NDSEC Extended School Year Application
Compensation:

Certified Staff - $39.25 Per Hr.
Non-Certified Staff - $14.23 Per Hr.

First Name: *
Your answer
Last Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Emergency Contact Person: *
Your answer
Emergency Contact Phone Number: *
Your answer
Special Education certificate for which you are approved (check all that apply): *
Required
Present Position: What you are doing this school year? (check all that apply) *
Required
Are you CPI Trained & Certified? *
Which district do you currently work for? *
What position are you applying for? (check all that apply) *
Required
Parapros Only: Are you working as a 1:1 assistant?
If you answered "Yes" to the previous question, who is the student you are 1:1 for?
Your answer
List References: (Name, Relationship, Phone Number) *
Your answer
Have you worked in NDSEC ESY programs in the past? *
If you answered "Yes" to the previous question please provide the dates you have worked.
Your answer
Tee Shirt Size: *
If you are not hired for a full time position - are you willing to be a substitute? *
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