Application for Employment - Substitute Custodian
Clay Local School District - 44 Clay High St, Portsmouth, OH 45662 - http://www.claylocalschools.org - Phone 740-354-6644
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Instructions

Substitute Custodian Application Information

Substitute custodians are scheduled on an as-needed basis, Monday through Friday. Shifts may include:

  • Day Shift: 6:00 AM to 2:00 PM
  • Evening Shift: 2:00 PM to 10:00 PM

Important Notes:

  • Substitute custodians are limited to a maximum of 29 hours per week.
  • A valid background check is required and must be processed through the Clay Treasurer's Office for your application to be considered.
    • Cost: $50 (paid by the applicant via cash or check).

Contact Information:

Background Checks
Kaitlynn Buckley, Assistant Treasurer
44 Clay High Street
Portsmouth, OH 45662
Phone: 740-354-6644 ext. 307

IT and Facilities Department
Matt Kuehne, Director
44 Clay High Street
Portsmouth, OH 45662
Phone: 740-354-6644 (Option 7)

Thank you for your interest in serving the Clay Local School District!

First Name *
Middle Initial
Last Name *
Street Address *
City *
State *
Zipcode *
Phone Number *
Email Address
Are you presently under contract to another school district? *
Date available for employment?
MM
/
DD
/
YYYY
This position is subject to a criminal background check including fingerprinting. Have you ever been convicted of a felony? *
Do you already have a valid and current background check? *
A valid background check is required as part of the application process. Background checks are conducted through the Clay Treasurer's Office and cost $50, to be paid by the applicant (cash or check). Call 740-354-6644 extension 307 to schedule.
High School Education
List the high school name, city, state, and year graduated.
College Education
List the college name, city, state, and year graduated or attended if any.
Work Experience
Please provide up to three previous work experience references and your previous military status.
Work Experience Box 1 *
List previous employer, address of employer, position you held, duties you performed, who you reported to, dates you worked there, and a phone number so we can contact them.
Work Experience Box 2
List previous employer, address of employer, position you held, duties you performed, who you reported to, dates you worked there, and a phone number so we can contact them.
Work Experience Box 3
List previous employer, address of employer, position you held, duties you performed, who you reported to, dates you worked there, and a phone number so we can contact them.
Where you in the military or are a veteran? *
If you answered "Yes" to military service please answer the following
What branch and years did you serve?
Personal/Professional References
Please provide three personal/professional references.
Personal Reference 1 *
List a personal or professional reference (not a member of your household). Be sure to include name, your relationship to them, and their phone number.
Personal Reference 2
List a personal or professional reference (not a member of your household). Be sure to include name, your relationship to them, and their phone number.
Personal Reference 3
List a personal or professional reference (not a member of your household). Be sure to include name, your relationship to them, and their phone number.
Additional Information
You can use this box to provide any additional information you would like to share with us.
Application Certification and Agreement
I hereby certify that the facts set forth in the above Application for Employment are true and complete to the best of my knowledge. I understand that employment with the Clay Local School District requires a valid and current criminal background check including fingerprinting. I understand that false statements provided on this Application of Employment will be considered sufficient cause for immediate dismissal. *
Certification - By typing my FULL NAME below I certify the information provided in this application and authorize the Clay Local School District, or its representative, to contact my current/past employer and any provided references regarding my employment history. *
Type your FULL NAME to sign and certify this application.
Certification - Date *
Type today's full date to sign and certify this application (MM/DD/YYY)
Submit
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