SUBSTITUTE CUSTODIAN
: Job Details :

SUBSTITUTE ON CALL CUSTODIAL POSITIONQUALIFICATIONS -* MUST BE ABLE TO LIFT AT LEAST 50 LBS* MUST PASS A PRE-EMPLOYMENT PHYSICAL, TB TEST, AND DRUG/ALCOHOL SCREENING* MUST PASS A CRIMINAL BACKGROUND CHECKTHERE ARE NO BENEFITS ASSOCIATED WITH POSITION.HOURS WILL FLUCTUATE BASED ON NEED. Conditions of Employment

I acknowledge that I am eligible to work legally in the United States and can, upon employment, submit verification of my legal right to work in the United States.

I hereby authorize Peoria School District 150 to forward my name to the Illinois Department of State Police for the purpose of conducting a fingerprint-based criminal history records check as required by Section 10-21.9 of the School Code and agree to execute any forms and submit to fingerprinting as required for such purpose. I understand that the Illinois Department of State Police will conduct a fingerprint-based criminal history records check to ascertain whether I have been convicted of any of the enumerated criminal or drug offenses in subsection (c) of Section 10-21.9 of the School Code or have been convicted, within 7 years of the application for employment with Peoria School District 150, of any other felony under the laws of Illinois or of any offense committed or attempted in any other state or against the laws of the United States that, if committed or attempted in Illinois, would have been punishable as a felony under the laws of Illinois. I understand that Peoria School District 150 may further conduct a check for any indicated reports of child abuse pursuant to the Abused and Neglected Child Reporting Act, 325 ILCS 5/1 et seq. I further understand that Peoria School District 150 will perform a check of the Statewide Sex Offender Database and the Statewide Child Murderer and Violent Offender Against Youth Database as required by Section 10-21.9 of the School Code.

Do you understand that any false or misleading information in this application (or any omissions of information) may be full and sufficient grounds to deny employment, withdraw any offer of employment, or, having been employed, may be immediate cause for dismissal?

I authorize all current and former employers and other persons to give any information they have regarding my employment with them. Further, I release and hold harmless the officers, board members, agents, employees, and directors of each of my current and/or past employers and Peoria Public Schools District 150, its officers, board members, agents, employees, and directors from any liability arising from disclosures of any such information including any verbal appraisals of my past performance.

I hereby certify that the facts set forth in this employment application are true and complete to the best of my knowledge. Any misrepresentations or willful omissions of facts shall be sufficient cause for disqualification of this application or termination of employment. I acknowledge that the failure to provide requested employment or employer history which is material to the applicant's qualifications for employment or that the provision of statements which the applicant does not believe to be true in an application for a certified position may result in a Class A misdemeanor. I understand that any misrepresentations may lead to the withdrawal of any offer of employment or termination of employment if an employment relationship has begun.

I understand that an offer of employment (or the opportunity to continue my employment if I am hired before these requirements are fully satisfied) is contingent upon my passing the Illinois Department of State Police and Child Abuse Registry background investigations and submitting the required Form I-9, including evidence of identity and work authorization, the health and medical examination forms, including TB test results and drug/alcohol tests for safety sensitive positions, and any other forms required by Peoria Public Schools District 150 or by Illinois or federal law. I further understand that if I am offered a position of employment, I will be required to abide by the policies and regulations of Peoria Public Schools District 150, as those policies and regulations now exist or as they may be subsequently amended or altered.

General Questions

Please explain how your past personal and professional experience make you a quality candidate for the position.

Can you speak, read, or write any language other than English? If so, please indicate below.

List any additional experience, skills, or qualifications which will help in determining your professional qualifications for a position with Peoria Public School District 150.

Have you ever worked for Peoria Public School District 150? If yes, please identify the dates of your employment, position(s) held and reason(s) for leaving.

Have you ever failed to be re-hired by an employer, been asked to resign a position, resigned to avoid termination, or been terminated from any job? If yes, please explain the specifics and provide dates and the name, address, and telephone number of the employer(s).

Are you a relative of any board member, administrator, or supervisor who is currently serving the school district? If yes, please list their name, title, and relationship.

Can you perform all the essential job function(s) of the position(s) for which you are applying, with or without reasonable accommodation(s)?

Have you ever been convicted of a criminal offense other than a minor traffic violation? If yes, please explain the specifics including a statement of the accusation against you, dates of the incident and the proceeding, name of the court where the proceeding occurred, and the final disposition of the case(s). Pursuant to the Illinois Criminal Identification Act, Illinois Human Rights Act, and Illinois Juvenile Court Act, you are NOT obligated to disclose an arrest or a conviction ordered impounded, sealed, or expunged. You are NOT obligated to disclose an expunged juvenile record of conviction or arrest.

Have you ever had any indicated finding of child abuse filed in your name or are you currently under investigation by any child protection or law enforcement agency for child abuse or neglect? If yes, please explain and provide any relevant dates.

Does your name appear on any sex offender database in any state or country or on the Illinois Murderer and Violent Offender Against Youth database?

Are you available to work everyday, Monday through Friday, in a long term assignment should one come up?

Are you now being investigated for any alleged misconduct or other alleged grounds of discipline by your current or previous employer? If yes, please provide the name of the employer and a statement of the accusations against you.

Is there any additional information with regard to serious misconduct or lack of moral qualification on your part that is not otherwise disclosed by your answers to questions in this application?

REFERENCE #1: Please provide the Full Name, Phone Number, Email, and Relationship Information for your Professional Reference.

REFERENCE #2: Please provide the Full Name, Phone Number, Email, and Relationship Information for your Professional Reference

REFERENCE #3: Please provide the Full Name, Phone Number, Email, and Relationship Information for your Professional Reference