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Job Application - Sub Teacher

Background Information

Current Address

State
Answer required for "State"

REFERENCES

Please list the names of three (3) persons who know your professional background and qualifications.

ACADEMIC AND PROFESSIONAL EXPERIENCE

Cover Letter and Resume*
Answer required for "Cover Letter and Resume"
or drag it here.

Peru Community Schools does not discriminate, deny benefits to, nor exclude anyone from participation on the basis of sex, race, national origin, religion, handicap, or color of skin.

OTHER CANDIDATE QUESTIONS

1. Are you presently being investigate or under a procedure to consider your discharge for misconduct by your present employer?*
Answer required for "1. Are you presently being investigate or under a procedure to consider your discharge for misconduct by your present employer?"
2. Have you ever been reprimanded, disciplined, discharged, or asked to resign from a prior position?*
Answer required for "2. Have you ever been reprimanded, disciplined, discharged, or asked to resign from a prior position?"
3. Have you ever resigned from a prior position without being asked, but under circumstances involving your employer's investigate of sexual conduct with another person, mishandling of funds, or criminal conduct?*
Answer required for "3. Have you ever resigned from a prior position without being asked, but under circumstances involving your employer's investigate of sexual conduct with another person, mishandling of funds, or criminal conduct?"
4. Have you ever been charged with or investigated for physical sexual abuse of another person?*
Answer required for "4. Have you ever been charged with or investigated for physical sexual abuse of another person?"
5. Have you ever been charged with, pleaded guilty or "no contest" to, or been convicted of any crime involving sexual abuse of any person or any other crime or moral turpitude?*
Answer required for "5. Have you ever been charged with, pleaded guilty or \"no contest\" to, or been convicted of any crime involving sexual abuse of any person or any other crime or moral turpitude?"
6. Have you ever been convicted of a misdemeanor and/or felony or ever entered a plea of guilty or a plea of "no contest," or has any court ever deferred further proceedings without entering a finding of guilty or placed you on probation for a crime?*
Answer required for "6. Have you ever been convicted of a misdemeanor and/or felony or ever entered a plea of guilty or a plea of \"no contest,\" or has any court ever deferred further proceedings without entering a finding of guilty or placed you on probation for a crime?"
7. Have you ever had a license (teachers/drivers) revoked in this state or any other?*
Answer required for "7. Have you ever had a license (teachers/drivers) revoked in this state or any other?"

AUTHORIZATION AND RELEASE

I authorize Peru Community School Corporation to check my employment history, including without limitation, reference checks, and to seek the release of investigatory information, including a “limited criminal history” possessed by any private or public employer or any local, state, or federal agency. I authorize these private or public employers, or local, state, or federal agencies to provide Peru Community School Corporation any information they may release concerning the matter described herein and will cooperate to the extent necessary to obtain the release of this information.

I expressly waive in connection with any request for, or provision of such information, any claims or causes of action, including without limitation, defamation, infliction of emotional distress, invasion of privacy or interference with contractual relations that I might otherwise have against Peru Community Schools, its officials, employees, trustees, or agents, or against any individual, corporate, and/or agency provider of such information. I have read this authorization and release of all claims, and I expressly agree to the terms set out herein.

I hereby acknowledge that each and every statement made in this application is true and complete to the best of my knowledge and belief; I further agree to contact the Peru Community School Corporation and correct any statement contained herein and discovered to be untrue or incomplete prior to my employment in said School Corporation. I understand that if employed, falsified statements may be considered sufficient cause for dismissal.

WAIVER

PUBLIC LAW 93-380

"Family Educational Rights and Privacy Act of 1974"

I hereby grant authorization to Peru Community School Corporation to:

  1. Request any and all materials and information pertaining to my employment from any of my present and/ or former employers, supervisors, or co-workers in any bona fide school corporation.
  2. Request credentials from all educational institutions I have attended.
  3. Request student teaching evaluation from my assigned classroom supervising teacher.

I hereby further authorize:

  1. Any bona fide school corporation to release any and all information (written or verbal) pertaining to my employment in that school corporation to Peru Community School Corporation.
  2. Any and all educational institutions I have attended to release my placement credentials on request to the Peru Community School Corporation.
  3. My assigned classroom supervising teacher(s) to release my student teaching evaluation to Peru Community School Corporation.

I hereby further authorize:

  1. The Peru Community School Corporation to conduct a criminal history record check of my background with appropriate law enforcement agencies.
  2. The appropriate law enforcement agencies to provide the Peru Community School Corporation with any information about me regarding any arrest, any felony or misdemeanor convictions or any pending Criminal charges.
Signature for the Authorization/Release and Waiver*
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Date:

EMPLOYMENT PRACTICES OF THE PERU COMMUNITY SCHOOL CORPORATION DO NOT DISCRIMINATE AGAINST RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, AGE, MARITAL STATUS, OR NON-JOB-RELATED PHYSICAL HANDICAPS.

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