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CERTIFICATION OF TRUTHFULNESS:  I certify that all statements on this Application for Employment are made completely, truthfully and without evasion, and further understand and agree that such statements may be investigated and, if found to be false, will be sufficient reason for not being employed, or if employed, may result in my termination. If I accept employment with St. Johns Public Schools, I will not do so in reliance of any representation that is not made in writing.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

AUTHORIZATION FOR EMPLOYMENT/EDUCATION/ CRIMINAL RECORDS INFORMATION:  I, the undersign Applicant for employment with St. Johns Public Schools, do hereby acknowledge, authorize and consent to a pre-employment  investigation to be conducted by agents of St. Johns Public Schools for the purpose of confirming and verifying the contents of my application for employment, resume and/or letter of interest submitted by me and/or to confirm or verify any verbal representations made or to be made by me with respect to my consideration for employment with St. Johns Public Schools. I hereby authorize St. Johns Public Schools to contact any or all of my personal references, former or current employers, and any other persons and organizations deemed necessary by the investigation agents for the purpose of making pre-employment inquires and obtaining information concerning my character, reputation, and/or work record and experience.

Also I do hereby authorize and consent to agents of St. Johns Public Schools to contact any child protection agencies or registries, law enforcement authorities, and/or judicial authorities and to make pre-employment inquiries and to obtain any information and/or records related to me to determine if I have committed or have been convicted of any crimes and if there are any criminal charges pending, including the nature of the crimes committed and/or the pending criminal charges.

I hereby authorize and consent to the release of any information written or verbal, and/or any documentation regarding my character, reputation, work record and experience from any person, including my present and/or former employers, upon the request of the agents of St. Johns Public Schools conducting the pre-employment investigation. I do hereby waive written notice of the disclosure of any disciplinary reports, reprimands, and/or consequences, which may result there from.

RETENTION:  I hereby acknowledge and understand that if I should be employed by St. Johns Public Schools, my application for employment and other related information as deemed appropriate for retention will become a permanent part of my personnel file; and that if any representations, omissions, or statements made by me during the pre-employment screening process, which are contained therein, are subsequently discovered to be false or misleading, the discovery thereof may result in my discharge.

AUTHORIZATION TO WORK:  If I am selected for hire, I will be offered employment provided I can verify that I am authorized to work as required by the Immigration Reform and Control Act of 1986.

DRIVING RECORD CHECK:  I agree to execute an authorization for St. Johns Public Schools to inquire into, and obtain documents related to, any driving record from every state in which I have held a motor vehicle operator's license or permit.

RULES/REGULATIONS/POLICES:  In consideration of my employment, I agree to conform to the rules, regulations, and policies that St. Johns Public Schools may periodically promulgate, withdraw or modify. I understand that I am required upon employment to serve a probationary period; and if my performance is deemed unsatisfactory, I may be terminated at any time.

LIMITATION ON CLAIMS:  I do hereby release St. Johns Public Schools, its individual Board members, employees and/or agents from any and all claims and/or liability whatsoever for any damages or consequences with may result from the pre-employment investigation and/or physical examination, including the drug screening test (if applicable), related to my consideration for employment with St. Johns Public Schools.

NEED FOR ACCOMMODATION:  I do hereby agree if I have a mental or physical disability and require an accommodation to perform the job, I must notify St. Johns Public Schools of the need in writing within 182 days after I knew or reasonably should have known that an accommodation was needed. Failure to do so will bar me from alleging that St. Johns Public Schools has not accommodated me as required by law.

PHYSICAL EXAM AND DRUG AND ALCOHOL TESTING:  Should I be conditionally offered employment in a position with St. Johns Public Schools, I do hereby acknowledge that I may be required to undergo a physical examination as a precondition and prerequisite to my employment with St. Johns Public Schools, and I do hereby authorize and consent to do so as required. I do hereby acknowledge, authorize, and consent to a drug/alcohol screening test as part of the physical examination and to give blood, urine, hair, and/or tissue specimens to the medical/clinical personnel of the medical facility or laboratory designated to administer the prescribed test and to submit to other follow-up testing as may be necessary to determine the presence of drugs/alcohol or drug residue in my body as an indication of drug use. Further, I do hereby acknowledge, authorize and consent to the release of the test results and other medical information obtained by the physical examination to the officials, administrative authorities, and agents of St. Johns Public Schools for review and inspection which will be considered and may govern the final decision and determination of whether I will be employed or not. I do hereby acknowledge and understand that if I refuse at any time to submit to any portion of the physical examination and/or drug/alcohol screening test, I will not be hired.

ELECTRONIC SIGNATURE AGREEMENT:  By submitting this application, I hereby certify that all of the information submitted in this application entry is true, accurate and complete. I am also agreeing to commerce electronically with St. Johns Public Schools in accordance with the Government Paperwork Elimination Act \ (GPEA\).  I understand that transactions and/or signatures in records may not be denied legal effect solely because they are conducted, executed, or prepared in electronic form and that if a law requires a record or signature to be in writing, an electronic record or signature satisfies that requirement.

By submitting this application, I hereby acknowledge that I have read, understand, and agree to the 10 items above.
  1. ARE YOU ELIGIBLE TO WORK IN THE UNITED STATES?
  2. CAN YOU PERFORM ALL THE ESSENTIAL JOB FUNCTION(S) OF THE POSITION(S) FOR WHICH YOU ARE APPLYING WITH OR WITHOUT REASONABLE ACCOMMODATION?
  1. RATE YOUR EXPERIENCE WITH EMAIL.
  2. RATE YOUR EXPERIENCE WITH COMPUTERS.
  3. RATE YOUR ABILITY TO HANDLE STRESS IN THE WORKPLACE.
  4. RATE YOUR ABILITY TO EXPRESS YOUR THOUGHTS IN THE WORKPLACE.
  5. RATE YOUR ABILITY TO COMPLETE THINGS YOU HAVE BEEN ASSIGNED TO DO IN THE WORKPLACE.
  1. ARE YOU CURRENTLY UNDER CONTRACT?
  2. IF UNDER CONTRACT, WITH WHO?
  3. IF UNDER CONTRACT, WHEN DOES IT EXPIRE?
  4. WHEN MAY WE CONTACT YOUR PRESENT EMPLOYER?
  5. HAVE YOU EVER FAILED TO BE REHIRED, BEEN ASKED TO RESIGN A POSITION, RESIGNED TO AVOID TERMINATION, OR TERMINATED FROM EMPLOYMENT?
  6. IF YES, PLEASE EXPLAIN:
  7. ARE YOU A RELATIVE OF ANY CURRENT ST JOHNS PUBLIC SCHOOL EMPLOYEE, BOARD MEMBER, ADMINISTRATOR, OR SUPERVISOR CURRENTLY SERVING THE SCHOOL DISTRICT?
  8. IF YES, PLEASE PROVIDE THE INDIVIDUAL'S NAME, POSITION IN THE DISTRICT, AND YOUR RELATIONSHIP TO THE INDIVIDUAL.
  9. HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENSE OTHER THAN A MINOR TRAFFIC VIOLATION?
  10. IF YES, PLEASE EXPLAIN PROVIDING DATES:
  11. HAVE YOU EVER HAD ANY INDICATED FINDING OF CHILD ABUSE FILED IN YOUR NAME?
  12. IF YES, PLEASE EXPLAIN PROVIDING DATES:
  13. DOES YOU NAME APPEAR ON ANY SEX OFFENDER DATABASE IN ANY STATE OR COUNTRY?
  14. WHAT DATE ARE YOU AVAILABLE FOR EMPLOYMENT?
  15. PLEASE PROVIDE THE NAME AND CONTACT INFORMATION (PHONE NUMBER AND EMAIL ADDRESS) FOR YOUR CURRENT SUPERVISOR OR YOUR MOST RECENT SUPERVISOR IF YOU ARE CURRENTLY UNEMPLOYED.
  16. Were you referred to this job opening by any St. Johns Public School employee? If so, who?
HEALTH, DENTAL, VISION, LIFE, RETIREMENT, LTD--(if Health coverage is waived there is a cash in lieu payment of $145.00 per month)
Cover Letter
Resume
Transcripts
Certification / License
Reference Letters
Other
Additional Reference Letter 1
Additional Reference Letter 2
NON PROFESSIONAL: 3 of 3 external references required.
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