Job Application: Instructional Specialist
The Instructional Specialist position is grant funded for two years to consult with member school districts in identifying and implementing strategies for learning recovery. This position will focus on goal setting with districts, identifying and building community partnerships, and creating additional collaborative opportunities for the 14 county region.
Sign in to Google to save your progress. Learn more
First and Last Name *
Email *
Phone number *
Home address *
What date are you available to begin? *
MM
/
DD
/
YYYY
Have you ever been terminated or reprimanded from a job or been asked to resign? *
If yes to the above question, explain here.
Have you received an unsatisfactory evaluation from an employer within the last five years? *
Have you ever been convicted of a crime, whether a felony or misdemeanor, other than a traffic infraction? *
Do you currently have any pending criminal charges? *
Only US Citizens or aliens who have a legal right to work in the US are eligible for employment. Can you, upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the United States? *
I hereby certify that all the information provided on this application is correct, accurate, and complete to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of any facts will be cause for denial or termination of employment regardless of the timing or circumstances of the discovery. If employed, I agree to conform to the rules, regulations, policies, and procedures of ECESC at all times and understand that such obedience is a condition of employment. I authorize ECESC to check my employment history, including without limitation, reference checks, and to seek the release of investigator information, including an “expanded criminal history,” possessed by any private or public employer or any local, state, or federal agency. I authorize these private or public employees, or local, state, or federal agencies to provide ECESC any information they may release concerning the matters described herein, and I 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 or emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against ECESC, its officials, employees, trustees or agents, or against any provider of such information. I HAVE READ THIS AUTHORIZATION AND RELEASE OF ALL CLAIMS, AND I EXPRESSLY AGREE TO THE TERMS SETOUT HEREIN. *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of East Central Educational Service Center. Report Abuse
Google Forms