the incident(s) below. Failure to provide documentation will result in the rejection of your application.
YES
NO
e. Have you ever had any credential, including but not limited to, any Certificate of Clearance, permit, credential, license or
other document authorizing public school service, revoked denied, suspended, publicly reproved, and/or otherwise
subjected to any other disciplinary action (including an action that was stayed) in CA or any other state or place? If yes,
was the action taken by the California Commission on Teacher Credentialing?
NOTE: If you answer “yes”, you must provide a copy of any documents provided to you by the agency that took the action
described below. Failure to provide documentation will result in the rejection of your application.
YES
NO
f. Have you ever had any professional or vocational (not teaching or educational) license revoked, denied, suspended and/or
otherwise subjected to any other disciplinary action (including an action that was stayed) in CA or any other state or place?
Do not disclose: Final teaching licensing actions should be disclosed in question e.
NOTE: If you answer “yes”, you must provide a copy of any documents provided to you by the agency that took the action
described below. Failure to provide documentation will result in the rejection of your application.
YES
NO
If you have any “yes” answers, it is requested that you provide all required documents at the time of
application. The Credentials Office can mail the paperwork to CTC on your behalf. Documents are mailed every
Friday, except holidays. Please be aware that until the CTC has received this information, your application cannot
be processed.
Acceptable Regional Accrediting Bodies
Middle States Association of Colleges and Schools (MSA)/Commission on Higher
Education (MSCHE)
www.msche.org
States represented by MSA: Washington DC, Delaware, Florida, Maryland, New Jersey, New York,
Pennsylvania, Puerto Rico, U.S. Virgin Island, and Overseas
The Northwest Commission on Colleges and Universities (NWCCU) (formerly Northwest
Association of Schools and Colleges or NASC)
www.nwccu.org
States represented by NWCCU: Utah, Idaho, Washington, Alaska, New York, Oregon, Nevada, Montana,
and Costa Rica
Higher Learning Commission (HLC) (formerly North Central Association of Colleges and
Schools or NCA)
www.hlcommission.org
States represented by HLC: Arizona, Arkansas, Colorado, Illinois, Indiana, Iowa, Kansas, Michigan,
Minnesota, Missouri, Nebraska, New Mexico, North Dakota, Ohio, Oklahoma, South Dakota, West
Virginia, Wisconsin, and Wyoming
New England Commission of Higher Education (NECHE) (formerly New England
Association of Schools and Colleges or NEASC-CIHE)
www.neche.org
States represented by NECHE: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island,
Vermont and Overseas
Southern Association of Colleges and Schools/Commission on Colleges (SACS-COC)
www.sacscoc.org
States represented by SACS-CC: Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North
Carolina, South Carolina, Tennessee, Texas, Virginia, and Latin America
Western Association of Schools and Colleges/Senior College and University Commission
(WSCUC)
www.wscuc.org
States represented by WASC-JR & SR: California, Hawaii, Guam, American Samoa, Federated States of
Micronesia, Republic of Palau, Commonwealth of Northern Marianas Islands, Pacific Basin and East Asia
03/16/21
Options for Meeting the Basic Skills Requirement (BSR) – Coded Correspondence 15-03
Examination
Reading, Writing &/or English Score Requirement
Math Score Requirement
CBEST
http://www.ctcexams.nesinc.com/about_CBEST.asp
*Minimum score in each of three (3) sections-Reading,
Writing and Math is 41. However, a score as low as 37 on
an individual section is acceptable if the total score is at
least 123.
Reading – 41*
Writing – 41*
41*
CSET Multiple Subject
(Subtests I, II & III)
plus Writing
http://www.ctcexams.nesinc.com/test_info_CSET.asp?t=101
Subtests I & III – 220
Writing - 220
Subtest II - 220
CSU Early Assessment Program (EAP) *
http://www.csusuccess.org/eap_results
(taken in the Spring of 11
th
grade)
“College Ready” or “Exempt”
“College Ready” or “Exempt”
CSU Placement Exams (EPT and ELM) *
https://ept-elm.ets.org/CSU/
*Beginning 10/01/17, the EPT and ELM exams are no longer
offered.
Score of 151 or above
Score of 50 or above
*ELM test taken prior to March 2002 required a
minimum passing score of 550.
College Board SAT
https://sat.collegeboard.org/scores
Score of 500 or above
*Evidence-Based Reading and Writing (previously
Critical Reading or Verbal) section of the College
Board SAT Reasoning Test.
Score of 550 or above
ACT
http://www.actstudent.org/scores/
Score of 22 or above
Score of 23 or above
College Board Advanced Placement Exams (AP)
https://apscore.collegeboard.org/scores
Effective December 2014
Score of 3 or above on one of the following:
●AP English Language and Composition
●AP English Literature and Composition
Score of 3 or above on one of the following:
●AP Calculus AB
●AP Calculus BC
●AP Statistics
Out of State BSR Exams
http://www.ctc.ca.gov/credentials/leaflets/cl667.pdf
Parts of different options may not be combined to meet the BSR, except candidates using only the CSU examinations to meet the BSR; however, may combine scores from the EAP and the EPT/ELM examinations to
meet the BSR as long as the individual passes a section of English and a section of Mathematics. For example, an individual may combine passage of the Mathematics EAP and the CSU Placement Examination in
English EPT to satisfy the BSR. See Coded Correspondence 11-18.
*For CSU Placement Tests (EAP, ELM, EPT) Effective October 1, 2017, the English Placement Test (EPT) and Entry-Level Mathematics Exam (ELM) are discontinued. As of September 30, 2019, Educational Testing
Systems (ETS) no longer provides these test results (https://www.ets.org/csu/about/?WT.ac=csu_38419_scores_results).




Office of Mary C. Barlow
Kern County Superintendent of Schools
Advocates for
Children
CERTIFICATION OF TUBERCULIN SKIN TEST OR CHEST X-RAY
Please note: The applicant is responsible for the cost of TB testing
Return to: Kern County Superintendent of Schools - Credential Services Department
Kern County Superintendent of Schools Office
1300 17
th
Street - CITY CENTRE, Bakersfield, CA 93301-4533
Name: Last Four of Social Security Number XXX-XX- __ __ __ __
This is to certify that the above named individual has submitted to an examination by means of a Tuberculin Skin Test or
Chest X-Ray as required by Education Code Section 49406. A negative result indicates that the individual appears to be
free from active tuberculosis.
T.B. Skin Test or Blood Test:
Negative Date Read:
Positive Date Read:
Chest X-Ray:
Negative Film Date:
Positive Film Date:
Name of Physician (print) Signature
Address City License Number
Rev. 8/13
TCB‐01(12/14)EffectiveJanuary1,2015
AdultTuberculosis(TB)RiskAssessmentQuestionnaire
1
(TosatisfyCaliforniaEducationCodeSection49406andHealthandSafetyCodeSections121525‐121555)
Tobeadministeredbya licensedhealthcareprovider(physician,physicianassistant,nursepractitioner,registerednurse)
Name:___________________________________________________ DateofRiskAssessment:______________________________
DateofBirth:_____________________________________________
HistoryofpositiveTBtestorTBdisease
Yes□No□
Ifyes,asymptomreviewandchestx‐ray(ifnoneperformedinprevious6months)shouldbeperformedatinitialhire.*
Ifno,continuewithquestionsbelow.
Ifthereisa“Yes”responsetoanyofthequestions1‐5below,thenatuberculinskintest(TST)orInterfer onGamma ReleaseAssay(IGRA)should
beperformed.Apositivetestshouldbefollowedbyachestx‐ray,andifnormal,treatmentforTBinfectionconsidere d.
RiskFactors
1. OneormoresignsandsymptomsofTB(prolongedcough,coughingupblood,fever,nightsweats,weightloss,excessivefatigue)Yes□No□
Note:Achestx‐rayand/orsputumexaminationmaybenecessarytoruleoutinfectiousTB.
2
2. Closecontactwithsomeonewithinfectious TBdiseaseYes□No□
3. BirthinhighTB‐prevalencecountry**Yes□No□
(**AnycountryotherthantheUnitedStates,Canada,Australia,NewZealand,oracountryinWesternorNorthernEurope.)
4. TraveltohighTB‐prevalencecountry**formorethan1monthYes□No□
(**AnycountryotherthantheUnitedStates,Canada,Australia,NewZealand,oracountryinWesternorNorthernEurope.)
5. Currentorformerresidenceorworkinacorrectionalfacility,long‐term carefa cility, hospital,orhomelessshelterYes□No□
*Onceapersonhasadocumentedposi tivetestforTBinfectionthathasbeenfollowedbyanx‐raythatwasdeemedfreeofinfectiousTB,
theTBriskassessmentisnolongerrequired.
1
AdaptedfromaformdevelopedbyMinnesotaDepartmentofHealthTBPreventionandControlProgramandCentersforDiseaseControlandPrevention.
2
CentersforDiseaseControlandPrevention(CDC).LatentTuberculosisInfection:AGuideforPrimaryHealthCareProviders.2013.
(http://www.cdc.gov/tb/publications/LTBI/default.htm)

TCB‐01(12/14)EffectiveJanuary1,2015
ADULTTUBERCULOSIS(TB)RISKASSESSMENTQUESTIONNAIRE
(TosatisfyCaliforniaEducationCodeSection49406andHealthandSafetyCodeSections121525‐121555)
CERTIFICATEOFCOMPLETION
Tobesignedbythelicensedhealthcareprovidercompletingtheriskassessmentand/orexamination
Name:___________________________________________________ Date:______________________________________
DateofBirth:_____________________________________________
Theabovenamedpatienthassubmittedtoatuberculosisriskassessment.Thepatientdoesnot
haveriskfactors,oriftuberculosisriskfactorswereidentified,thepatienthasbeenexaminedand
determinedtobefreeofinfectioustuberculosis.
____________________________________________________________________________________________________________________
HealthCareProviderSignature
____________________________________________________________________________________________________________________
PleasePrintHealthCareProviderNameTitle
____________________________________________________________________________________________________________________
OfficeAddress:StreetCityState ZipCode
____________________________________________________________________________________________________________________
TelephoneFax
OFFICE OF MARY C. BARLOW
KERN COUNTY SUPERINTENDENT OF SCHOOLS
Advocates for Children
TO THE PROSPECTIVE TEACHER:
Education Code Section 44839 requires a person employed in a certificated position for the
first time in a California school district or County Superintendent of Schools Office to
undergo a physical examination to determine freedom from any disabling disease unfitting
the person to instruct or associate with children.
Because you have expressed an interest to teach, we have accepted the responsibility of
having the record of your medical exam on file in this office. Attached is a medical form for
use by your physician or clinic to comply with this requirement.
If you feel you should be exempt from this requirement, or have any other questions, please
call Human Resources at (661) 636-4750.
TO THE PHYSICIAN:
The person presenting this "Certificate of Medical Examination of Applicants for First
Employment in California" wishes to make themselves available for employment as a teacher
in K-12 classrooms throughout Kern County.
Depending on the assignment, the person will be required to perform the following functions:
1. Maintain classroom control conducive to productive learning.
2. Guide students in assigned school work.
3. Follow written and verbal instructions to comply with school district policies and
procedures.
4. Maintain a safe and comfortable classroom environment.
5. Supervise playground activities and otherwise act as the teacher in charge of assigned
students.
IO:PS:2 Rev. 7/09
CERTIFICATE OF MEDICAL EXAMINATION
OFAPPLICANTS FOR FIRST EMPLOYMENT IN A
CALIFORNIA SCHOOL DISTRICT OR COUNTY
SUPERINTENDENT OF SCHOOLS OFFICE
Summary of Legal Provisions
(Education Code Section 44839)
A medical certificate, in a form prescribed by the State Board of Education, showing that a
person employed for the first time in a California school district or County Superintendent of
Schools Office in a position requiring certification qualifications, is free from any disabling
disease unfitting the applicant to instruct or associate with children is required. The
Education Code also provides that:
♦
The medical certificate shall be submitted directly to the governing board or
County Superintendent by a physician and surgeon licensed under the Business
and Professions Code.
♦
The medical examination shall have been conducted not more than six months
before the submission of the certificate.
♦
The pre-employment medical examination shall be at the expense of the applicant.
♦
The medical certification shall become a part of the personnel record of the
employee and shall be open to the employee or his designee.
OFFICE OF MARY C. BARLOW
KERN COUNTY SUPERINTENDENT OF SCHOOLS
Advocates for Children
CERTIFICATE OF MEDICAL EXAMINATION OF APPLICANTS
FOR FIRST EMPLOYMENT IN CALIFORNIA
Name:
Last First Middle
Address:
Street City Zip Code
To The Physician:
The medical examination required of a person employed in a certificated position for the first
time in a California school district or County Superintendent of Schools Office should be
evaluated on the basis of the functions which will be required of the applicant upon
employment. A description of the job functions is attached to this form.
Please indicate whether there is any evidence of infectious disease in a communicable state.
Yes
No
If so, please describe in detail below:
On the basis of my medical examination, the above-named individual is capable of
performing the functions of the job subject to the following restrictions:
Date of Examination:
Signature of Physician
Name of Physician (print) License No.
To be returned by the prospective employee to the Office of the Kern County Superintendent
of Schools, 1300 17th Street, Bakersfield, California 93301-4533.
Office of Mary C. Barlow
Kern County Superintendent of Schools
1300 17
th
Street – CITY CENTRE
Bakersfield, CA 93301-4533
Advocates for Children
TUBERCULOSIS EXAMINATIONS
Freedom from active tuberculosis (TB) is required for employment in a California school district. The Credentials Office
at the Kern County Superintendent of Schools must receive verification of TB clearance at the time of employment and
every four (4) years thereafter.
TB screening consists Certificate of Completion of an Adult Tuberculosis Risk Assessment Questionnaire, an
intradermal skin test (which must be read within 48 hours), chest X- ray* (for those individuals who have had a
positive skin test) or a blood test.
The following facilities offer TB screening:
Note: The facilities listed above are suggestions (you may use other facilities). Results must be completed within
60 days from the date the substitute packet is submitted to the KCSOS Credentials Office and only if they are
signed by the following:
Certificate of Completion of an Adult Tuberculosis Risk Assessment Questionnaire must be signed by a Licensed Physician,
Physician Assistant, Nurse Practitioner, or Registered Nurse.
TB or Chest X-Ray results must be signed by a Licensed Physician, Physician Assistant, or Nurse Practitioner.
MEDICAL EXAMINATIONS
Education Code Section 44839 requires a person employed in a certificated position for the first time in a California school district
or county superintendent of schools office to undergo a physical examination to determine freedom from any disabling disease
unfitting the person to instruct or associate with children.
The following facilities offer medical exams (you may use other facilities):
Location
Hours (walk-ins)
Cost
(prices are subject to change)
Central Valley Occupational
4100 Truxtun Ave., #200, Bakersfield
(661) 632-1540
Monday – Friday,
7:30 am – 5:00 pm
$50.00
Clinica Sierra Vista
(refer to phone book for various locations)
$30.00 – $140.00
Note: The facilities listed above are suggestions (you may use other facilities).You can also check with the medical
services facility at your local university.
TB Exams Updated 2/4/2021
Location
Hours (walk-ins)
Cost
(prices are subject to change)
Central Valley Occupational
4100 Truxtun Ave. #200, Bakersfield
(661) 632-1540
Risk Assessment
Mon-Fri 7:30am–5:30pm
Skin Test
Mon-Fri 7:30am–5:30 pm
(except Thursday)
$20.00/Skin Test
$35.00/X-ray
$10.00/Risk Assessment
Irene Sanchez, MD Occupational
Medicine
4200 Buck Owens Boulevard, Bakersfield
(661) 633-2125
Monday-Wednesday and
Friday 8:00 am-5:00 pm
Walk-ins welcomed
$25.00/Skin Test
$50.00/X-ray
$10.00/Risk Assessment
1
Office of Mary C. Barlow
Kern County Superintendent of Schools
Advocates for Children
Sub Packets - Revised 5/2020
KCSOS County-Wide Substitute Teacher
Eligibility List Requirements
Instructions: Read each section, initial the box on the left, and sign page two, acknowledging that you understand the
requirements listed to qualify as a County-Wide Substitute Teacher in Kern County.
Placement on the County-Wide Substitute Teacher Eligibility List
Placement on the Kern County Superintendent of Schools (KCSOS) County-Wide Substitute Teacher Eligibility List occurs each Friday,
excluding holidays and the month of July. The list provides districts and KCSOS programs with the eligibility status of each substitute. It does
not indicate or guarantee that you will be contacted to substitute teach. Each substitute is responsible for following the requirements below
for placement and eligibility with each district or KCSOS program(s).
Requirements to be placed on a specific district(s) substitute list:
1. Contact the school district(s) of your choice.
2. Complete the application/interview process for each district.
3. Provide school district(s) with copies of the following:
a) Temporary County Certificate (TCC) or the detailed copy of your permit/credential;
b) County-Wide Substitute Fingerprint Clearance provided by KCSOS (white ½ sheet);
c) Certificate of Completion of Adult Tuberculosis Risk Assessment Questionnaire, Negative TB skin test or chest x-ray verification;
d) Completed medical examination (applicable to first-time and retired teachers);
e) Certificate of Completion - CANRA annual training dated after July 1
st
of each school year;
f) Certificate of Completion – Sexual Harassment Prevention Training for Non-Supervisory Personnel dated on after July 1
st
of each
school year;
g)
Information Necessary for Substitute Teaching form;
h) Additional documentation required by a district or KCSOS program(s).
Document Delays / Document Renewals
To view your application status visit the Commission on Teacher Credentialing (CTC) at www.ctc.ca.gov, and follow these steps:
1) Select Educator Log-in; 2) Input your User ID and Password, and Click OK; 3) Click Next; 4) Click on Application tab.
Delays
Delays may occur for various reasons. One of the most common reasons is answering “yes” to any Professional Fitness
question(s) on your application. When this occurs, the application is forwarded to CTC’s Division of Professional Practices (DPP)
for further review.
An application reflecting “Pending Additional Evaluation” longer than 90 days requires you to contact the DPP for a status update
at dppinfo@ctc.ca.gov
. Include your full name and date of birth in the email. Visit the Credentials Office with the DPP’s written
response.
Renewals
Permit and credential renewals are the responsibility of each substitute. If your permit/credential will not be granted before it expires, it
is your responsibility to provide proof of renewal payment, and visit the KCSOS Credentials Office to be issued a TCC.
Failure to renew will jeopardize release of your pay warrant or direct deposit. You cannot be paid for days worked without proper
certification per Education Code Section 45034:
Education Code Section 4
5034 - No order for a warrant, and no warrant drawn pursuant to Section 42647, shall be drawn in favor of any
person employed in a position requiring certification qualifications, unless such person is at the time the holder of a proper certification
document in full force for the full time for which the requisition or warrant, as the case may be, is drawn, and on file or registered as required by
law at the time and unless he is employed by the governing board of the unified school
dis
trict, or district with over 10,000 average daily
attendance or by the county superintendent of schools as provided in this code.
Personal Information Updates
Each substitute is responsible for updating his or her personal information with the KCSOS Credentials Office. This includes mailing
address, email address, phone number, or name changes.
2
Office of Mary C. Barlow
Kern County Superintendent of Schools
Advocates for Children
Sub Packets - Revised 5/2020
KCSOS County-Wide Substitute Fingerprint Clearance
Fingerprint clearance held by KCSOS will be rescinded if any of the following occur:
a) You are inactive on the substitute teacher eligibility list for more than eighteen (18) months, and have not contacted the KCSOS
Credentials Office to keep your fingerprints on file, or you are actively working as a full time employee with a Kern County school
district.
b) The KCSOS Credentials Office receives notification from a government or school agency that would warrant such action due to
misconduct.
Removal from the County-Wide Substitute Teacher Eligibility List
Your name will be removed from the County-Wide Substitute Eligibility List if any of the following occur:
a) KCSOS is notified by the CTC to remove, suspend, or revoke all documents;
b) Misconduct reported by school districts(s);
c) Written notification from substitute requesting to be removed;
d) Failure to meet Requirements to Remain on the KCSOS County-Wide Substitute Teacher Eligibility List.
Child Abuse Neglect and Reporting Act (CANRA) Annual Training Requirement
Each substitute teacher, as a mandated reporter, is required to complete CANRA training annually, and provide a Certificate of
Completion to be placed or remain on the County-Wide Substitute Eligibility List each school year. Proof of completion must be dated
on or after July 1
st
for each school year.
Sexual Harassment Prevention Training for Non-Supervisory Personnel
Each substitute teacher is required to complete non-supervisory sexual harassment training annually, and provide a Certificate of
Completion to be placed or remain on the County-Wide Substitute Eligibility List each school year. Proof of completion must be dated
on or after July 1
st
for each school year.
County-Wide Substitute Continued Interest Process (CIP)
Each substitute is responsible for completing the online CIP to remain on the County-Wide Substitute Eligibility List for the following
school year. The CIP will be emailed to you in July of each new school year. Responding to the CIP is required, whether you work for
one (1) or multiple districts.
Requirements to Remain on the KCSOS County-Wide Substitute Teacher Eligibility List
To remain on the County-Wide Substitute Teacher Eligibility List, each substitute must ensure that the following are valid, up to date,
and/or on file with the KCSOS Credentials Office:
a) Substitute Permit, Teaching/Services Credential, or Temporary County Certificate (TCC);
b) Certificate of Completion of an Adult Tuberculosis Risk Assessment Questionnaire, Negative TB skin test
or chest x-ray;
c) County-Wide Substitute Fingerprint Clearance;
d) Personal information;
e) Certificate of Completion CANRA training dated on or after July 1
st
of each school year; and,
f) Certificate of Completion for Sexual Harassment Training
g) Completion of the CIP (emailed on/around July 1
st
each new school year)
I acknowledge that I have read and understand the KCSOS County-Wide Substitute Teacher Eligibility List Requirements, as set
forth herein above.
Print: ________________________________________________ Social Security No: XXX-XX-___________
Last First Middle (last 4 only)
Date:_____________________________ Signature:
A copy of these requirements will be placed in your County-Wide Substitute file
.
If you have any questions, please contact the KCSOS Credentials Office at credentials@kern.org.
Office of Mary C. Barlow
Kern County Superintendent of Schools
Advocates for Children
Child Abuse Neglect and Reporting Act (CANRA) and Sexual Harassment Prevention Training
Assembly Bill 1432 requires mandated reporters under the Child Abuse Neglect and Reporting Act (CANRA) to complete training annually, and obtain a
Certificate of Completion. Substitute teachers are mandated reporters.
Senate Bill 1343 requires all non-supervisory employees to complete sexual harassment training every two (2) years. Substitute teachers are under the
category of non-supervisory employees. The KCSOS Credentials Office requires that you complete this training annually for continued placement on the
County-Wide Substitute Teacher Eligibility List.
Training Instructions
1) Go to GetSafetyTrained.com
2) Select “Register/Are you a New User?”
3) Select “K” then select “Kern County Superintendent of Schools”
4) Complete the registration form
5) Enter your personal email address in the district email address fields (If you don’t have a
personal email address, use a “mock” address. However, you must remember your
email address in order to sign in.)
6) Job Title/Department – Select: Other/All Other
7) Create a password and select “Agree”. You will be directed to your personal training
page.
8) Complete the Mandated Child Abuse Reporting for Educators and Sexual Harassment
Prevention Training for Non-Supervisory Personnel SB 1343– See below
Submit printed copies of both Certificates of Completion to the KCSOS Credentials
Office with your substitute packet material.
The CANRA and Sexual Harassment Prevention Trainings must be completed for placement on the
County-Wide Substitute List, and every July thereafter.
CANRA/GetSafetyTrained.com Revised 05/19/2021
FORM 41-4 (REV. 7/2019)
1
APPLICATION FOR CREDENTIAL AUTHORIZING PUBLIC SCHOOL SERVICE
1. PERSONAL INFORMATION (type or print)
*Social Security or Individual Tax Identification Number: *Date of Birth: (mm/dd/yyyy)
*My Full Legal Name: __________________________\_________________________\________________________________
First Middle Last
All Former/Maiden Name(s): County/District of Employment (CA only):
*Address:
*City:
*State:
*Zip:
Home Phone:
Work Phone:
Mobile Phone:
*Email Address:
2. APPLICATION TYPE REQUESTED: (select only one option)
3. CHOOSE DOCUMENT TYPE: (make only one selection in this section)
* = Available at the request of a California Local Education Agency (LEA) only. Documents in bold font require you to
select from Section 4 below a Subject or Authorized Area of Service to be listed on the document.
TEACHING CREDENTIALS:
Single Subject
Multiple Subject
Education Specialist
Career Technical (CTE)
Adult Education
Other:
____________________
SERVICES CREDENTIALS:
Administrative
Pupil Personnel
Speech-Language
Pathology
Teacher Librarian
School Nurse
Other:
__________________
EMERGENCY PERMITS*:
Limited Assignment *
Short-Term Staff*
Provisional Internship*
EM CLAD*
EM Bilingual*
EM Teacher Librarian*
EM Resource Specialist*
SUBSTITUTE PERMITS:
30-Day Substitute
Career Substitute*
Prospective Substitute
Teaching Permit for
Statutory Leave*
30-Day CTE Substitute
CHILD DEVELOPMENT
PERMITS:
Assistant
Associate Teacher
Teacher
Master Teacher
Site Supervisor
Program Director
Children's Center
Permit
School-Age
Emphasis
4. SELECT AUTHORIZATION/SUBJECT AREA(S): (to choose additional subject areas, see page 5 “Comments” box)
Multiple Subject (Elementary Teaching)
Single Subject (Secondary Teaching):
(Specify World Language-if applicable)
Special Education Specialty Areas:
CTE Industry Sector:
Adult Education Subjects:
English Learner Authorization
CLAD Certificate
Bilingual Authorization:
(Specify Language)
____________________________
Pupil Personnel Services:
Supplementary Authorization/
Subject Matter Authorization:
CTC Use Only
* = Required Information
CTC Use Only
IHE/County/District Use Only
Issuance
Date:____________________________
Email:____________________________
CCTC Use Only
IHE/County/District Use
Only
Issuance
Date:__________________
E-Mail Address:
________________
Mail application and payment
(check or money order) to:
Commission on Teacher Credentialing
Certification Division
1900 Capitol Avenue
Sacramento, California 95811-4213
(For Privacy Act Notification see Application Instructions)
Appeal:__________________
Route to: ________________
Commission Use Only: Fee Information
APP
FP
Other
New Credential/Permit
Extension by Appeal Upgrade (Clear Credential or Child Development Permit)
Other:
Add Subject/Authorization to Existing Document
Change of Restriction
Renewal
evfeliciano@kern.org
Kern
FORM 41-4 (REV. 7/2019)
2
5. CHILD DEVELOPMENT PERMIT RENEWAL SELF-VERIFICATION
As the holder of a Child Development Permit (any level except the Associate Teacher Permit) you must complete a specific number of
planned and approved professional growth activities for each five-year renewal. These activities must be recorded on the Professional
Growth Plan and Record form. As the holder of a Child Development Permit choosing to self-verify completion of these requirements,
you may be subject to an audit. The Commission reserves the right to request submission of these forms for auditing purposes any
time within one year following submission of this application. If the Commission determines through its audit that you did not complete
the professional growth requirements, your permit will not be renewed and you may be subject to adverse action on other credentials
you currently hold. You must retain your Professional Growth Plan and Record form for one year following the submission of this
application.
DECLARATION:
I certify (or declare) that I have read the above and completed the following for this renewal of my Child Development Permit:
I have completed __________ hours of professional growth activities
My Professional Growth Advisor is ___________________________________________ ____________________________
Advisor’s Name Advisor’s Phone Number
6. PROFESSIONAL FITNESS QUESTIONS
Answers to the following questions are required. If you answer yes to any question, you must complete the
corresponding Professional Fitness Explanation Form.
Before granting your application, the Commission will review, at a minimum:
Federal Bureau of Investigation criminal history (rap sheet)
California Department of Justice criminal history (rap sheet)
International database of teacher misconduct maintained by the National Association of State Directors of
Teacher Education and Certification (NASDTEC)
Previous reviews by the Commission
Complaints from others
Notifications from school districts
Teacher preparation test score violations
You must disclose misconduct, even if:
It happened a long time ago
It happened in another state, federal court, military or jurisdiction outside the United States
You did not go to court and your attorney went for you
You did not go to jail or the sentence was only a fine or probation
You received a certificate of rehabilitation
Your conviction was later dismissed (even if under Penal Code section 1203.4), expunged, set aside or the
sentence was suspended
WARNING: You will be required to sign your application under penalty of perjury; by doing so you are also
stating that you understand:
That the information you provide is true and correct;
That you understand any and all instructions related to your application;
Failure to disclose any information requested is falsification of your application and the Commission may
reject or deny your application or take disciplinary action against your credential;
The Commission may reject your application if it is incomplete and it will be delayed.
FORM 41-4 (REV. 7/2019)
3
a. Have you ever been:
dismissed or,
non-reelected or,
suspended without pay for more than ten days, or
retired, or
resigned from, or otherwise left school employment
because of allegations of misconduct or while allegations of misconduct were pending?
Yes No
b. Have you ever been convicted of any felony or misdemeanor in California or any other place?
You must disclose:
all criminal convictions
misdemeanors and felonies
convictions based on a plea of no contest or nolo contendere
convictions dismissed pursuant to Penal Code Section 1203.4
driving under the influence (DUI) or reckless driving convictions
no matter how much time has passed
You do not have to disclose:
misdemeanor marijuana-related convictions that occurred more than two years prior to this application, except
convictions involving concentrated cannabis, which must be disclosed regardless of the date of such a
conviction.
infractions (DUI or reckless driving convictions are not infractions)
Yes No
c. Are you currently the subject of any inquiry or investigation by any law enforcement agency or any licensing agency
in California or any other state?
Yes No
d. Are any criminal charges currently pending against you?
Yes No
e. Have you ever had any credential, including but not limited to, any Certificate of Clearance, permit, credential,
license or other document authorizing public school service, revoked, denied, suspended, publicly reproved, and/or
otherwise subjected to any other disciplinary action (including an action that was stayed) in California or any other
state or place?
Yes No
FORM 41-4 (REV. 7/2019)
4
f. Have you ever had any professional or vocational (not teaching or educational) license revoked, denied, suspended,
and/or otherwise subjected to any other disciplinary action (including an action that was stayed) in California or any
other state or place?
Yes No
7. CHILD ABUSE AND NEGLECT MANDATED REPORTING
As a documentholder authorized to work with children, it is part of my professional and ethical duty to report every
instance of child abuse or neglect known or suspected to have occurred to a child with whom I have professional contact.
I understand that I must report immediately, or as soon as practicably possible, by telephone to a law enforcement
agency or a child protective agency, and will send a written report and any evidence relating to the incident within 36
hours of becoming aware of the abuse or neglect of the child.
I understand that reporting the information regarding a case of possible child abuse or neglect to an employer, supervisor,
school principal, school counselor, coworker, or other person is not a substitute for making a mandated report to a law
enforcement agency or a child protective agency.
I understand that the reporting duties are individual and no supervisor or administrator may impede or inhibit my
reporting duties.
I understand that once I submit a report, I am not required to disclose my identity to my employer.
I understand that my failure to report an instance of suspected child abuse or neglect as required by the Child Abuse and
Neglect Reporting Act under Section 11166 of the Penal Code is a misdemeanor punishable by up to six months in jail or
by a fine of one thousand dollars ($1,000), or by both that imprisonment and fine.
I acknowledge and certify that as a documentholder, I will fulfill all the duties required of a mandated reporter.
I agree
8. EMPLOYING AGENCY INFORMATION
This section must be completed for all credential, certificate, and permit types where service is restricted to an employing agency.
County CDS Code _________________________________ School District CDS Code ______________________________
Charter School/Non-Public School or Agency/Statewide Agency Name ____________________________________________
Applications for One-year Nonrenewable Credentials, Provisional Internship Permits, Short-Term Staff Permits, Limited Assignment
Permits, and Emergency Permits (except 30-Day or Prospective Substitute Teaching Permits), must be filed through the employing
agency. Employers must have an annual Declaration of Need for Fully Qualified Educators on file with the Commission prior to the
submission of any applications for Limited Assignment or Emergency Permits.
Before submitting, please review the application for completeness:
1) Personal information with correct SSN, date of birth, and email address filled in on page 1
2) Type of credential clearly marked on page 1 (use box below for additional subject/authorization requests)
3) All Professional Fitness Questions marked Yes or No on pages 3 and 4
4) Read and agreed to your responsibilities as a mandated reporter
5) Payment (check or money order attached to the front of this form). See Credential Leaflet CL-659 for fee
schedule.
FORM 41-4 (REV. 7/2019)
5
Checks or money orders may be made payable to the Commission on Teacher Credentialing. The Commission does
not accept cash payments. All application fees are non-refundable.
Applications submitted that are incomplete or without the appropriate fee included will not be processed and will
be returned.
9. OATH AND AFFIDAVIT *
I solemnly swear (or affirm) that I will support the Constitution of the United States of America, the Constitution of the State of
California, and the laws of the United States and the State of California. I hereby certify (or declare) under penalty of perjury
under the laws ofthe State of California that all the foregoing statements in this application are true and correct.
Date _____________________ City _________________________________________ County ___________________ State ________
(where you sign the form)
SIGNATURE OF APPLICANT __________________________________________________________________________________________
Comments/Additional Subject Requests:
* You must complete all portions of this section.
(mm/dd/yyyy)
DIVISION OF PROFESSIONAL PRACTICES
PROFESSIONAL FITNESS QUESTIONS
DOCUMENT SUBMISSION FORM
PFQ - CL
Date:
To: Commission on Teacher Credentialing
Division of Professional Practices
1900 Capitol Avenue
Sacramento, CA 95811
dppinfo@ctc.ca.gov
From: Name:
Address:
Phone:
Email:
Re: Document Submission Form
SSN (last four): DOB: Maiden Name/AKA:
Application Submission Date: Payment Conf. #:
Employing Agency/District (at time of discipline action):
Current Employing Agency/District:
I am submitting the following documents that pertain to my “yes” answers regarding the
Professional Fitness Questions (please check the following documents that apply):
Notice of Intent to Dismiss/Suspend District Investigation Report
Statement of Charges/Accusation Copy of Signed Contract
Request for Hearing Letter of Resignation/Retirement
Final Decision Settlement Agreement
Board Acceptance Explanation of Incident
CPS Report (other agencies) Police, Sheriff’s Report/Case #
Social Services Report Court Records/Case #
Case Number(s) Licensing Agency Report:
Other:
Commission on Teacher Credentialing
OA-EF
9/2013
Page 1 of 7
Professional Fitness Explanation Form
The Professional Fitness section of each application contains six questions. If you
answered yes to any question, you must submit an Explanation Form for each
incident, even if the incident was previously disclosed. If you are reporting convictions,
each conviction must be disclosed on a separate explanation form.
Special note regarding criminal convictions or pending criminal charges:
You are required to disclose all misdemeanor or felony criminal convictions including
those based on a plea of no contest. You must disclose a conviction no matter how
much time has passed, even if the case has been dismissed pursuant to Penal Code
section 1203.4. In accordance with Health & Safety Code sections 11361.5 and
11361.7, you may omit misdemeanor marijuana-related convictions that occurred more
than two years prior to this application, except convictions involving concentrated
cannabis, which must be disclosed regardless of the date of such a conviction.
If you are disclosing a conviction, employer action, investigation, or adverse action that
you previously disclosed to the Commission, you must provide an explanation but you
do not need to submit additional documentation. Your explanation must include dates,
location, type of action taken, what you were charged with and convicted of, and agency
and/or employer name.
Warning: Failure to disclose any required information is falsification of your application
and the Commission may reject or deny your application or take disciplinary action
against your credential. Failure to submit the required explanation or documentation
may result in your application being rejected.
Using this form:
This form contains five sections. Determine which sections apply to each incident and
complete the required information.
If you answered yes to…
Complete the following section of this form…
(click the section letter below to be transported to that section)
Question a
Section A
Question b
Section B
Question c
Section C
Question d
Section D
Question e, f
Section E
Commission on Teacher Credentialing
OA-EF
9/2013
Page 2 of 7
Section A: Required information for yes answer to Professional Fitness Question a.
NOTE: You must provide copies of the following documents regarding the action below:
district investigation reports, police reports, Statement of Charges, Accusations,
request for hearing, final decision, letter of resignation or retirement, settlement
agreements, and/or any other related documents. Failure to provide
documentation will result in your application being denied.
For question a, indicate the action taken:
Dismissed Effective date:
Retired Effective date:
Resigned Effective date:
Non-reelected Effective date:
Suspended without pay Effective dates:
Name of employer at time of
action:
Address:
Telephone
number:
Contact person
(if known):
Describe in detail the incident(s) that resulted in the above action (attach additional
sheets if necessary):
Commission on Teacher Credentialing
OA-EF
9/2013
Page 3 of 7
Section B: Required information for yes answer to Professional Fitness Question b.
NOTE: You must provide a copy of the investigative report and a certified copy of the
court docket regarding the incident(s) below. Failure to provide documentation
will result in the rejection of your application.
Was the conviction dismissed or expunged pursuant to California Penal Code section
1203.4 or if an out-of-state conviction, that jurisdiction’s comparable statute? If yes,
provide a certified copy of the dismissal.
Was a felony reduced to a misdemeanor under California Penal Code section 17(b), or
if an out-of-state conviction, that jurisdiction’s comparable statute? If yes, provide a
certified copy of the reduction.
Date of conviction:
Date of offense:
List the code section(s) violated, including whether each count was a misdemeanor or
a felony:
Location of offense:
Name of law enforcement agency:
Jurisdiction (name of court):
Convicted by:
Jury trial Guilty plea
Court trial No contest or nolo contendere plea
Sentence and conditions of probations, if any:
Describe the incident(s) leading to your arrest and conviction in detail (attach additional
sheets if necessary):
Commission on Teacher Credentialing
OA-EF
9/2013
Page 4 of 7
Section C: Required information for yes answer to Professional Fitness Question c.
NOTE: You must provide a copy of the investigative report and a certified copy of the
court docket (if any) regarding the incident(s) below. Failure to provide
documentation will result in the rejection of your application.
Provide an explanation of inquiry or investigation:
What is the current status of the inquiry or investigation
Ongoing (when was the investigation started):
Completed (when):
Location:
Name of agency, department, or law enforcement
agency conducting the inquiry or investigation:
Jurisdiction (name of court):
Were children involved: No Yes
If yes, indicate how:
Did the incident(s) occur on school grounds: No Yes
If yes, what school and school district:
Describe the incident(s) resulting in the inquiry or investigation in detail (attach
additional sheets if necessary):
Commission on Teacher Credentialing
OA-EF
9/2013
Page 5 of 7
Section D: Required information for yes answer to Professional Fitness Question d.
NOTE: You must provide a copy of the investigative report and a certified copy of the
court docket (if any) regarding the incident(s) below. Failure to provide
documentation will result in the rejection of your application.
List the pending charges, including whether each count is a misdemeanor or felony:
In what jurisdiction (court) are the charges pending?
Date(s) of alleged criminal conduct
Name of arresting or investigating agency:
Were children involved: No Yes
If yes, indicate how:
Did the incident(s) occur on school grounds: No Yes
If yes, what school and school district:
Describe the incident(s) resulting in the filing of these charges in detail (attach
additional sheets if necessary):
Commission on Teacher Credentialing
OA-EF
9/2013
Page 6 of 7
Section E: Required information for yes answer to Professional Fitness Question e or f.
NOTE: You must provide a copy of any documents provided to you by the agency that
took the action described below. Failure to provide documentation will result in
the rejection of your application.
List the applicable license(s) or credential(s):
License number(s):
Actio
n(s) taken:
Private Admonition Date:
Public Reproval Date
Suspension Dates: How Long?
Fine Date: Amount?
Revocation Date:
Denial of application Date:
- Were you subsequently granted? NO YES When?
Probation (provide the term)
Other Explain:
Agency’s name:
Address:
Telephone
number:
Contact person
(if known):
Location of misconduct:
Were children involved: No Yes
If yes, indicate how:
Commission on Teacher Credentialing
OA-EF
9/2013
Page 7 of 7
Did the incident(s) occur on school grounds:
No
Yes
If yes, what school and school district:
Describe the incident(s) resulting in the inquiry or investigation in detail (attach
additional sheets if necessary):
Mail all documents to:
Commission On Teacher Credentialing
Division of Professional Practices
1900 Capitol Avenue
Sacramento, CA 95811-4213
Please use the following “DPP Document Submission Form,” which will assist DPP staff
in processing your application in a timely fashion.
50-day deadline does not apply: Education Code section 44350 requires the
Commission to process an application within 50 business days of receipt. The timeline
pertains to all applications whether submitted online or by paper through the U.S mail.
The only exceptions to the 50-day processing timeline are applications submitted by
individuals who must undergo a professional fitness review.
District Contact Information for Substitute Teachers
7/6/2021 1
District Sub Contact & Phone #
Automated Calling
System
On-Line Application
Arvin
Sandra Contreras - 854-6500
Susanna "Susie" Reyes
Yes
No - Paper Application
arvinschools.com; Employment;
Links
BCSD
Ilse E. Silva - 631-4861 Yes
Yes - www.bcsd.com
Beardsley Karen Murphy - 393-8550
No No
Belridge
Tammy Reynolds - 762-7381 No No
Blake
Timari Duty- 536-8559 No No
Buttonwillow
Lydia Rodriguez - 764-5908 No No
Caliente
Alan Gonzalez, Super./Principal - 867-2301 No No
Delano Elementary Eva Gutierrez / Socorro Casas - 721-5000; X-00162
Yes No
Delano JUHSD
Martha Cortez - 720-4109 Yes No
DiGiorgio
Ryan Lubatti - 854-2604 No No
Edison
Dena Clark - 366-8737 Yes No
El Tejon
Audrey Weingarten - 248-6247; X-3 No No
Elk Hills
Lenetta Cloud - 765-7431 No No
Fairfax
Wendy Gama - 366-7221; X-5118 Yes
Yes - Paper App to Print
www.fairfax.k12.ca.us
Fruitvale Haley Garcia - 589-3830; X-208
No
Yes - Paper App to Print
www.fruitvale.k12.ca.us
General Shafter
Melissa Salazar - 837-1931; X-222 No No
Greenfield Karen Nichols - 837-6000; X-217
Yes
Yes -www.gfusd.net
KCSOS Laura Clifton - 636-4752
No
Yes-www.kern.org
Kern High
Maria Nunez - 661/827-3456
Juana Ortiz - 661/827-3268
Yes
Yes - www.kernhigh.org
Kernville
Lissa Robinson - 760/379-2621; X-403 Yes
Yes - Paper App to Print
www.kernvilleusd.org
Lakeside
Camron March/Norris SD - 387-7099 Yes See Norris SD
Lamont
Jessica Tapia - 845-0751 Yes No
Linns Valley
Starla Atkins - 536-8811 No No
Lost Hills Miriam Salinas - 797-2626 No No
Maple
Julie Boesch, Sup.
Irene Bernal - 746-4439; X-110 or 120
No No
District Contact Information for Substitute Teachers
7/6/2021 2
District Sub Contact & Phone #
Automated Calling
System
On-Line Application
Maricopa
Trisha Dooty - 769-8231; X-201 No No
McFarland
Beronica Cavazos - 792-3081; X-119 Yes
Yes - Paper App to Print
www.mcfarlandusd.com
McKittrick
Mandi Neudorf - 762-7303 No No
Midway Shawna Taylor - 768-4344 No No
Mojave
Monica Ritts - 824-4001 X-226 Yes
Yes - Paper App to Print
www.mojave.k12.ca.us
Muroc Sandra Duran - 760/769-4821; Ext. 1234
Yes
Yes - Paper App to Print
www.muroc.k12.ca.us
Norris Camron March - 387-7099 Yes No
Panama-BV
Lynn Sheetz - 831-8331; X-6106 Yes
Yes - Paper App to Print
www.pbvusd.net
Pond Kim Howard - 792-2545 No No
Richland Nora Mejia - 746-8702 No No
Rio Bravo-Greeley Camron March/Norris SD - 387-7099 Yes
See Norris SD
Rosedale Camron March/Norris SD - 387-7099 Yes See Norris SD
Semitropic Angelica Fernandez - 758-6412 No No
Sierra Sands
Jan Burke - 760/499-1622 No
Yes - Paper App to Print
www.ssusdschools.org
South Fork
Debbie Kennedy - 760/378-4000; X-150 No
Yes - Paper App to Print
www.southforkschool.org
Southern Kern Paul Irving - 256-5000; X-1124 Yes No
Standard
392-2110;
Sherry Flores - X-117 / Brooke Henry - X-119
Yes
No
Taft City LaDonna Hickernell - 763-1521; X-101002 Yes No
Taft High
Dianne Kasyzcki - 763-2336 Yes
Yes -
www.taft.k12.ca.us
Tehachapi Colleen Jones - 822-2100; X-2703 Yes
Yes - Paper App to Print
www.teh.k12.ca.us
Vineland Anabel Rubio - 845-3713; X-2703 Yes No
Wasco Elementary
Peter Navarro / Patty Sanchez - 758-7109
No No
Wasco High SD Marivel Zarate - 758-7400; X-50105 No No
District ID# District Name: Daily/Hourly Rate: Long Term Rate: Long Term Sub Rate Begins
01 Arvin Union $160/day $175/day After 20th day
04 Bakersfield City
General Education
$130 (Elementary);$150 (Middle/Jr. High)
Special Education and Retired Teachers
$145 (Elementary); $165 (Middle/Jr. High)
$215/day After 20th Day
06 Beardsley $135/day $279.48/day
On the 21st day
08 Belridge Not Provided-Contact District Not Provided-Contact District Not Provided-Contact District
09 Blake $150 $150.00 Not Provided-Contact District
12 Buttonwillow Union $135
$160/$220 Day 28 $160; Day 28 in same class $220
13 Caliente Union
$125 (living outside zip code 93518)
$100 (living within zip code 93518)
$125 (living outside zip)
$100 (living within zip)
Contact District
16 Delano Union
$180/day
$220/day Non-Credentialed
$255/day Credentialed
After 21st Consecutive day in same assignment
18 Di Giorgio
$125/day; $150/day after day 15
Step 1 Column 1
Salary Schedule
After 20 days same classroom
20 Edison $130/day $220/day 16th Day
22 Elk Hills $130/day $160/day After day 29
25 Fairfax
$120 Elementary;$130 junior-high $160 Permit $230 Credential
After 20 Consecutive days
27 Fruitvale $126/day $160/day
Immediately if leave is predetermined to be more than
20 days
29 General Shafter $125/day $150/day
30 consecutive days
32 Greenfield Union
$150/day $250/day On 16th day of service (not retroactive)
38 Kernville Union
$160/day
$200/day After the first 30 days
40 Lakeside Union $150/day $225/day After 20 Consecutive days
41 Lamont
$145-$155/day
Credentialed Step 1 of Sal Schedule by units
$200/day After 20th consecutive day
43 Linns Valley-Poso Flat Union $120 $160 On Day 31
44 Lost Hills Union Not Provided-Contact District Not Provided-Contact District Not Provided-Contact District
46 Maple $125-145/day $200.00/day After 20 Days
50 McKittrick $160/day
N/A
N/A
52 Midway $130/day $160/day 21st day
54 Norris $120/day $178.03/day Approval of Contract 21 or more days
56 Panama-Buena Vista Union
$115/day General Ed
$125/day Sp. Ed and Jr. High
$203.64/day
21st day of instruction
58 Pond Not Provided-Contact District Not Provided-Contact District Not Provided-Contact District
62 Richland $150/day
$259.11/day After 20 consecutive days
64 Rio Bravo-Greeley Union $120/day
$249.32/day
After 20th consecutive day,
Step 1 Column 1 of the Certificated Salary Sched.
66 Rosedale Union $120/day $212/day On 21st day
68 Semitropic $120/day $200/day After day 30
72 South Fork Union $150/day $160/day After 30 Days
73 Standard
$115/day Elem;
$125 Middle School/Spec.Ed.
$125 Certificated Retiree
$200/day
21st day
74 Taft City $150/day $200/day After the 20th consecutive day in the position
75 Vineland $150/day $175/day After 21 days
77 Wasco Union $125/day ($200 after 20 days) $266.52/day After 20 consecutive days
81 Delano Joint Union
$135/day or $105/ Minimum or Modified
$150/day On the 21st day
83 Kern High $30/period
$230/day
15th day of assignment. Retro to first day of
assignment
76 Taft Union $30/Per Hour Not Provided-Contact District Not Provided-Contact District
85 Wasco Union $150/day $50 Dollar Stipend 20 Consecutive Days
88 El Tejon $150/day
$175
After 21 day same classroom.
Retro to 1st day in assignment.
91 Maricopa $150/day $200/day After 20th day
89 McFarland
$130
$145
After 5th consecutive day
90 Mojave
$150 $200
More than 20 consecutive days for the same teacher.
Pay rate begins on the 21st day.
92 Muroc
$160/day $190/day 30th Day
95 Sierra Sands $129/day
$165/day
$210/day (Retirees)
11th Consecutive day.
93 Southern Kern
$150 Elem;
$175 Secondary;
$160 Elem;
$185 Secondary;
After 10th Consecutive Day
94 Tehachapi $160/day $160/day
Kern County Supt. of Schools
$150/day
$21.43/hour
$269.71/day-Teacher
$38.53/hour
&288.99/day -Itinerant
$38.53/hour
21st day - Placed on Clolumn A, Step1
County Office of Education
KERN COUNTY SUPERINTENDENT OF SCHOOLS
DISTRICT SUBSTITUTE RATES
2021-2022
ELEMENTARY DISTRICTS:
HIGH SCHOOL DISTRICTS:
UNIFIED SCHOOL DISTRICTS:
Revised 09/13/2021
TWENTY-FIVE TIPS FOR SUBSTITUTE TEACHERS
1. Arrive at school early to survey lesson plans, locate materials, review fire and earthquake instructions, and meet a few
teachers.
2. Look over the seating chart and zero in on a few names so that you can establish a rapport immediately.
3. Ask questions – regular staff members will be glad to help.
4. Be confident, concise and firm. Your first words and actions go a long way toward setting the tone of the day.
5. Follow the regular teacher’s lesson plans and discipline system to the best of your ability.
6. Speak softly and wait until all the students are listening before giving instructions.
7. Deal with the individual, not the group, when discipline problems occur. Be firm and stay in control of the situation. Request
help if needed.
8. Have your own simple discipline and reward system in case you can’t figure out the classroom’s behavior management
system.
9. Avoid commanding and threatening. Solicit cooperation. You are on the same team.
10. Compliment the students on class displays, behavior, enthusiasm, etc.
11. Circulate as students are working. Make positive comments and/or put various colored pluses on their papers (i.e. green for a
proper heading, red for working quietly, and blue for having solved a problem correctly).
12. Listen to the students and be observant.
13. Allow students to help you with daily routines – involve the students. When appropriate, help students check their own work.
14. Bail out of a lesson that is failing. Move on to something you are comfortable with or review.
15. Have a story, game or other activity prepared in case you finish lessons early.
16. Have generic lessons that can be used at a variety of grade levels just in case a blank spot occurs.
17. Avoid assigning “busy work.”
18. Never leave the class unattended.
19. Grade papers that can easily be checked.
20. Do not dismiss students early.
21. Dismiss students in an orderly fashion, one group at a time.
22. Be respectful of classroom equipment and supplies. Put pencils, paper, books, etc. away neatly.
23. Leave the room in order. Have the students’ pickup papers, straighten desks, etc.
24. Lock the door when you leave the room.
25. Leave a note for the teacher. Include positive experiences, a progress report, list of absent students, and names of
cooperative, as well as, uncooperative students.
-1 -
OFFICE OF MARY C. BARLOW
KERN COUNTY SUPERINTENDENT OF SCHOOLS
1300 17th Street - CITY CENTRE, Bakerseld, CA 93301-4533
(661) 636-4000 • FAX (661) 636-4130 • www.kern.org
2020-2021 Kern County School Districts and Administrators
(Revised 12/14/20)
ElEmEntary School DiStrictS
ARVIN UNION SCHOOL DISTRICT
Georgia Rhett, District Superintendent
Emma Pereida-Martinez, Assistant Supt.
737 Bear Mountain Blvd.
Arvin, CA 93203
854-6500 FAX 854-2362
www.arvinschools.com
Arvin State Preschool
Angelica Salinas, Coordinator
854-6580 FAX 854-7523
Bear Mountain Elementary School
Magdalena Hernandez, Principal
854-6590 FAX 854-6599
El Camino Real Elementary School
Dr. Beatrice Gray, Principal
854-6661 FAX 854-2474
Haven Drive Middle School
Calletano Gutierrez, Interim Principal
854-6540 FAX 854-1440
Sierra Vista School
Rosemarie Borquez, Principal
854-6560 FAX 854-7523
BAKERSFIELD CITY SCHOOL DISTRICT
Harry "Doc" Ervin, District Superintendent
Mark Luque, Asst. Supt.–Educational Serv.
1300 Baker St.
Bakerseld, CA 93305
631-4600 FAX 631-4623
www.bcsd.com
Casa Loma Elementary School
Lemuel Kwon, Principal
631-5200 FAX 831-0458
Paul L. Cato Middle School
Brooke Smothers-Strizic, Principal
631-5245 FAX 366-6008
Cesar E. Chavez Elementary School
Dawn Slaybaugh, Principal
631-5870 FAX 363-7649
Ruth Harding Elementary School
Bridget Fitch, Principal
631-5300
FAX 631-4587
Caroline Payne Harris Elementary School
Anne Lopez, Principal
631-5310 FAX 631-3178
Stella Hills Elementary School
Steve Robinson, Principal
631-5320 FAX 631-3119
Hort Elementary School
Diana O'Neal, Principal
631-5330 FAX 631-3208
Jefferson Elementary School
Shannon Jensen, Principal
631-5340 FAX 631-3104
Rafer Johnson Children's Center
Jesse Beed, Site Administrator
631-5850 FAX 631-3289
Martin Luther King, Jr. Elementary School
Cheryl Stamper, Principal
631-5229 FAX 397-1041
Longfellow Elementary School
Alfonso Ceja, Principal
631-5350 FAX 395-1514
Horace Mann Elementary School
Russell Gayer, Principal
631-5360 FAX 872-3165
McKinley Elementary School
Rona Chacon Mellon, Principal
631-5370 FAX 859-0462
Mount Vernon Elementary School
Xochitl Prieto, Principal
631-5380 FAX 631-3126
Millie Gardette Munsey
Elementary School
Dayna Garner, Principal
631-5390 FAX 833-8249
Bernice Harrell Chipman
Junior High School
Tomas Prieto, Principal
631-5210 FAX 631-3229
College Heights Elementary School
Lynn McEntire, Principal
631-5220 FAX 631-4510
Compton Junior High School
Jennifer Payne, Principal
631-5230 FAX 631-3166
James Curran Middle School
Marilyn Strongin, Principal
631-5240 FAX 833-9247
Downtown Elementary School
Noreen Barthelmes, Principal
631-5920 FAX 631-3276
Henry Eissler Elementary School
Christina Norris, Principal
631-5250 FAX 872-2649
Emerson Middle School
Polo Marquez, Principal
631-5260 FAX 327-7608
Evergreen Elementary School
Jason Brannen, Principal
631-5930 FAX 631-3190
Dr. Douglas K. Fletcher Elem. School
Nancy Olcott, Principal
631-5960 FAX 366-6006
Franklin Elementary School
Carla Tafoya, Principal
631-5270 FAX 631-3210
John C. Fremont Elementary School
Teresa Arambula, Principal
631-5280 FAX 631-4527
Ramon Garza Elementary School
Julie Segura Padilla, Principal
631-5290 FAX 631-3110
-2 -
Colonel Howard Nichols
Elementary School
David Tapia, Principal
631-5400 FAX 631-4902
Myra A. Noble Elementary School
Jalina Baker, Principal
631-5410 FAX 631-3248
Bessie E. Owens Intermediate School
Brandon Johnson, Principal
631-5950 FAX 631-3269
Bessie E. Owens Primary School
Sarita Arredondo, Principal
631-5420 FAX 859-0913
Leo G. Pauley Elementary School
Jennifer Santillan, Principal
631-5430 FAX 631-3215
William Penn Elementary School
Marshall Dillard, Principal
631-5440 FAX 633-9795
Pioneer Drive Elementary School
Traci Hicks, Principal
631-5450 FAX 363-7491
Roosevelt Elementary School
Susana Rios, Principal
631-5460 FAX 324-4326
Sequoia Middle School
Yvonne Lopez, Principal
631-5940 FAX 397-3010
Sierra Middle School
Tomas Prieto, Principal
631-5470 FAX 327-7610
Walter Stiern Middle School
Julie Short, Principal
631-5480 FAX 363-7823
Dr. Juliet Thorner Elementary School
Leiann Scott, Principal
631-5490 FAX 871-5005
Marsa Voorhies Elementary School
Erick Casallas, Principal
631-5800 FAX 363-6254
Washington Middle School
Abraham Rivera, Principal
631-5810
Wayside Elementary School
Dylan Capilla, Principal
631-5820 FAX 631-4593
CALIENTE UNION SCHOOL DISTRICT
Alan Gonzalez, District Superintendent
12400 Caliente Creek Rd.
Caliente, CA 93518
867-2301 FAX 867-6902
www.calienteschooldistrict.org
Caliente School
Alan Gonzalez, Principal
867-2301 FAX 867-6902
Piute Mountain School
Alan Gonzalez, Principal
867-2301 FAX 867-6902
DELANO UNION SCHOOL DISTRICT
Rosalina Rivera, District Superintendent
1405 12th Ave.
Delano, CA 93215
721-5000 FAX 725-2446
www.duesd.org
Albany Park School
Karina Oropeza-Gonzalez, Principal
721-5020 FAX 721-2833
Almond Tree Middle School
Rodney Del Rio, Principal
721-3641 FAX 721-3649
Cecil Avenue Math and Science Academy
Lionel Reyna, Principal
721-5030 FAX 721-5097
Del Vista Math & Science Academy
Ana Ruiz, Principal
721-5040 FAX 721-5087
Fremont School
Teresa Cushnyr, Principal
721-5050 FAX 721-5058
Harvest Elementary School
Janice Vargas, Principal
720-2725 FAX 720-2715
La Viña Middle School
Jennifer Townson, Principal
721-3601 FAX 721-3662
Morningside School
Rick Chavez, Principal
720-2700 FAX 720-2838
Nueva Vista Language Academy
Joshua Herrera, Principal
721-5070 FAX 721-3638
Frank West Elementary School
Russ Taylor, Principal
631-5830 FAX 631-4519
Williams Elementary School
Jazmine Frias, Principal
631-5840 FAX 395-9517
BEARDSLEY SCHOOL DISTRICT
Paul Miller, District Superintendent
Kevin Williams, Assistant Superintendent
1001 Roberts Ln.
Bakerseld, CA 93308
393-8550 FAX 393-5965
beardsleyschool.org
Beardsley Elementary School
Aimee Williamson, Principal
392-1417 FAX 387-1587
Beardsley Junior High School
David Hilton, Principal
392-9254 FAX 399-3925
North Beardsley Elementary School
Terri Chamberlin, Principal
392-0878 FAX 392-1399
San Laurén Elementary School
Tammy Barrera, Principal
393-5511 FAX 393-9064
BELRIDGE ELEM. SCHOOL DISTRICT
Tammy Reynolds, District Supt./Principal
19447 Wagon Wheel Rd.
McKittrick, CA 93251
762-7381 FAX 762-9751
BLAKE ELEMENTARY SCHOOL DISTRICT
Gary Bray, District Superintendent
Dawn Carver, Principal
19165 Main St.
mailing address: P.O. Box 40
Woody, CA 93287
536-8559 FAX 536-9389
blakesd.org
BUTTONWILLOW UNION
SCHOOL DISTRICT
J. Stuart Packard, District Superintendent
42600 Highway 58
Buttonwillow, CA 93206
764-5166 FAX 764-5165
www.buttonwillow.k12.ca.us
Buttonwillow Elementary School
Hiedi Witcher, Principal
764-5248 FAX 764-5805
-3 -
Pioneer School
Anna Wyatt, Principal
474-4911 FAX 721-7725
Princeton Street School
Mark Ruiz, Principal
721-5080 FAX 721-5084
Terrace Elementary School
Maria Alvizo, Principal
721-5060 FAX 721-5074
DI GIORGIO SCHOOL DISTRICT
Terry Hallum, District Supt./Principal
19405 Buena Vista Blvd.
Arvin, CA 93203
854-2604 FAX 854-8746
www.digiorgio.k12.ca.us
EDISON ELEMENTARY
SCHOOL DISTRICT
Erica Andrews, District Superintendent
11518 School St.
P.O. Box 368
Edison, CA 93220
363-5394 FAX 363-4631
www.edison.k12.ca.us
Edison Middle School
Jennifer Dewy, Principal
366-8216 FAX 366-0922
Orangewood Elementary School
Brandie Brown, Principal
366-8440 FAX 366-0159
ELK HILLS SCHOOL DISTRICT
Rick Esquivel, District Supt./Principal
501 Kern St.
mailing address: P.O. Box 129
Tupman, CA 93276
765-7431 FAX 765-4583
www.elkhills.k12.ca.us
FAIRFAX SCHOOL DISTRICT
Michael Coleman, District Superintendent
Lora Brown, Assistant Superintendent
1500 S. Fairfax Rd.
Bakerseld, CA 93307
366-7221 FAX 366-1901
www.fairfax.k12.ca.us
Fairfax Junior High School
Wendy Burkhead, Principal
366-4461 FAX 366-5831
Shirley Lane Elementary School
David Mack, Principal
363-7684 FAX 363-7552
Greeneld Community School
Matt Earls, Administrator
837-3717 FAX 837-3719
Greeneld Middle School
Sandy Welch, Principal
837-6110 FAX 832-7431
Horizon Elementary School
Juan Herrera Olea, Principal
837-3730 FAX 837-3734
W. A. Kendrick School
Hana Suleiman, Principal
837-6190 FAX 397-0226
McKee Middle School
Brandon Duncan, Principal
837-6060 FAX 834-7566
Leon H. Ollivier Middle School
Sheila Johnson, Principal
837-6120 FAX 396-0963
Raffaello Palla Elementary School
Monica Cachu, Principal
837-6100 FAX 837-6106
Plantation School
Renee Whitney, Principal
837-6070 FAX 837-6077
Planz Elementary School
Teresa Olague, Principal
837-6080 FAX 831-5467
Valle Verde Elementary School
Nicole Zandes, Principal
837-6150 FAX 837-6159
GRIMMWAY SCHOOLS
Barbara Grimm-Marshall, Founder & President
Casey Yeazel, Chief Executive Ofcer
5080 California Avenue, Suite 100
Bakerseld, CA 93309
661-432-7880
www.grimmwayschools.org
Grimmway Academy Arvin
Hurshel Williams, Principal
855-8200 FAX 855-8249
Grimmway Academy Shafter
Brook Webb, Principal
630-7220
Virginia Avenue School
Moishe Garde, Principal
366-3223 FAX 366-2043
Zephyr Lane Elementary School
Anthony Beckman, Principal
366-0024 FAX 366-0266
FRUITVALE SCHOOL DISTRICT
Leslie Garrison, District Superintendent
Kim Carlson, Assistant Superintendent
7311 Rosedale Hwy.
Bakerseld, CA 93308-5738
589-3830 FAX 589-3674
www.fruitvale.k12.ca.us
Columbia Elementary School
Angie Summers, Principal
588-3540 FAX 589-5264
Discovery Elementary School
Eva Martinez, Principal
589-7336 FAX 587-9413
Endeavour Elementary School
Stephanie Garnett, Principal
588-3550 FAX 587-9318
Fruitvale Junior High School
Erick Rouanzoin, Principal
589-3933 FAX 588-3259
Quailwood Elementary School
Michelle Olinger, Principal
832-6415 FAX 831-7391
GENERAL SHAFTER SCHOOL DISTRICT
Chris Salyards, District Superintendent
Sandra Johnson, Principal
1825 Shafter Rd.
Bakerseld, CA 93313
837-1931 FAX 837-8261
generalshafter.org
GREENFIELD UNION SCHOOL DISTRICT
Ramon Hendrix, District Superintendent
1624 Fairview Rd.
Bakerseld, CA 93307
837-6000 FAX 832-2873
www.gfusd.net
Fairview Elementary School
Leticia Canales, Principal
837-6050 FAX 837-6056
Granite Pointe Elementary School
Greg Adkins, Principal
837-6040 837-6049
-4 -
KERNVILLE UNION SCHOOL DISTRICT
Steve Martinez, District Superintendent
3240 Erskine Creek Rd.
Lake Isabella, CA 93240
(760) 379-3651 FAX (760) 379-3812
www.kernvilleusd.org
Kernville Elementary School
Marie Sampson, Principal
(760) 376-2249 FAX (760) 376-1935
Woodrow W. Wallace Elementary School
Karen Greenhaw, Principal
(760) 379-2621 FAX (760) 379-1322
Woodrow W. Wallace Middle School
Frank Flores, Principal
(760) 379-4646 FAX (760) 379-5953
LAKESIDE UNION SCHOOL DISTRICT
Ty Bryson, District Superintendent
Mike McGrath, Assistant Superintendent
14535 Old River Rd.
Bakerseld, CA 93311
836-6658 FAX 836-8059
www.lakesideusd.org
Lakeside School
Mike McGrath, Principal
831-3503 FAX 831-7709
Donald E. Suburu School
Valerie Garcia, Principal
665-8190 FAX 665-8282
LAMONT SCHOOL DISTRICT
Dr. Miguel Guerrero, District Superintendent
7915 Burgundy Ave.
Lamont, CA 93241
845-0751 FAX 216-7667
www.lamontschooldistrict.org
Alicante Avenue School
Maria Ozuna, Principal
845-1452 FAX 845-3192
Lamont Elementary School
Ana Adamson, Principal
845-4404 FAX 845-5837
Mountain View Middle School
Brandy Charles, Principal
845-2291 FAX 845-1839
Myrtle Avenue School
Javier Bolivar, Principal
845-2217 FAX 845-4816
LINNS VALLEY-POSO FLAT UNION
SCHOOL DISTRICT
Tammy Pritchard, District Supt./Principal
158 White River Rd.
P.O. Box 399
Glennville, CA 93226
536-8811 FAX 536-8878
linnsvalleyschooldistrict.org
LOST HILLS UNION SCHOOL DISTRICT
Harrison Favereaux, District Superintendent
Fidelina Saso, Assistant Superintendent
20951 Pavilion Way
mailing address: P.O. Box 158
Lost Hills, CA 93249
797-2941 FAX 797-2580
Lost Hills Elementary School
Veronica Gregory, Principal
797-2626 FAX 797-3015
A. M. Thomas Middle School
Veronica Gregory, Principal
797-2626 FAX 797-3015
MAPLE SCHOOL DISTRICT
Julie Boesch, Ed.D., District Supt./Principal
29161 Fresno Ave.
Shafter, CA 93263
746-4439 FAX 746-4765
maple.k12.ca.us
McKITTRICK SCHOOL DISTRICT
Barry Koerner, District Supt./Principal
23250 2nd St.
mailing address: P.O. Box 277
McKittrick, CA 93251
762-7303 FAX 762-7283
mckittrickschool.org
MIDWAY SCHOOL DISTRICT
Al Quezada, District Supt./Principal
259 F. St.
P.O. Box 39
Fellows, CA 93224
768-4344 FAX 768-4746
midwayschooldistrict.org
NORRIS SCHOOL DISTRICT
Kelly Miller, District Superintendent
6940 Calloway Dr.
Bakerseld, CA 93312
387-7000 FAX 399-9750
www.norris.k12.ca.us
William B. Bimat Elementary School
Jodi Mudryk, Principal
387-7080 FAX 589-7849
Norris Elementary School
Erin Hudson, Principal
387-7020 FAX 587-9043
Norris Middle School
Ryan Carr, Principal
387-7060 FAX 399-9750
Olive Drive Elementary School
Brandy Rosander, Principal
387-7040 FAX 399-3149
Veterans Elementary School
Paula Mara, Principal
387-7050 FAX 589-5758
PANAMA-BUENA VISTA UNION
SCHOOL DISTRICT
Katie Russell, District Superintendent
Jennifer Irvin, Assistant Superintendent
4200 Ashe Rd.
Bakerseld, CA 93313
831-8331 FAX 398-0669
www.pbvusd.k12.ca.us
O. J. Actis Junior High School
Patrick Spears, Principal
833-1250 FAX 833-9656
Berkshire Elementary School
Amy Mensing, Principal
834-9472 FAX 834-7876
Buena Vista Elementary School
Daniel Hansford, Principal
831-0818 FAX 831-4842
Charles H. Castle Elementary School
Katrina Wilson, Principal
834-5311 FAX 834-9422
Leo B. Hart Elementary School
Daryl Newton, Principal
664-1296 FAX 664-0176
Laurelglen Elementary School
Robert Machado, Principal
831-4444 FAX 831-6689
Roy W. Loudon School
Stephen Johnson, Principal
398-3210 FAX 398-6233
Sing Lum School
Shawna Manning, Principal
664-1611 FAX 664-1852
Christa McAuliffe Elementary School
Jennifer Payne, Principal
665-9471 FAX 665-9821
-5 -
Douglas J. Miller Elementary School
Dan Bickam, Principal
836-6689 FAX 836-8452
Old River Elementary School
Kathy Josephson, Principal
664-7009 FAX 664-8247
Panama Elementary School
Brian Malavar, Principal
831-1741 FAX 831-6662
Ronald Reagan Elementary School
Matthew Kennedy, Principal
665-8099 FAX 665-8311
Louise Sandrini Elementary School
Morgan Hicks, Principal
397-1515 FAX 397-3817
Amy B. Seibert Elementary School
Rebekah Stambook, Principal
832-4141 FAX 832-3734
Stine Elementary School
Monica Hicks, Principal
831-1022 FAX 831-6610
Stockdale Elementary School
Matthew Merickel, Principal
831-7835 FAX 831-7701
Stonecreek Junior High School
James Lopez, Principal
834-4521 FAX 834-6908
Tevis Junior High School
Paul Coon, Principal
664-7211 FAX 664-9659
Fred L. Thompson Junior High School
Michael Brasier, Principal
832-8011 FAX 832-5165
Wayne Van Horn Elementary School
Trina Lovio, Principal
324-6538 FAX 324-2007
Earl Warren Junior High School
Darryl Pope, Principal
665-9210 FAX 665-9507
Whitley Elementary School
Lisa Beasley, Principal
885-6600 FAX 831-7357
Bill L. Williams Elementary School
Dion Lovio, Principal
837-8070 FAX 837-4459
POND SCHOOL DISTRICT
Alex Lopez, District Supt./Principal
29585 Pond Rd.
Wasco, CA 93280
792-2545 FAX 792-5099
www.pond.k12.ca.us
RICHLAND SCHOOL DISTRICT
Rosa Romero, Int. District Superintendent
Rocio Muñez, Assistant Superintendent
331 Shafter Ave.
Shafter, CA 93263
746-8600 FAX 746-8614
www.richland.k12.ca.us
Golden Oak Elementary School
Ana Marie Mendez, Principal
746-8670 FAX 746-8614
Redwood Elementary School
Ivonne Hernandez, Principal
746-8650 FAX 746-8614
Richland Junior High School
Monica Garza, Principal
746-8630 FAX 746-8614
Sequoia Elementary School
Frank Flores, Principal
746-8740 FAX 746-8614
RIO BRAVO-GREELEY UNION
SCHOOL DISTRICT
Jennifer Hedge, District Superintendent
6521 Enos Ln.
Bakerseld, CA 93314
589-2696 FAX 589-2218
www.rbgusd.k12.ca.us
Rio Bravo Elementary School
Pamela Stanley, Principal
588-6313 FAX 588-6318
Rio Bravo-Greeley School
Christina Bussman, Principal
589-2505 FAX 588-7204
ROSEDALE UNION SCHOOL DISTRICT
Sue Lemon, District Supt.
2553 Old Farm Rd.
Bakerseld, CA 93312
588-6000 FAX 588-6009
www.ruesd.net
Almondale Elementary School
Jen Pafford, Principal
588-6060 FAX 588-6063
American Elementary School
Becky Devahl, Principal
587-2277 FAX 829-2591
Centennial Elementary School
Bruce Carlile, Principal
588-6020 FAX 588-6023
Del Rio Elementary School
Lisa Boles, Principal
588-6050 FAX 588-6053
Freedom Middle School
Matt King, Principal
588-6044 FAX 588-6048
Independence Elementary School
RikkiLyn McFee, Principal
588-6011 FAX 588-6018
Patriot Elementary School
Jonathan Martinez, Principal
588-6065 FAX 587-2272
Rosedale Middle School
Tom Board, Principal
588-6030 FAX 588-6039
Rosedale North Elementary School
Norm Richards, Principal
588-6040 FAX 588-6043
SEMITROPIC SCHOOL DISTRICT
Bethany Ferguson, District Supt./Principal
25300 Highway 46
Wasco, CA 93280
758-6412 FAX 758-4134
www.semitropicschool.org
SOUTH FORK UNION SCHOOL DISTRICT
Kim Kissack, District Superintendent
5225 Kelso Valley Rd.
Weldon, CA 93283
(760) 378-4000 FAX (760) 378-3046
www.southforkschool.org
South Fork Elementary School
Kim Kissack, Principal
(760) 378-2211 FAX (760) 378-4369
South Fork Middle School
Kim Kissack, Principal
(760) 378-1300 FAX (760) 378-9113
STANDARD SCHOOL DISTRICT
Paul Meyers, District Superintendent
1200 N. Chester Ave.
Bakerseld, CA 93308-3521
392-2110 FAX 392-0681
www.standardschools.net
-6 -
Highland Elementary School
Mary HIgheld, Principal
392-2115 FAX 392-2142
Standard Elementary School
Jennifer Long, Principal
392-2120 FAX 392-2137
Standard Middle School
Susan Denton, Principal
392-2130 FAX 392-2134
Wingland Elementary School
Richard Morosa, Principal
392-2125 FAX 392-2139
TAFT CITY SCHOOL DISTRICT
Julie Graves, District Superintendent
Nancy Hickernell-Bonner, Asst. Superintendent
820 Sixth St.
Taft, CA 93268
763-1521 FAX 763-1495
www.taftcity.org
Conley School
Lisa Kindred, Principal
765-4117 FAX 765-2065
Jefferson School
Melissa Taylor, Principal
763-4236 FAX 763-3054
Lincoln Junior High School
Brandi Swearengin, Principal
765-2127 FAX 763-3970
Parkview School
Heather Ward, Principal
763-4164 FAX 763-3020
Roosevelt School
Stephanie McDaniel, Principal
763-3113 FAX 763-3732
Taft Primary School
Lavona Callaghan, Principal
765-4151 FAX 763-3783
VINELAND SCHOOL DISTRICT
Cindy Castro, District Superintendent
14713 Weedpatch Hwy.
Bakerseld, CA 93307
845-3713 FAX 845-8449
vineland.k12.ca.us
Sunset School
Lourdes Licea, Principal
845-1320 FAX 845-3952
Vineland School
Roberto Euresti, Principal
845-3719 FAX 845-1599
WASCO UNION ELEMENTARY
SCHOOL DISTRICT
Kelly Richers, District Superintendent
1102 5th St.
Wasco, CA 93280
758-7100 FAX 758-7110
www.wuesd.org
Teresa Burke Elementary School
Monique Goodwill, Principal
758-7480 FAX 758-3024
Karl F. Clemens School
Sam Torres, Principal
758-7120 FAX 758-9200
James A. Forrest Elementary School
Steffanie Pollard, Principal
758-7490 FAX 758-3008
Thomas Jefferson Middle School
Danny Arellano, Principal
758-7140 FAX 758-9366
Palm Avenue School
Oscar Luna, Principal
758-7130 FAX 758-9369
John L. Prueitt School
Rosalinda Chairez, Principal
758-7180 FAX 758-9361
WONDERFUL COLLEGE PREP ACADEMY
Adrian Manuel, Superintendent
www.wonderfulcollegeprepacademy.org
WCPA - Delano
2070 Veneto Street
Delano, CA 93215
721-2887 FAX 454-3601
WCPA - Lost Hills
20767 Highway 46
Lost Hills, CA 93249
797-2220 FAX 797-2223
UnifiED School DiStrictS
EL TEJON UNIFIED SCHOOL DISTRICT
Sara Haich, District Superintendent
4337 Lebec Rd.
P.O. Box 876
Lebec, CA 93243
248-6247 FAX 248-6714
www.el-tejon.k12.ca.us
Condor Academy
Sara Halch, Principal
248-0310 ext. 182 FAX 248-0403
El Tejon School
Corey Hansen, Principal
248-6680 FAX 248-5203
Frazier Park School
Patrick Gross, Principal
245-3312 FAX 245-3424
Frazier Mountain High School
Sara Haich, Principal
248-0310 FAX 248-0403
MARICOPA UNIFIED SCHOOL DISTRICT
Scott Meier, District Superintendent
955 Stanislaus St.
Maricopa, CA 93252
769-8231 ext. 201 FAX 769-8168
maricopaschools.org
Maricopa Elementary School
Scott Meier, Principal
769-8231 ext. 205 FAX 769-8202
Maricopa Middle School
Scott Meier, Principal
769-8231 ext. 205 FAX 769-8202
Maricopa High School
Scott Meier, Principal
769-8231 ext. 210 FAX 769-8204
Peak to Peak Mountain Charter
Jeffrey Fenske, Administrator
364-3811
McFARLAND UNIFIED SCHOOL DISTRICT
Samuel Aaron Resendez, District Supt.
601 Second St.
McFarland, CA 93250
792-3081 FAX 792-2447
www.mcfarlandusd.com
Browning Road School
Dario Diaz, Principal
792-2113 FAX 792-5423
Horizon Elementary School
Vanessa DeLeon, Principal
792-0003 FAX 792-0010
Kern Avenue Elementary School
Mayela Bujanda-Medina, Principal
792-3033 FAX 792-6036
-7 -
McFarland Independent School
Lori Schultz, Director
792-3178 FAX 792-6758
McFarland Middle School
Adan Robles, Principal
792-3340 FAX 792-5681
McFarland High School
Justin Derrick, Principal
792-3126 FAX 792-2315
San Joaquin High School
Lori Schultz, Director
792-6312 FAX 792-6758
MOJAVE UNIFIED SCHOOL DISTRICT
Dr. Katherine Anguirre, District Superintendent
3500 Douglas Ave.
Mojave, CA 93501
824-4001 FAX 824-2686
www.mojave.k12.ca.us
California City Middle School
Tim Shelby, Principal
(760) 373-3241 FAX (760) 373-1355
Hacienda Elementary School
Shawnee Moore, Principal
(760) 373-5824 FAX (760) 373-5787
Mojave Elementary School
Cheryl Bailey, Principal
824-2456 FAX 824-2461
Robert P. Ulrich Elementary School
Dr. Tirsa Tovar, Principal
(760) 373-4824 FAX (760) 373-3309
California City High School
Edward Campbell, Principal
(760) 373-5263 FAX (760) 373-9028
Mojave Junior/Senior High School
Scott Small, Principal
824-4088 FAX 824-3406
Mojave Adult School
Susan Clipperton, Principal
824-4569 FAX 824-2686
MUROC JOINT UNIFIED
SCHOOL DISTRICT
Kevin Cordes, District Superintendent
17100 Foothill Ave.
North Edwards, CA 93523
(760) 769-4821 FAX (760) 769-4241
www.muroc.k12.ca.us
Irving L. Branch Elementary School
John Siercks, Principal
258-4411 ext. 3510 FAX 258-4411
West Boron Elementary School
Robert Kostopoulos, Principal
(760) 762-5430 FAX (760) 762-5019
Boron Junior/Senior High School
David Wiggs, Principal
(760) 762-5121 FAX (760) 762-5040
Desert Junior/Senior High School
David Ellms, Principal
258-4411, ext. 4510 FAX 258-5029
SIERRA SANDS UNIFIED
SCHOOL DISTRICT
David Ostash, District Superintendent
Michelle Savko, Assistant Superintendent
113 W. Felspar Ave.
Ridgecrest, CA 93555
(760) 499-1600 FAX (760) 375-3338
www.ssusd.org
Theodore H. Faller Elementary School
Amy Self, Principal
(760) 499-1690 FAX (760) 499-1695
Gateway Elementary School
Margaret Bergens, Principal
(760) 499-1850 FAX (760) 384-2608
Inyokern Elementary School
Beverly Ewbank, Principal
(760) 499-1683 FAX (760) 499-1687
Las Flores Elementary School
Sarah Tate, Principal
(760) 499-1860 FAX (760) 375-8432
James Monroe Middle School
John Cosner, Principal
(760) 499-1830 FAX (760) 375-8781
Murray Middle School
Cody Pearce, Principal
(760) 499-1820 FAX (760) 446-3838
Pierce Elementary School
Shyanne Ledford, Principal
(760) 499-1670 FAX (760) 499-1678
Richmond Elementary School
Michael Yancey, Principal
(760) 499-1840 FAX (760) 446-3302
Burroughs High School
Carrie Cope, Principal
(760) 499-1800 FAX (760) 375-1735
Mesquite Continuation High School
Joanne McClelland, Principal
(760) 499-1810 FAX (760) 446-3328
Sierra Sands Adult School
Joanne McClelland, Principal
(760) 499-1725
SOUTHERN KERN UNIFIED
SCHOOL DISTRICT
Barbara Gaines, District Superintendent
2601 Rosamond Blvd.
P.O. Drawer CC
Rosamond, CA 93560
256-5000 FAX 256-1247
www.skusd.k12.ca.us
Abraham Lincoln Independent Study
Nino Torres, Principal
256-5090 FAX 256-6868
Rosamond Elementary School
Santiago Meza, Principal
256-5050 FAX 256-6248
Tropico Middle School
Nat Adams, Principal
256-5040 FAX 256-0630
Westpark Elementary School
Leslie Lacey, Principal
256-5030 FAX 256-8300
Rare Earth Continuation High School
Nino Torres, Principal
256-5090 FAX 256-6868
Rosamond High School
Lisa Aqenenni, Principal
256-5020 FAX 256-6880
TEHACHAPI UNIFIED SCHOOL DISTRICT
Stacey Larson-Everson, District Supt.
300 S. Robinson St.
Tehachapi, CA 93561
822-2100 FAX 822-8221
www.teh.k12.ca.us
Cummings Valley Elementary School
Traci Minjares, Principal
822-2190 FAX 822-2128
Golden Hills Elementary School
Kendra Bailey, Principal
822-2180 FAX 822-2186
Jacobsen Middle School
Sharon Heitman, Principal
822-2150 FAX 822-2156
-8 -
Tompkins Elementary School
Rebecca Castellanos, Principal
822-2170 FAX 822-2198
Monroe Continuation High School
Christina Libatique, Principal
822-2124 FAX 822-2188
Tehachapi High School
Christina Libatique, Principal
822-2130 FAX 822-2163
high School DiStrictS
DELANO JOINT UNION HIGH
SCHOOL DISTRICT
Jason Garcia, District Superintendent
Adelaide Ramos, Assistant Superintendent
1720 Norwalk St.
Delano, CA 93215
725-4000 FAX 721-9390
www.djuhsd.org
Cesar E. Chavez High School
Uriel Robles, Principal
720-4502 FAX 725-8875
Delano Adult School
Julio Segura, Interim Director
720-4173 FAX 725-5852
Delano High School
Rene Ayon, Principal
720-4121 FAX 720-4216
Robert F. Kennedy High School
Dolores Rodriguez, Principal
720-5102 721-0833
Valley High School
Gabriel Diaz, Director of Alt. Ed.
720-4181 FAX 725-7611
KERN HIGH SCHOOL DISTRICT
Dr. Bryon Schaefer, District Superintendent
5801 Sundale Ave.
Bakerseld, CA 93309
827-3100 FAX 827-3301
www.kernhigh.org
Arvin High School
Ed Watts, Principal
854-5561 FAX 854-5943
Bakerseld Adult School
Herbert E. Martin Center
Mark Wyatt, Principal
835-1855 FAX 835-9612
Bakerseld High School
Ben Sherley, Principal
324-9841 FAX 324-3401
Centennial High School
Matthew Guinn, Principal
588-8601 FAX 588-8608
Central Valley Continuation High School
Roman Aguilar, Supervising Administrator
746-4281 FAX 746-0521
East Bakerseld High School
Leo Holland, Principal
871-7221 FAX 872-6980
Foothill Hill School
Gail Bentley, Principal
366-4491 FAX 363-6223
Frontier High School
Vicky Thompson, Principal
829-1107 FAX 829-1185
Golden Valley High School
Paul Helman, Principal
827-0800 FAX 827-0480
Highland High School
Debra Vigstrom, Principal
872-2777 FAX 871-6052
Independence High School
Dean Juola, Principal
834-8001 398-0899
Kern Valley High School
John Meyers, Principal
(760) 379-2611 FAX (760) 379-8314
Liberty High School
Libby Wyatt, Principal
587-0925 FAX 587-1299
Mira Monte High School
William Sandoval, Principal
366-1800 363-6475
North High School
Mark Balch, Principal
399-3351 FAX 393-5918
Nueva Continuation High School
Roman Aguilar, Supervising Administrator
845-1532 FAX 845-9523
Ridgeview High School
Steve Holmes, Principal
398-3100 FAX 398-9758
Shafter High School
Russell Shipley, Principal
746-4961 FAX 746-6743
South High School
Connie Grumling, Principal
831-3680 FAX 837-2756
Stockdale High School
Scott Odlin, Principal
665-2800 FAX 665-0914
Tierra Del Sol Continuation High School
Roman Aguilar, Supervising Administrator
832-3700 FAX 832-9807
Vista Continuation High School
Roman Aguilar, Supervising Administrator
327-8561 FAX 631-0558
Vista West Continuation High School
Roman Aguilar, Supervising Administrator
589-4242 FAX 588-1627
West High School
Megan Gregor, Principal
832-2822 FAX 831-5606
TAFT UNION HIGH SCHOOL DISTRICT
Blanca Cavazos, District Superintendent
1 Wildcat Way
Taft, CA 93268
763-2300 FAX 763-1445
www.taft.k12.ca.us
Buena Vista High School
Chelle Koerner, Administrator
763-2383 FAX 763-2393
Taft Union High School
Mary Alice Finn, Principal
763-2300 FAX 763-1445
WASCO UNION HIGH SCHOOL DISTRICT
Lori Albrecht, District Superintendent
2100 Seventh St.
Wasco, CA 93280
758-8447 FAX 758-4946
www.wascouhsd.org
Independence High School
Martin Lonza, Principal
758-7450 FAX 758-7451
Wasco Union High School
Kevin Tallon, Principal
758-7400 FAX 758-9201
-9 -
commUnity collEgES
KERN COMMUNITY COLLEGE DISTRICT
Thomas J. Burke, Chancellor
2100 Chester Ave.
Bakerseld, CA 93301
336-5100 FAX 336-5025
www.kccd.edu
Bakerseld College
Dr. Sonya Christian, President
395-4011 FAX 395-4698
Bakerseld College - Delano Center
Abel Guzman, Director
720-2000 FAX 720-2014
Cerro Coso Community College
Jill Board, President
(760) 384-6100 FAX (760) 384-6270
Porterville College
Dr. Claudia Habib, President
(559) 791-2200 FAX (559) 784-4779
WEST KERN COMMUNITY
COLLEGE DISTRICT
Taft College
Dr. Dena P. Maloney, District Supt./President
29 Emmons Park Dr.
Taft, CA 93268
763-7700 FAX 763-7703
www.taftcollege.edu
Please submit changes to Elizabeth Mackay, Executive Secretary.
Email – elmackay@kern.org | FAX – (661) 636-4130
UnivErSitiES
CALIFORNIA STATE UNIVERSITY,
BAKERSFIELD
Lynette Zelezny, President
9001 Stockdale Hwy.
Bakerseld, CA 93311-1022
654-CSUB
www.csub.edu
vocational anD occUpational SchoolS
REGIONAL OCCUPATIONAL CENTER
Herbert E. Martin Center
Brian Miller, Principal
501 S. Mt. Vernon Ave.
Bakerseld, CA 93307
831-3327 FAX 398-8239
roc.kernhigh.org
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