ACS WASC International Visiting Committee Member Application
Please complete the form below to apply as an ACS WASC visiting committee member. Your application will be reviewed to ensure that you meet eligibility criteria.
Name and Employment
Salutation
Please select...
Miss
Mrs.
Mr.
Ms.
Mx.
Dr.
Prof.
Rev.
Br.
Elder
Fr.
Judge
Pastor
Rabbi
Sr.
First Name
Middle Name or Initial
Last Name
Suffix (Jr., II, etc)
Name Pronunciation
How should we pronounce your name correctly?
Who referred you to ACS WASC?
School Principal, another Member, etc
Please indicate which option applies to you
Currently employed at an ACS WASC Accredited or Candidate School
Currently employed at a district office or affiliate partner of ACS WASC
Currently employed at a school that is not currently accredited by ACS WASC
Currently retired
School at which currently employed
Start typing and a list of currently accredited and candidate schools will be shown for you to select.
Current Title or Role
Occupation Category
Please select...
School Administrator
School Counselor
School Principal
School Teacher
School Coordinator
California Department of Education Personnel
Hawaii Department of Education Personnel
Hawaii Complex Area Personnel
Hawaii Complex Area Superintendent
District Personnel
District Superintendent
County Office of Education Personnel
County office of Education Superintendent
Catholic Diocese Personnel
Junior College Personnel
Senior College Personnel
Executive
Director
Affiliate Association
Consultant
Librarian
School Board Member
Not Specified
Non-Education Position
Name of school at which you are currently employed
Current Title or Role
Occupation Category
Please select...
School Administrator
School Counselor
School Principal
School Teacher
School Coordinator
California Department of Education Personnel
Hawaii Department of Education Personnel
Hawaii Complex Area Personnel
Hawaii Complex Area Superintendent
District Personnel
District Superintendent
County Office of Education Personnel
County office of Education Superintendent
Catholic Diocese Personnel
Junior College Personnel
Senior College Personnel
Executive
Director
Affiliate Association
Consultant
Librarian
School Board Member
Not Specified
Non-Education Position
Organization at which currently employed (District or Affiliate office.)
Start typing and a list of organizations in ACS WASC evaluation areas will be shown for you to select.
Current Title or Role
Occupation Category
Please select...
School Administrator
School Counselor
School Principal
School Teacher
School Coordinator
California Department of Education Personnel
Hawaii Department of Education Personnel
Hawaii Complex Area Personnel
Hawaii Complex Area Superintendent
District Personnel
District Superintendent
County Office of Education Personnel
County office of Education Superintendent
Catholic Diocese Personnel
Junior College Personnel
Senior College Personnel
Executive
Director
Affiliate Association
Consultant
Librarian
School Board Member
Non-Education Position
Not Specified
Last School or Employer before Retirement
Please include name and address
Last Title or Role before Retirement
Occupation Category before Retirement
Please select...
School Administrator
School Counselor
School Principal
School Teacher
School Coordinator
California Department of Education Personnel
Hawaii Department of Education Personnel
Hawaii Complex Area Personnel
Hawaii Complex Area Superintendent
District Personnel
District Superintendent
County Office of Education Personnel
County office of Education Superintendent
Catholic Diocese Personnel
Junior College Personnel
Senior College Personnel
Executive
Director
Affiliate Association
Consultant
Librarian
School Board Member
Not Specified
Non-Education Position
Date of Retirement
Are you willing to serve on virtual accreditation visits?
Yes
No
Previous Employment
ACS WASC requires that a visiting committee member does not have, and has not had, a staff, administrative, supervisory, governing, or other relationship with an institution being evaluated
in the past 5 years. We therefore need to ask about recent previous employment.
How long have you been in your current job?
More than 5 years
Less than 5 years
If you have changed jobs within the last 5 years
, please provide the name of the school or organization at which you were previously employed, your role or title, and the date on which you left that position.
Previous School or Employer
Please include name and address
Previous Title or Role
Date Previous Employment ended
Email / Phone
At least one email address and one phone number are required.
Preferred Email
Alternate Email
Preferred Phone
Please include area code, and extension if appropriate.
Phone Type
Work
Mobile
Home
Alternative Phone 1
Please include area code, and extension if appropriate.
Phone Type
Mobile
Work
Home
Alternative Phone 2
Please include area code, and extension if appropriate.
Phone Type
Home
Mobile
Work
Fax
Please include area code, and extension if appropriate.
Contact Addresses
Please confirm your work address:
My work address is the same as shown with my employer's name
My work address is different to the one shown with my employer's name
Department
Please add your correct work address:
Work Country
Work Street
Work City
Work Zip or Postal Code
We require your home address so that we don't ask you to travel too far to attend a visit, and also so that we can expedite reimbursement of expenses.
Please help us by supplying a genuine address; we won't share it with anyone else.
Home Country
Home Street
Home City
Home State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
American Samoa
Federated Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
United States Minor Outlying Islands
US Virgin Islands
Home Zip or Postal Code
Preferred Mailing Address
Work
Home
Send Expenses Reimbursement To
Work
Home
Assistant Contact Information
If you have an assistant, please provide their contact information below
Assistant Name
Assistant Email
Assistant Phone
Please include area code, and extension if appropriate.
Experience and Skills
Language Fluency
How would you rate your English Speaking skills?
Beginner
Intermediate
Advanced
Native-level
How would you rate your English writing skills?
Beginner
Intermediate
Advanced
Native-level
Please check all languages which you speak fluently
Arabic
Armenian
ASL
Bahasa Indonesia
Chinese
French
German
Hawaiian
Hebrew
Japanese
Korean
Spanish
Tagalog
Thai
Vietnamese
Other
Other Languages
Years of Educational Experience
Years as a Teacher
Years as an Administrator
Years of Other Relevant Work Experience
Briefly describe other relevant work experience
Visiting Committee Questionnaire
Date and name of most recent child safeguarding training
Describe your previous experience with WASC accreditation, if any:
Have you been involved in an accreditation process (any agency), either from a school's perspective or by serving on a visiting team? If so, please describe.
What inspired you to apply to be a WASC Visiting Committee Member?
School Experience
sPlease select all the types of school in which you have professional experience
Preschool
Elementary School
Middle School
High School
K-12 School
Adult School
Alternative Education
Boarding School
Charter School
Comprehensive School
Continuation High School
Adult Institution
Court/Community School
Independent Study School
Montessori School
Online School
Private School
Public School
Regional Occupational Program
Religious School
Special Education
Supplementary Education
Waldorf School
Other (specify below)
None of the above
Military School
Rural Schools
If Other, please give details
Professional Experience
Please select your other professional experience
At-Risk Students
Boarding
Career Education
Counseling
Culturally Diverse Students
Curricular Development
Inclusive Education
Instructional Leadership
Library
School Culture
School Planning
Social-Emotional Learning
Staff Development
Student Assessment
Student Services
Other (specify below)
None of the above
If Other, please give details
Curricular Experience
Please select your curricular experience
Bilingual Education
British Curriculum
Career Technical Education
Computer/Technology
English
ELD
Government/Economics
Int'l Baccalaureate (Career Program)
Int'l Baccalaureate (Diploma Program)
Int'l Baccalaureate (Middle Years Program)
Int'l Baccalaureate (Primary Years Program)
Immersion School
Math
Multilingualism
Physical Education
Project Based Learning
Science
Social Science/History
Visual and Performing Arts
World Languages
Other (specify below)
None of the above
If Other, please give details
Affiliate Experience
Please select your experience with accreditation organizations that are affiliated to ACS WASC
Accreditation International
American Association of Christian Schools
American International Accreditation Association of Schools and Colleges
American Montessori Society
Array Global Accreditation
Association of Christian Schools International
Christian Schools International
Conference of Educational Administrators of Schools and Programs for the Deaf, Inc.
Council of British International Schools
Council of International Schools
International Baccalaureate
Other (specify below)
None of the above
If Other, please give details
Contact Information