School Union #7
90 Beach Street
Saco, Maine 04072

APPLICATION FOR NON-TEACHING PERSONNEL

_______________________________________________________________________________________

SCHOOL UNION #7 DOES NOT DISCRIMINATE IN THE OPERATION OF ITS EDUCATIONAL AND EMPLOYMENT POLICIES AND WILL HONOR ALL APPROPRIATE LAWS RELATIVE TO DISCRIMINATION.                                                             

Date_________________________________                       Position applying for:

Name________________________________             _________________________________________________________
                                                                                   
(Bus Driver, Custodian, Secretary, Educational Technician, Cafeteria Worker, etc.)

When will you be available? ______________                _________________________                                                                                                                                               (Position location)

Permanent Address ________________________________________________________

                              Phone _____________                                 

EDUCATION: Starting with high school, list any schools or colleges you may have attended.

School Attended                                    Address                                    No. of Yrs Attended      Graduated/Degree

_______________________              ___________________                      ________                    ________________

_______________________              ___________________                      ________                    ________________

_______________________              ___________________                      ________                    ________________

_______________________              ___________________                      ________                    ________________

SPECIAL SKILLS:

Do you hold a valid drivers license?                    State___________       Endorsement__________________

To be completed by clerical and aide applicants:              Typing:             Yes (   ) No (   ) WPM________

                                                                                    Shorthand:         Yes (   ) No (   ) WPM  _______

With what office machines are you familiar?            _____________________________________________________________

____________________________________________________________________________________________________

What other special skills do you have or licenses do you hold that may be relevant to this position?

____________________________________________________________________________________________________

____________________________________________________________________________________________________

EXPERIENCE: Please list all previous employment starting with the most recent job held.  Use back of page if necessary.  Please account for any gaps in employment during the past ten years on the back of page.

     From   To                            Position                                    Duties                                       Employer                     

_______to_________             _____________________      ___________________              ______________________

_______to_________             _____________________      ___________________                      ______________________

_______to_________             _____________________      ___________________                      ______________________

_______to_________             _____________________      ___________________              ______________________

_______to_________             _____________________      ___________________              ______________________

_______to_________             _____________________      ___________________                      ______________________

_______to_________             _____________________      ___________________                      ______________________

BACKGROUND

Have you ever been disciplined, discharged, or asked to resign from a prior position?                                 Yes___No___

Have you ever resigned from a prior position after a complaint had been received against you or
your conduct was under investigation or review?                                                                                     Yes___ No___

Has your contract in a prior position ever been non-renewed?                                                                  Yes___ No___

Have you ever not been nominated for re-employment in a prior position or ever had your
nomination for re-employment not approved?                                                                                          Yes___No___

Have you ever been charged with or investigated for sexual abuse or harassment of another person?         Yes___No___

Have you ever been convicted of a crime (other than a minor traffic offense)?                                         Yes___No___

Have you ever entered a plea of guilty or “no contest” (nolo contendere) to any  crime    
(other than a minor traffic offense)?                                                                                                       Yes____No___

Have you ever had a professional license or certificate suspended or revoked in any state, or have you
ever voluntarily surrendered, temporarily or permanently, a professional license or certificate in any
state?                                                                                                                                                   Yes___No___

Has any court ever deferred, filed or dismissed proceedings without a finding of guilty and required
that you pay a fine, penalty or court costs and/or imposed a requirement as to your behavior or
conduct for a period of time in connection with any crime (other than a minor traffic offense)?                  Yes___ No___

For Bus Driver Applicants Only: Have you ever been charged with a traffic offense; or pleaded guilty
or “no contest” (nolo contendere) to a traffic offense?                                                                            Yes___No___

If you have answered YES to any of the previous questions, provide full details on an additional sheet including, with respect to court actions, the date, offense in question, and the address of the court involved.  Conviction or other disposition of a crime is not necessarily an automatic bar to employment.

REFERENCES: List three, two of whom are most recent supervisors, who can comment on your ability and whom we may contact.  In addition, please provide three letters of reference from persons who are not related to you (may be from references listed below).

            Name                           Position             Address                                    Phone

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

WHERE DID YOU LEARN OF THIS POSITION?

_____www.ServingSchools.com           _____Journal Tribune     ____Portland Press Herald            ____Friend  _____Other, please specify________________________________

My signature below constitutes authorization to check my employment history, including without limitation, criminal arrest and conviction record checks, reference checks, and release of investigatory information possessed by any state, local or federal agency.  I further authorize those persons, agencies or entities that School Union #7 contacts in connection with my employment application to fully provide School Union #7 any information on the matters set forth above. I expressly waive in connection with any request for or provision of such information, any claims, including without limitation, defamation, emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against School Union #7, its agents and officials or against any provider of such information.

I understand that information submitted in and with this application may be disclosed to a screening and/or interviewing committee, which may include Board members, administrators, other staff, and members of the community.  I give my consent to this disclosure.

______________________________                        ___________________

            Signature                                                                      Date

 

APPLICATION FOR NON-TEACHING POSITION CHECKLIST: The completed employment application cannot be evaluated unless all of the following materials have been provided:

            ________        Application form fully completed

            ________        Copies of Transcript(s)

            ________        Copy of Maine Certification(s)

            ________        Resume

            ________        Gaps in employment during the past ten years explained

            ________        YES to any of the questions in the Background section explained

            ________        Three letters of reference

            ________        Application signed

NOTE:  ALL APPLICATION MATERIALS BECOME THE PROPERTY OF SCHOOL UNION #7.  NONE WILL BE RETURNED.  PROVIDING ANY FALSE OR MISLEADING INFORMATION ON THIS APPLICATION OR IN THE APPLICATION OR EMPLOYMENT SCREEING PROCESS SHALL BE FULLY SUFFICIENT GROUNDS TO REFUSE TO EMPLOY THE APPLICANT OR, IF THE APPLICANT HAS BEEN EMPLOYED, TO IMMEDIATELY DISMISS THE APPLICANT/EMPLOYEE. 

NOTE: EMPLOYMENT CANNOT BE FINALIZED UNTIL THE APPLICANT HAS COMPLETED REQUIREMENTS FOR COMPLETE BACKGROUND CHECKS AND FINGERPRINTING AS REQUIRED BY MAINE STATE STATUTE.