Substitute Pre-Application/Interest Form
Last Name *
Your answer
First Name *
Your answer
Middle Name
Your answer
Phone Number *
Your answer
E-Mail ** We only correspond through e-mail, please ensure accuracy. ** *
Please double check to ensure your e-mail is typed in accurately. This is how we contact you for an interview. Also, check your spam for email responses from HR@IRCSD.ORG.
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Please list three individuals who are very familiar with your professional work and who may be contacted. (Name / Profession / Contact Phone / email) *
Your answer
BACKGROUND INFORMATION—If you answer “yes” to any of the following questions, please complete a written response describing, in detail, an explanation of the circumstances involved in the comments section below:
Have you ever been convicted of a violation of law other than a minor traffic violation?(The term “conviction” includes any conviction, a guilty plea, a plea of nolo contendere orno contest, a suspended sentence, a deferred sentence, a deferred judgment, or a finding of guilt by a jury or judge.) *
Required
Have you ever been terminated or discharged, or resigned at the request of your employer from any job related to K-12 education? *
Required
In connection with your professional responsibilities, have you ever been the subject of a complaint or been disciplined by a court or a licensing board of any state? *
Required
Are you currently under investigation, by any regulatory body, for any alleged misconduct or other alleged grounds for discipline? *
Required
Has there been any incident that could affect your ability to work in this District? *
Required
Comments:
Your answer
Nationality: (collected for Gov't reports only) *
How did you find out about this position: substituting for Indian River *
Highest Level of Education *
Choose ONE. If you have attended college, bring your transcripts to the interview.
Required
Major:
Your answer
Non-Instructional and Support Staff Substitute: You would be willing to work as a:
FYI: Go To https://goo.gl/maps/V224gsLmj7y to see a map of the Indian River Central School District. We have 8 buildings that start at two different times. K-5 open from 8:30 - 4:00, 6 - 12 open from 7:15 - 2:45.
You will set your building choices yourself on the Absence Management System (formerly known as AESOP) after you are approved by the Board of Education.
My fingerprints are on file with the New York State Department of Education. *
Required
The following questions are for Instructional Substitute Classification:
Area's of Certification - include the State you are certified in:
Your answer
Areas you will work in as a substitute teacher:
Did you do your student teaching at Indian River?
Have you had the following trainings this school year? (July 1, 2018 - June 30, 2019)
Have you had the ever had the following trainings?
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