Application For CLASSIFIED EMPLOYMENT

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THIS APPLICATION IS NOT A CONTRACT OF EMPLOYMENT
Classified CONTRACT POSITIONS are for one-year only. The contract employee has not reasonable expectation of continued employment beyond the term of the written contract. The employment of any NON-CONTRACT employee is on an “at-will” basis, meaning that the employment relationship may be terminated at any time by either the employee, or the employer, for any reason not prohibited by law. Any oral or written representation to the contrary is not authorized, is not binding on the employer and should not be relied upon by any prospective employee.

DRUG-FREE WORKPLACE
The Pinal County School Superintendent maintains a drug-free work place and reserves the right to test employees for the use of alcohol or drugs whenever reasonable suspicion exists that the employee has violated the drug-free workplace policy. IN addition, bus drivers and other employees required to have a Commercial Driver’s License shall be tested as a part of the initial and annual physical examination required for certification by state law. In compliance with federal law, bus drivers and other employees required to have a commercial Driver’s license shall also be tested upon application, post-accident, and at random.

AN EQUAL OPPORTUNITY ORGANIZATION
The PCSS does not discriminate on the basis of age, race, color, religion, sex, marital status, handicap/disability, or national origin.

REASONABLE ACCOMODATION
Any applicant with a disability who needs reasonable accommodation in any step of the application process should contact the Human Resources Department at (520)450-4479.

Email *

Last Name *

First Name *

Middle Name *

Date of Availability

YYYY

Preferred School/Program

Mary C. O'Brien Elementary School

Villa Oasis High School

Secure Care Schools

Professional Development Division

Position Desired

Other Names Used

Dates Other Name Used

Phone Number *

Home Mailing Address, City, State, Zip *

Previous Home Mailing Address, City, State, Zip *

Driver's License Number *

Issuing State of Driver's License *

Do you have Commercial Driver's license? *

Yes

If yes, what Class?

Are you legally eligible to work in the United States? *

Yes

Do you presently have work authorization that would allow you to begin work immediately? *

Yes

INCLUDE ALL INFORMATION: Current Employer, Dates of Employment, Employer Address, Employer Phone, Position and Salary, Reason for Leaving *

INCLUDE ALL INFORMATION: Former Employer, Dates of Employment, Employer Address, Employer Phone, Position and Salary, Reason for Leaving *

INCLUDE ALL INFORMATION: Former Employer, Dates of Employment, Employer Address, Employer Phone, Position and Salary, Reason for Leaving

Please explain any gaps in employment of over 30 days.

Have you ever been dismissed from a position? *

Yes

If yes, explain.

Have you ever been asked to resign from a position? *

Yes

If yes, explain.

Have you ever resigned from a position rather than being dismissed? *

Yes

If yes, explain.

High School Diploma or GED: Name of School/location, Date of Completion *

College or Technical School: Name of School, location, Major Area of Study, Dates of Attendance

Indicate college hours completed or degree awarded.

Describe additional training not listed above.

Languages spoken fluently other than English.

Are you a former employee of Pinal County Schools? *

Yes

Personal Reference who is familiar with your personality, character, and work performance. Include name, official position, years known, complete address, and phone number. *

List any relatives currently employed by the school/program. *

SELECTIVE SERVICE REGISTRATION (In compliance with A.R.S § 38-201) Are you required to register with the Selective Service System? *

Yes

If yes, please indicate the following: City, State, Local Board Number, Selective Service Number.

Describe how your previous work experience has prepared you for this position. *

What previous jobs or work experience has required you to perform similar duties? *

Please explain what qualities or abilities you have that you feel will contribute to the school/program. *

CRIMINAL ACTIVITY REPORT

Because of the responsibility the Pinal County School Superintendent has to our school children and community, the following information is required from all applicants and employees. A record of arrest or conviction* does not prohibit employment, however failure to complete the application accurately and completely may mean disqualification from consideration for employment or may be cause for dismissal if employed. Applicant and employees must report any convictions and arrests that occur subsequent to the time the initially completed this form. Questions regarding this information should be directed to the Pinal County School Superintendent’s Office. Please read questions carefully. Answer questions truthfully, even if the condition was ultimately expunged, reversed or otherwise set aside.

Have you ever been convicted of any misdemeanor offense(s) other than traffic violations? *

Yes

Have you ever been convicted of a DUI offense? *

Yes

Have you ever been convicted of a felony? *

Yes

Have you ever been convicted of a sex or drug related offense? *

Yes

Have you ever been convicted of a dangerous crime against children as defined by A.R.S § 13.604.01**? *

Yes

Have you ever been arrested for any offense which is has not been resolved? *

Yes

Conviction Information

*Conviction means the final judgement on a verdict or a finding of guilty, a plea of guilty, or a plea of nolo contendere, in any state or federal court of competent jurisdiction in a criminal case, regardless of whether an appeal is pending or could be taken.
** A.R.S § 13.3716 requires applicants to give notice of any conviction for dangerous crimes against children. These crimes are defined in A.R.S § 13.604.01 as second degree murder, aggravated assault, sexual assault, molestation of a child, sexual conduct with a minor, commercial sexual exploitation of a minor, sexual exploitation of a minor, child abuse, kidnapping and sexual abuse, if any of these crimes are committed against a minor under 15 years of age.

Applicant Attestation Statement

Under penalty of prosecution, perjury and dismissal, I herby certify that the information presented on this application is true, accurate and complete. I authorize the investigation of all statements contained herein and understand that any document relevant to this information may be reviewed by the agents of the Pinal County School Superintendent. I authorize the PCSS to make reference and criminal background checks prior to employment and I will execute such documents to facilitate this investigation. I understand that my employment is not finalized until the background investigation has been completed and the Pinal County School Superintendent has officially approved my employment. I understand that misrepresentation or omission of pertinent facts may be cause for dismissal. Furthermore, I understand that I have no right of access to any materials submitted and information gathered by the PCSO during the application process and that such materials and information are considered the sole property of the Pinal County School Superintendent’s Office.

By typing my name below, I attest to understating the above statement. A signature at the time of interview will be required. *

Consent to Conduct Background Investigation and Release/Waiver I have applied for employment in a school or program administered by the Pinal County School Superintendent. I understand that in order for the Pinal County School Office to determine my eligibility, qualifications and suitability for employment, a background investigation will be conducted if I am considered for an offer of employment. This investigation may include asking my current and any former employer about my education, training, experience, job performance, professional conduct and evaluations as well as confirming my dates of employment, position(s) held, reason(s) for leaving, whether I would be eligible for rehire, reasons for not rehiring (if applicable) and similar information. By typing my name below, I hereby give my consent for any employer to release any information requested in connection with this background investigation. I hereby waive my right to review this reference, and I understand that the contents of this reference will not be available to me now, or at any future time. *

Send me a copy of my responses.

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