Substitute Application
Substitute Teacher Application
Employment Application
To apply for employment with Livingston Independent School District, please complete all areas of the following application. Bring completed application and the following required documents: Driver’s License, Social Security Card, and a copy of proof of highest degree of education (HS diploma/GED or college transcripts) for application processing on designated dates. Check our website for a list of application processing dates and times.
Pennee Hall Director of Human Resources
Excellence In Everything...Everyday! P.O. Box 1297 1412 South Houston (Hwy 146) Livingston, TX 77351
Phone: 936-328-2104 Fax: 936-328-2109 e-mail: [email protected]
Important Tips:
• Legibly print or type responses • Fill out the application completely, entering N/A if questions are not applicable • References must include at least 2 former supervisors • Reference information must be completely filled out • Your resume may be included, but does not replace a completed application • Be sure to sign the application when it is completed • The physical location of the Administration building is 1412 S. Houston
An Equal Opportunity Employer
P.O. Box 1297 • Livingston, TX 77351
936-328-2100 • Fax 936-
Application For Substitute Teacher NOTICE OF COMPLIANCE: The Livingston Independent School District is in compliance with the provisions of Title VI, Civil Rights Act of 1964, with the Title IX of Public Law 92-318 and with section 504 Rehabilitation Act of 1973. The LISD does not discriminate on the basis of sex, race, religion, national origin, age, or disability in the operation of its education programs and activities or in its admissions and employment policies. The LISD is an equal opportunity employer. Inquiries concerning compliance may be obtained by calling the Personnel Office. AN EQUAL OPPORTUNITY EMPLOYER
DATE RECEIVED: __________________________ INTERVIEW: 1. _________________________________________ 2. _________________________________________ 3. _________________________________________
PERSONAL DATA
LAST NAME
FIRST
M.I. OR MAIDEN NAME
MAILING ADDRESS
CITY
TELEPHONE NO.
STATE
ZIP CODE
SOCIAL SECURITY NUMBER
Substitute Teacher Process: 1. Attend a mandatory substitute teacher training 2. Complete and turn in necessary paperwork (paperwork will be handed out at mandatory meeting), to include: • Substitute Teacher Application • Proof of highest level of education (minimum High School Diploma or GED) • If certified, valid Texas Teaching Certificate • I-9 form (Employee Eligibility Verification) • W-4 form (Empoyee Withholding Certificate) • Letter of Reasonable Assurance • Tuberculosis Questionnaire 3. A criminal background check will be completed by HR 4. If paperwork and background check is satisfactory, the applicant’s name will be forwarded to the Board of Directors for approval...the Board normally meets the third Monday of every month. 5. Once Board approved, the substitute’s name will be activated in the automated sub-finder system called Aesop and an “Aesop Welcome Letter” will be forwarded to the substitute.
Aesop Sub-Finder System Livingston ISD uses a program called “AESOP” to help manage substitutes for campus employees. AESOP is a substitute teacher automated replacement system that allows the district employees and substitutes to use both the internet and phone to fill campus absences. THE PERSONNEL OFFICE SHOULD BE NOTIFIED OF ANY CHANGE IN NAME, ADDRESS, PHONE NUMBER, EDUCATIONAL STATUS, OR AVAILABILITY.
FIELDS OF SERVICE PREFERRED
TEACHING
CLERICAL
TEACHER AIDE
ASSIGNMENT PREFERENCES *
HIGH SCHOOL (Grades 9-12)
JR HIGH (Grades 6-8)
INTERMEDIATE
ELEMENTARY
(Grades 4-5)
(Grades Pre K-3)
ARE YOU AVAILABLE FOR LONG-TERM SUBSTITUTE ASSIGNMENTS? ____________ ARE YOU SEEKING FULL-TIME EMPLOYMENT WITH THIS DISTRICT? ____________ * Substitutes under 22 years of age will be asked to work at the Elementary/Intermediate schools only.
AN EQUAL OPPORTUNITY EMPLOYER
EDUCATION/CERTIFICATION
DEGREE AND TEXAS TEACHING CERTIFICATE
DEGREE AND OUT-OF-STATE TEACHING CERTIFICATE
DEGREE AND NO TEACHING CERTIFICATE
COLLEGE HOURS ABOVE HIGH SCHOOL (OR GED) NUMBER OF HOURS______________
HIGH SCHOOL GRADUATE OR GED
SUBJECT AREAS OF SPECIAL TRAINING 1. _________________________
2. _________________________
3. _________________________
4. _________________________
EDUCATIONAL AND PROFESSIONAL TRAINING LEVEL OF PREPARATION
NAME AND LOCATION
DATES OF ATTENDANCE
GRADE DEGREE COMPLETED
COLLEGE OR UNIVERSITY
COLLEGE OR UNIVERSITY
JUNIOR COLLEGE BUSINESS COLLEGE
HIGH SCHOOL
OTHER
SCHOOL-RELATED EXPERIENCE DO YOU HAVE FULL-TIME TEACHING EXPERIENCE? _____________________________________________________________ IF SO, HOW MANY YEARS IN THIS DISTRICT? ____________________________________________________________________ HOW MANY YEARS OUTSIDE THE DISTRICT? ____________________________________________________________________ ARE YOU RETIRED FROM THE TEACHING PROFESSION? __________________________________________________________ DO YOU HAVE CLERICAL OR TEACHER AIDE SUBSTITUTE EXPERIENCE? ___________________________________________ IF SO, HOW MANY YEARS IN THIS DISTRICT? ____________________________________________________________________ ARE YOU RETIRED FROM A SCHOOL DISTRICT? __________________________________________________________________
EMPLOYMENT HISTORY NAME AND ADDRESS OF EMPLOYER
TYPE OF WORK OR POSITION
DATE OF EMPLOYMENT FROM TO
COMMENTS
1.
2.
3.
4.
5.
REFERENCES GIVE AT LEAST THREE REFERENCES, INCLUDING EMPLOYERS AND OTHERS WITH WHOM YOU HAVE WORKED WHO HAVE FIRST HAND KNOWLEDGE OF YOUR CHARACTER, PERSONALITY, SCHOLARSHIP, AND ABILITY. NAME
MAILING ADDRESS
POSITION
TELEPHONE NO.
1. 2. 3. 4. HAVE YOU BEEN CONVICTED OF , PLED GUILTY OR NO CONTEST (NOLO CONTENDRE) TO, OR RECEIVED PROBATION, SUSPENSION, OR DEFERRED ADJUDICATION FOR A FELONY OR ANY OFFENSE INVOLVING MORAL TURPITUDE (INCLUDING, BUT NOT LIMITED TO, THEFT, RAPE, MURDER, SWINDLING, AND INDECENCY WITH A MINOR)?
_____ YES
_____ NO
IF YES, PLEASE EXPLAIN: _______________________________________________________________
________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ARE YOU RELATED TO ANY MEMBER OF THE LISD BOARD OF TRUSTEES? _______ YES
______ NO
IF YES, PLEASE EXPLAIN. _______________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ PLEASE INDICATE BRIEFLY, IN YOUR OWN HANDWRITING, WHY YOU FEEL PERSONALLY QUALIFIED TO SUBSTITUTE IN THE AREA, OR AREAS, IN WHICH YOU ARE SEEKING EMPLOYMENT. ANY OTHER INFORMATION NOT COVERED BY THE APPLICATION MAY BE INCLUDED.
I hereby certify that the foregoing statements on my application of employment with Livingston Independent School District (I.S.D.), as well as those on any attachment(s) to this form, are to the best of my knowledge true, accurate, and that they are all given of my own free will. I agree that any misstatement(s) or omission(s) as to material facts will constitute grounds for unfavorable considerations or possible dismissal from employment. It is understood that I will need to provide official transcripts, certificates, and/or diplomas substantiating all education / training as well as proof of eligibility to work in the United States. My application will be retained in the active file for two years and may be reactivated by request before the end of the two year period. If not employed under contract, I understand that either I or Livingston I.S.D. can terminate the employment relationship at will, with or without cause, at any time, so long as there is no violation of applicable Federal or State law. I voluntarily consent to allow Livingston I.S.D. officers, employees, agents, or designees to check my references by contacting any person whom is deemed to be an appropriate reference. The Livingston I.S.D. representative may ask any questions they consider relevant to the hiring decision, to include but not limited to questions about education, work experience, character, personal habits, and intercommunication as these relate to the position(s) for which I am applying.
__________________________________________________________ Applicant Signature
______________________________________ Date
The following information will assist our recruitment efforts:
How did you learn about this job? (Please check all that apply) ❏ Recruitment Notice on School Campus ❏ Recruitment Notice on Administration Building ❏ Website - Livingston ISD ❏ Website - Region 6 ESC ❏ Website - TASA ❏ Website - Texas Workforce Commission ❏ Job Fair (if yes, please specify location) ________________________________________ ❏ Livingston ISD employee (if yes, please specify) __________________________________ ❏ Newspaper ❏ Other (please specify)______________________________________________________
Criminal History Record Information Addendum
CONFIDENTIAL The Livingston Independent School District is authorized by state law to obtain criminal history record information on applicants the district intends to employ (Texas Education Code 22.083). The information requested below is necessary to obtain criminal history information.
Please Print Name:_________________________________________________________________________ (Last)
Date of Birth: ____________________________ Sex:
Male ❏
(First)
(Middle)
Social Security Number _____________________
Female ❏
List all counties and states of residence since age 18. CITY/TOWN
COUNTY
STATE
I hereby certify that all information provided in this form is true, correct and complete. I understand that the information I am providing on this form, to include data regarding age and sex, will not be used to determine eligibility for employment but will be used solely for the purpose of obtaining criminal history record information.
__________________________________________________________ Applicant Signature
______________________________________ Date
Employment Application
To apply for employment with Livingston Independent School District, please complete all areas of the following application. Bring completed application and the following required documents: Driver’s License, Social Security Card, and a copy of proof of highest degree of education (HS diploma/GED or college transcripts) for application processing on designated dates. Check our website for a list of application processing dates and times.
Pennee Hall Director of Human Resources
Excellence In Everything...Everyday! P.O. Box 1297 1412 South Houston (Hwy 146) Livingston, TX 77351
Phone: 936-328-2104 Fax: 936-328-2109 e-mail: [email protected]
Important Tips:
• Legibly print or type responses • Fill out the application completely, entering N/A if questions are not applicable • References must include at least 2 former supervisors • Reference information must be completely filled out • Your resume may be included, but does not replace a completed application • Be sure to sign the application when it is completed • The physical location of the Administration building is 1412 S. Houston
An Equal Opportunity Employer
P.O. Box 1297 • Livingston, TX 77351
936-328-2100 • Fax 936-
Application For Substitute Teacher NOTICE OF COMPLIANCE: The Livingston Independent School District is in compliance with the provisions of Title VI, Civil Rights Act of 1964, with the Title IX of Public Law 92-318 and with section 504 Rehabilitation Act of 1973. The LISD does not discriminate on the basis of sex, race, religion, national origin, age, or disability in the operation of its education programs and activities or in its admissions and employment policies. The LISD is an equal opportunity employer. Inquiries concerning compliance may be obtained by calling the Personnel Office. AN EQUAL OPPORTUNITY EMPLOYER
DATE RECEIVED: __________________________ INTERVIEW: 1. _________________________________________ 2. _________________________________________ 3. _________________________________________
PERSONAL DATA
LAST NAME
FIRST
M.I. OR MAIDEN NAME
MAILING ADDRESS
CITY
TELEPHONE NO.
STATE
ZIP CODE
SOCIAL SECURITY NUMBER
Substitute Teacher Process: 1. Attend a mandatory substitute teacher training 2. Complete and turn in necessary paperwork (paperwork will be handed out at mandatory meeting), to include: • Substitute Teacher Application • Proof of highest level of education (minimum High School Diploma or GED) • If certified, valid Texas Teaching Certificate • I-9 form (Employee Eligibility Verification) • W-4 form (Empoyee Withholding Certificate) • Letter of Reasonable Assurance • Tuberculosis Questionnaire 3. A criminal background check will be completed by HR 4. If paperwork and background check is satisfactory, the applicant’s name will be forwarded to the Board of Directors for approval...the Board normally meets the third Monday of every month. 5. Once Board approved, the substitute’s name will be activated in the automated sub-finder system called Aesop and an “Aesop Welcome Letter” will be forwarded to the substitute.
Aesop Sub-Finder System Livingston ISD uses a program called “AESOP” to help manage substitutes for campus employees. AESOP is a substitute teacher automated replacement system that allows the district employees and substitutes to use both the internet and phone to fill campus absences. THE PERSONNEL OFFICE SHOULD BE NOTIFIED OF ANY CHANGE IN NAME, ADDRESS, PHONE NUMBER, EDUCATIONAL STATUS, OR AVAILABILITY.
FIELDS OF SERVICE PREFERRED
TEACHING
CLERICAL
TEACHER AIDE
ASSIGNMENT PREFERENCES *
HIGH SCHOOL (Grades 9-12)
JR HIGH (Grades 6-8)
INTERMEDIATE
ELEMENTARY
(Grades 4-5)
(Grades Pre K-3)
ARE YOU AVAILABLE FOR LONG-TERM SUBSTITUTE ASSIGNMENTS? ____________ ARE YOU SEEKING FULL-TIME EMPLOYMENT WITH THIS DISTRICT? ____________ * Substitutes under 22 years of age will be asked to work at the Elementary/Intermediate schools only.
AN EQUAL OPPORTUNITY EMPLOYER
EDUCATION/CERTIFICATION
DEGREE AND TEXAS TEACHING CERTIFICATE
DEGREE AND OUT-OF-STATE TEACHING CERTIFICATE
DEGREE AND NO TEACHING CERTIFICATE
COLLEGE HOURS ABOVE HIGH SCHOOL (OR GED) NUMBER OF HOURS______________
HIGH SCHOOL GRADUATE OR GED
SUBJECT AREAS OF SPECIAL TRAINING 1. _________________________
2. _________________________
3. _________________________
4. _________________________
EDUCATIONAL AND PROFESSIONAL TRAINING LEVEL OF PREPARATION
NAME AND LOCATION
DATES OF ATTENDANCE
GRADE DEGREE COMPLETED
COLLEGE OR UNIVERSITY
COLLEGE OR UNIVERSITY
JUNIOR COLLEGE BUSINESS COLLEGE
HIGH SCHOOL
OTHER
SCHOOL-RELATED EXPERIENCE DO YOU HAVE FULL-TIME TEACHING EXPERIENCE? _____________________________________________________________ IF SO, HOW MANY YEARS IN THIS DISTRICT? ____________________________________________________________________ HOW MANY YEARS OUTSIDE THE DISTRICT? ____________________________________________________________________ ARE YOU RETIRED FROM THE TEACHING PROFESSION? __________________________________________________________ DO YOU HAVE CLERICAL OR TEACHER AIDE SUBSTITUTE EXPERIENCE? ___________________________________________ IF SO, HOW MANY YEARS IN THIS DISTRICT? ____________________________________________________________________ ARE YOU RETIRED FROM A SCHOOL DISTRICT? __________________________________________________________________
EMPLOYMENT HISTORY NAME AND ADDRESS OF EMPLOYER
TYPE OF WORK OR POSITION
DATE OF EMPLOYMENT FROM TO
COMMENTS
1.
2.
3.
4.
5.
REFERENCES GIVE AT LEAST THREE REFERENCES, INCLUDING EMPLOYERS AND OTHERS WITH WHOM YOU HAVE WORKED WHO HAVE FIRST HAND KNOWLEDGE OF YOUR CHARACTER, PERSONALITY, SCHOLARSHIP, AND ABILITY. NAME
MAILING ADDRESS
POSITION
TELEPHONE NO.
1. 2. 3. 4. HAVE YOU BEEN CONVICTED OF , PLED GUILTY OR NO CONTEST (NOLO CONTENDRE) TO, OR RECEIVED PROBATION, SUSPENSION, OR DEFERRED ADJUDICATION FOR A FELONY OR ANY OFFENSE INVOLVING MORAL TURPITUDE (INCLUDING, BUT NOT LIMITED TO, THEFT, RAPE, MURDER, SWINDLING, AND INDECENCY WITH A MINOR)?
_____ YES
_____ NO
IF YES, PLEASE EXPLAIN: _______________________________________________________________
________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ARE YOU RELATED TO ANY MEMBER OF THE LISD BOARD OF TRUSTEES? _______ YES
______ NO
IF YES, PLEASE EXPLAIN. _______________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ PLEASE INDICATE BRIEFLY, IN YOUR OWN HANDWRITING, WHY YOU FEEL PERSONALLY QUALIFIED TO SUBSTITUTE IN THE AREA, OR AREAS, IN WHICH YOU ARE SEEKING EMPLOYMENT. ANY OTHER INFORMATION NOT COVERED BY THE APPLICATION MAY BE INCLUDED.
I hereby certify that the foregoing statements on my application of employment with Livingston Independent School District (I.S.D.), as well as those on any attachment(s) to this form, are to the best of my knowledge true, accurate, and that they are all given of my own free will. I agree that any misstatement(s) or omission(s) as to material facts will constitute grounds for unfavorable considerations or possible dismissal from employment. It is understood that I will need to provide official transcripts, certificates, and/or diplomas substantiating all education / training as well as proof of eligibility to work in the United States. My application will be retained in the active file for two years and may be reactivated by request before the end of the two year period. If not employed under contract, I understand that either I or Livingston I.S.D. can terminate the employment relationship at will, with or without cause, at any time, so long as there is no violation of applicable Federal or State law. I voluntarily consent to allow Livingston I.S.D. officers, employees, agents, or designees to check my references by contacting any person whom is deemed to be an appropriate reference. The Livingston I.S.D. representative may ask any questions they consider relevant to the hiring decision, to include but not limited to questions about education, work experience, character, personal habits, and intercommunication as these relate to the position(s) for which I am applying.
__________________________________________________________ Applicant Signature
______________________________________ Date
The following information will assist our recruitment efforts:
How did you learn about this job? (Please check all that apply) ❏ Recruitment Notice on School Campus ❏ Recruitment Notice on Administration Building ❏ Website - Livingston ISD ❏ Website - Region 6 ESC ❏ Website - TASA ❏ Website - Texas Workforce Commission ❏ Job Fair (if yes, please specify location) ________________________________________ ❏ Livingston ISD employee (if yes, please specify) __________________________________ ❏ Newspaper ❏ Other (please specify)______________________________________________________
Criminal History Record Information Addendum
CONFIDENTIAL The Livingston Independent School District is authorized by state law to obtain criminal history record information on applicants the district intends to employ (Texas Education Code 22.083). The information requested below is necessary to obtain criminal history information.
Please Print Name:_________________________________________________________________________ (Last)
Date of Birth: ____________________________ Sex:
Male ❏
(First)
(Middle)
Social Security Number _____________________
Female ❏
List all counties and states of residence since age 18. CITY/TOWN
COUNTY
STATE
I hereby certify that all information provided in this form is true, correct and complete. I understand that the information I am providing on this form, to include data regarding age and sex, will not be used to determine eligibility for employment but will be used solely for the purpose of obtaining criminal history record information.
__________________________________________________________ Applicant Signature
______________________________________ Date
