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?
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 Job Title or Role
Occupation Category
Please select...
School Administrator (AP/VP, Dean, AD, etc.)
School Counselor or Therapist
Principal or Head of School
School Teacher (subject, CTE, or grade level)
School Coordinator (Activities, AVID, Title I, etc.)
CDE Personnel
Hawaii Dept. of Education Personnel
Hawaii Complex Area Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US School District Office Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US County Office of Education Personnel
Higher Ed. Personnel
CEO (Executive Director, President, etc.)
Consultant
School Librarian
School Board or Governing Authority
Non-certificated Staff (Intern, Attendance Officer, Classroom Aide, Admin Assistant, Para-professional)
Not Specified
Name of school at which you are currently employed
Current Job Title or Role
Occupation Category
Please select...
School Administrator (AP/VP, Dean, AD, etc.)
School Counselor or Therapist
Principal or Head of School
School Teacher (subject, CTE, or grade level)
School Coordinator (Activities, AVID, Title I, etc.)
CDE Personnel
Hawaii Dept. of Education Personnel
Hawaii Complex Area Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US School District Office Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US County Office of Education Personnel
Higher Ed. Personnel
CEO (Executive Director, President, etc.)
Consultant
School Librarian
School Board or Governing Authority
Non-certificated Staff (Intern, Attendance Officer, Classroom Aide, Admin Assistant, Para-professional)
Not Specified
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 (AP/VP, Dean, AD, etc.)
School Counselor or Therapist
Principal or Head of School
School Teacher (subject, CTE, or grade level)
School Coordinator (Activities, AVID, Title I, etc.)
CDE Personnel
Hawaii Dept. of Education Personnel
Hawaii Complex Area Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US School District Office Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US County Office of Education Personnel
Higher Ed. Personnel
CEO (Executive Director, President, etc.)
Consultant
School Librarian
School Board or Governing Authority
Non-certificated Staff (Intern, Attendance Officer, Classroom Aide, Admin Assistant, Para-professional)
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 (AP/VP, Dean, AD, etc.)
School Counselor or Therapist
Principal or Head of School
School Teacher (subject, CTE, or grade level)
School Coordinator (Activities, AVID, Title I, etc.)
CDE Personnel
Hawaii Dept. of Education Personnel
Hawaii Complex Area Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US School District Office Personnel (Superintendent, Curriculum Lead, Directors, etc.)
US County Office of Education Personnel
Higher Ed. Personnel
CEO (Executive Director, President, etc.)
Consultant
School Librarian
School Board or Governing Authority
Non-certificated Staff (Intern, Attendance Officer, Classroom Aide, Admin Assistant, Para-professional)
Not Specified
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.
School/Work Email
Personal Email
Preferred Phone
Please include area code, and extension if appropriate.
Phone Type
Work
Cell
Home
Alternative Phone
Please include area code, and extension if appropriate.
Phone Type
Cell
Work
Home
Emergency Contact Name
Full Name
Emergency Contact Phone Number
Cell preferred
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
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.
Country of Residence
Residence Street
Residence City
Residence 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
Residence Zip or Postal Code
Preferred Mailing Address
Work
Residence
Send Expenses Reimbursement To
Work
Residence
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 Indonesian
Chinese
French
German
Hawaiian
Hebrew
Japanese
Korean
Russian
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?
For the purpose of Visa requirements only
Passport Holder Details (enter country below)
Additional Passport Holder Details
School Experience
Please select all types of schools in which you have worked for at least 1 year
Grade Spans Served
ECE/Preschool
Elementary School
Middle School
Middle/High
High School
K-12 School
Adult
School Type
Public School
Charter School
Private School
Religious School
Adult School
Supplemental Education Program (SEP)
International School (Non-US)
Special Instructional Focus
Adult Charter (16-24)
Adult Institution
Adult School
Alternative Education
Bilingual School
Boarding School
Comprehensive School
Continuation School
Court/Community School
Independent Study School
Language Immersion School
Microschool
Middle College
Military School
Montessori School
Online/Virtual School
Regional Occupational Program
Rural/Necessary Public Small School
Single Gender School
Special Education
Other School Experience
If Other, please give details
Professional Experience
Please select areas you have at least 1 year of professional experience
Adult Re-entry
Adults with Disabilities (AWD)
Arts Integration
Athletics/Team Coach
Big Picture Learning
Blended/Hybrid Learning
Boarding Students
Chronically Absent Students
Counseling (PPS or School Psych.)
Credit Recovery Students
CTE Pathways
Culturally Diverse Students
Curriculum Lead/Development
Department Chair
Early Childhood Learning
English Learner
Library Science
Multi-Tiered System of Supports (MTSS)/Response to Intervention (RTI)
Neurodiverse Students
Outdoor/Experiential Learning
Positive Behavioral Interventions and Supports (PBIS)
Safeguarding Lead
School Culture
School Planning
Service Learning
Social-Emotional Learning (SEL)
Staff Development
Student Services
Technology-Enhanced Learning/Digital Pedagogy
Other Areas of Expertise
None of the above
If Other, please give details
Curricular Experience
Please select your current curricular area of focus and any you have served within the past three years
AVID
Advanced Placement (AP)
Apprenticeship/Internship/Externship
Bilingual Education
British Curriculum
Cambridge Curriculum
Capstone Projects
Career Technical Education (CTE)
Computer Science/Engineering
Dual Enrollment Programs
ELA
ELD
High School Equivalency (GED/HiSet)
IB (Career Program)
IB (Diploma Program)
IB (Middle Years Program)
IB (Primary Years Program)
IMYC (International Middle Years Curriculum)
IPC (International Primary Curriculum)
Life Skills
Math
National Curriculum (non-US)
Physical Education/Health
Project Based Learning (PBL)
Religious Studies
Science
Social Science/History
Visual and Performing Arts
World Languages
Other Curricular Experiences
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 (Ai)
American International Accreditation Association of Schools and Colleges (AIAASC)
Array Global Accreditation (AGA)
Association of Christian Schools International (ACSI)
Association of Christian Teachers and Schools (ACTS)
Christian Schools International (CSI)
Council of British International Schools (COBIS)
Council of International Schools (CIS)
International Baccalaureate (IB)
National Lutheran School Accreditation (NLSA)
Other Affiliate Experience*
None of the above
If Other, please give details
Contact Information