Application for Employment - Substitute Nurse
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 Nurse Application

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

Substitute nurses must apply and complete all the requirements with the South Central Ohio Educational Service Center. The link to all the requirement is here:
https://www.scoesc.org/sub-nurse-info

This application starts the process and lets us know that you are applying and getting setup with the SCOESC. **NOTE - Continue your application with the SCOESC after completing this form.***

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
This position is subject to a criminal background check including fingerprinting. Have you ever been convicted of a felony? *
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.
You can use this box to provide any additional information you would like to share with us.
Application Certification and Agreement
- 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.
- I understand that I MUST complete the application process with the SCOESC after submitting this form.
 *
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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