Levelland Isd Form PDF Details

In an era where the quality of education is paramount, the Levelland Independent School District (LISD) stands out by ensuring that its hiring process is thorough and focused on upholding high standards of professional ethics and conduct. Located in Levelland, TX, LISD extends a warm invitation to potential candidates, indicating not only the district's welcoming nature but also its commitment to education. The first step in joining LISD's revered team of educators begins with the completion of an employment application, which is meticulously designed to gather comprehensive information about the applicant. This process also incorporates a criminal history records check, underscoring the district's dedication to the safety and well-being of its students. In addition, the detailed instructions for substitute teacher applicants shed light on the district's alignment with Senate Bill 9, which mandates fingerprinting for all non-certified candidates post-January 1, 2008. This requirement is reflective of the district's steadfast commitment to a secure learning environment. The fee structure for fingerprinting further illustrates the tailored approach taken for certified and non-certified applicants, ensuring compliance while respecting the applicant's current certification status. Furthermore, LISD's Non-Discrimination Statement proudly heralds its stance as an Equal Opportunity Employer, promising a work environment free from discrimination, thereby attracting a diverse pool of talents dedicated to fostering an inclusive and enriching educational atmosphere. Through this multifaceted application process, LISD not only adheres to legal and ethical standards but also demonstrates its goal of cultivating a dynamic and supportive educational community.

QuestionAnswer
Form NameLevelland Isd Form
Form Length9 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 15 sec
Other namesDowell, levelland substitute teacher, teacher substitute binder samples, L1

Form Preview Example

LISD

LEVELLAND INDEPENDENT SCHOOL DISTRICT

Attn: Jana Dowell, Secretary to Director of Personnel

70411th Street Levelland, TX 79336 Phone: (806) 894-9628 Fax: (806) 894-2583 www.levellandisd.net

Dear Applicant:

We are pleased to learn of your interest in the Levelland Independent School District.

Professionally appropriate conduct is required of every employee of this district regardless of the duties or position held. If you complete and return this employment application, the Human Resources Department of this Employer may check a variety of sources, including, but not limited to: official criminal records sources, media sources, social and networking websites, internet logs or blogs, or other internet sources where text, photographic images, audio or video clips, clipart, or other images of any kind or where other similar information is posted. Any information obtained by their Employer will be used solely for the purposes of evaluation of a candidate s qualification and will be confidentially maintained in accordance with Employer policies and state or federal law. If you do not wish to have these sources reviewed, please do not complete this application.

Enclosed is an application and a criminal history records check permission form. In order to make a formal application with the district, it is necessary for you to complete each of the following items:

1.Fill out the entire application form. Provide all information requested.

2.Complete the criminal history records check permission form.

3.Return the completed application along with the criminal history records check permission form to Jana Dowell.

We look forward to receiving your application and thank you for your interest.

INSTRUCTIONS FOR SUBSTITUTE TEACHER APPLICANTS

(Fingerprinting Requirement)

Senate Bill 9 (Fingerprint Law) mandates that all non-certified applicants must be fingerprinted before being hired by a public school district after January 1, 2008. Persons seeking employment in the area of Substitute Teaching should complete an application for employment. The District will complete the application process as follows prior to hiring an applicant:

 

 

 

Certified subs pay

 

 

 

 

$42.25 via credit

 

 

 

 

card or debit card in

 

 

 

 

SBEC online when

 

 

 

 

they access their

 

 

 

 

FAST Fingerprint

 

 

 

 

Pass. At the time of

 

 

 

 

scheduled

The additional $2.00

 

 

 

appointment pay

for the $52.20 charge

 

 

 

$9.95 via check or

is accessed by Texas

CERTIFIED

 

 

money order to

Online as a result of

substitute teachers

Any SBEC/TEA

FEE: $52.20

fingerprinting

the credit card

and teacher aides

certified teacher

technician

transaction

 

 

 

Non-certified subs

 

 

 

 

pay the entire $50.20

 

 

 

 

via check or money

 

 

 

 

order to the L1

 

 

Anyone who does

 

fingerprint technician

 

NON-CERTIFIED

not hold a certificate

 

at the time of the

 

substitute teachers

issued by

FEE: $50.20

scheduled

 

and teacher aides

SBEC/TEA

appointment

No Additional fee

1.After you complete the fingerprint template information on the following page, the District will phone or e-mail Non-Certified applicants and provide a Fingerprint Applicant Services of Texas (FAST PASS) authorization form from the Texas Education Agency (TEA). The District will phone or e-mail Certified applicants the instructions to receive their fingerprinting FAST PASS.

2.Certified and non-certified applicants will access the DPS Vendor Website @ http://www.iisfingerprint.com// to schedule the fingerprinting appointment at L1 Enrollment Services (Allied Compliance Services or Summit Place in Lubbock, TX).

3.You must present your FAST PASS at your appointment. The DPS Vendor will then provide you with a Fingerprint FAST PASS Receipt which you will return to the District (superintendent s secretary) as proof that you have completed the fingerprint process

4.The Assistant Superintendent or his/her designee will consider your application for employment as a substitute teacher upon completion of all required paperwork.

Fingerprint Template Information

(Required of all Applicants)

Name (please print): ____________________ _______________ ______________

Last Name

First Name

Middle Name

Social Security Number: __________/_____/__________

 

 

Drivers License State: __________

Drivers License Number: _________________________________

Mailing Address: _______________________ _________________ __________ __________

Street or P.O. Box #CityState Zip Code

Date of Birth: _____/_____/_______

(mm) (dd) (yyyy)

Phone Number: (home)_________________________ (cell)_________________

E-Mail Address: (Print Clearly) ____________________________________________________

Department of Public Safety (DPS) Computerized Criminal History Verification

Form

(AGENCY [Levelland Independent School District] COPY)

I, __________________________________, have been notified that a computerized criminal

Applicant or Employee Name (PLEASE PRINT)

History (CCH) verification check will be performed by accessing the Texas department of Public Safety Secure Website and will be based on name and DOB information I supply.

Because the name based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization (as listed below) conducting the criminal history check is not allowed to discuss any information obtained using this method, therefore the agency may offer the opportunity to have a fingerprint search performed to clear any misidentification based on the name search, if the search provides a criminal report I know could not be mine.

For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (automated fingerprint identification system). I have been made aware that in order to complete this process I must have the correct fingerprinting form (FAST-Fingerprint Applicant Services of Texas) from this agency, make an online appointment, submit a full and complete set of fingerprints and pay the required fee of $9.95 to the fingerprinting services company, L1 Enrollment Services.

Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal history record may be discussed with me.

(This copy must remain on file by your agency. Required for future DPS Audits)

__________________________________

Signature of Applicant or Employee

____/____/____

Date

______________________________________

Agency Name (Please Print)

______________________________________

Agency Representative Name

______________________________________

Signature of Agency Representative

____/____/____

Date

Please:

Check and Initial each Applicable Space

CCH Report Printed:

 

YES_____NO_____

_____Initial

Purpose of CCH:__________________________

Hired_____Not Hired_____

_____Initial

Date Printed:___/___/___

_____Initial

Destroyed Date:___/___/___

_____Initial

Retain in your files

 

ADB Verification

08/2009

Employment Application for Substitute Teachers/Substitute Teacher Aides

Levelland Independent School District

70411th Street

Levelland, Texas 79336

Phone: (806) 894-9628

Fax: (806) 894-2583

An Equal Opportunity Employer (Non-Discrimination Statement)

The District shall not fail or refuse to hire or discharge any individual, or otherwise discriminate against any individual with respect to compensation, terms, conditions or privileges of employment on the basis of any of the following protected characteristics: Race, color or national origin; Sex; Religion; Age (applies to individuals 40 years of age or older); Disability; or Genetic information.

.

Personal Data

Position Data

Education & Training

Date of Application:__________________

Social Security Number: ___________________

Last Name: ________________________

First Name: _____________________________

Current Address: ____________________ City/St/Zip: _____________________________

Work Phone: _______________________ Home Phone: ___________________________

Email Address: ______________________________________________________________

Other address where you may be reached: _________________________________________

Other name that might appear on your records: ______________________________________

List the position(s) you are applying for:

Substitute Teacher

 

 

Substitute Teacher Aide (Persons with less than 15

 

college hours may substitute for teachers aide only)

Date you can begin work:_________________________

 

 

Have you been employed by Levelland I.S.D. in the past?

YES

NO

If you answered yes, provide dates of employment _________________________________

Check the highest level of education attained:

1

2

3

4

5

6

7

8

9

10

11

12

 

 

 

 

 

 

 

 

 

 

 

 

Not a high school graduate (choose last grade completed)

 

High School Graduate

 

GED

 

 

 

Two or more years of college

Less than two years of college

 

 

Other training or education

Bachelor s Degree

 

 

 

Licenses and certificates held

Masters Degree

 

 

 

 

 

 

 

 

 

 

Name and location of schools

Course of study and

 

Diploma, Degree,

Year Graduated

 

 

attended

Major/Minor

 

Certificate, or License

(College Only)

 

 

 

 

 

held

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employment Application for Substitute Teachers/Substitute Teacher Aides

Work Experience

An Equal Opportunity Employer

Please provide a complete list of all positions you have held in the past 10 years. List the most recent first. Attach additional sheets if necessary. Attach resume if available.

 

 

Employer and Location

 

 

Position/Title

 

 

Date Employed

 

 

Reason for Leaving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General Information

References

Employment Application for Substitute Teachers/Substitute Teacher Aides

An Equal Opportunity Employer

Do you have a relative who serves on the Levelland I.S.D. Board of Education? YES NO If yes, please provide the relative s name and relationship: _______________________________

Are you physically and mentally able to perform the job(s) for which you are applying?

YES NO

If no, please explain.

__________________________________________________________________________________

__________________________________________________________________________________

Have you been asked to resign or been discharged from any position? YES NO

If yes, explain. _________________________________________________________________

_____________________________________________________________________________

Have you ever been convicted of, pled guilty to, or no contest (nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or offense involving moral turpitude (including, but not limited to, theft, rape, murder, swindling, and indecency with a minor)?

YES NO

If YES, please state where, when, and the nature of the offense:

__________________________________________________________________________________

__________________________________________________________________________________

(A felony is not an automatic bar to employment. The district will consider the nature, date, and relationship between the offense and the position for which you are applying.)

Please list references the district can contact regarding your work history. Include all managers and supervisors who evaluated or supervised your performance at your last two employments.

 

Full Name of

School District

Mailing Address

Position/Title

Area Code &

 

 

Reference

Firm Name

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Citizenship

Verification

Employment Application for Substitute Teachers/Substitute Teacher Aides

An Equal Opportunity Employer

Are you a U.S. citizen, U.S. national, lawful permanent resident, lawful temporary resident, or

refugee? YES NO

Upon hiring, I agree to complete the I-9 form provided by the District.

____________________

_________________________________

Date

Signature

I hereby affirm that all information provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsifications, misrepresentations, or omissions of fact may be grounds for rejection of my application or dismissal from subsequent employment.

I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all such parties from liability for any damage that may result from furnishing the same to you.

I understand that the district is authorized by Texas Educational Code §22.083 to obtain criminal history record information on applicants the district intends to employ.

__________________________________

________________

Signature

Date

This application becomes the property of the district. The district reserves the right to accept or reject it. This application shall be considered active for 12 months. If you have not received a response during this time period, you may reapply or reactivate your application.

Criminal History Record Information Addendum

Employment Application for Substitute Teachers/Substitute Teacher Aides

An Equal Opportunity Employer

Confidential

The Levelland Independent School District is required by state law to obtain criminal history record

information on applicants being considered for employment with the district (Texas Education Code

§21.917). The information requested below is necessary to obtain criminal history record information.

Full Name (Print): ________________________________________________________________

Social Security Number: __________________________________________________________

Date of Birth: ___________________________________________________________________

Drivers License Number: __________________________________________________________

I give my consent to obtain my criminal history record.

I understand the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment, but will be used solely for the purpose of obtaining criminal history record information. I also understand that this form can/will be used on an annual basis.

Signature: _____________________________________

Date: ____________________

This form will be removed from the application and filed separately.