ILCS Prospective Elective Class
Please fill out the form below if you are interested in teaching an elective at one, or both, of our campuses. The Electives Coordinator may take up to two weeks to respond to your proposal.

At this time, all elective teachers will require:
-an official live scan background check
-proof of a negative TB test
-three references

Here are basic details for your information:

YBC - Yucaipa Blvd. Campus (Kinder-2nd)
ELECTIVE TIMES:
Kinder - 1:00 pm - 1:45 pm (Monday & Tuesday ONLY)
1st-2nd grades: 2:05 pm - 3:05 pm (Monday-Thursday)

CSC - California Street campus (3rd-8th grades)
ELECTIVE TIMES:
3rd-8th grades: 1:45 pm - 2:45 pm
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Email *
Name of elective teacher: *
Phone number with area code: *
Email: *
Name of your business (if applicable, leave blank if you are not a registered business):
Name of your elective: *
Please provide a brief description of the elective and what the children will be doing or learning. *
Grade levels allowed to take the class. Keep in mind that we have 2 campuses - Select all that apply: *
Required
Day(s) of the week for class to meet - Select all that apply: *
Required
Site location - Select all that apply: *
Required
Maximum number of students in class: *
Amount charged per student for the class: *
Describe room or space needs for your class. Do you need a large room, outside space, etc.?: *
Do you have a website for parents to view? If so please place the website link below.
Please include 3 references for background checks along with their phone numbers. *
Special Requests/Other Notes. This is the area to talk about unique or special needs for the class.
Have you ever been convicted of a felony or misdemeanor, or do you currently have a felony or misdemeanor charge pending? Convictions include a plea of guilty, nolo contendere (no contest) and/or a finding of guilty by a judge or a jury, or a conviction that has been judicially dismissed or ordered sealed, including 'expungement' granted pursuant to Penal Code section 1203.4. (Note: Exclude convictions related to the use of marijuana that are over two years old)
Clear selection
If answered "yes" please explain. 
Have you ever been dismissed or asked to resign from any position?
Clear selection
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