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Employment Application

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Personal Information:

Have You Been Previously Employed by the Midwest Regional ESC, Shelby County ESC, Hardin County ESC, or Logan County ESC?

When employed, an official transcript of all credits, license(s), and current BCI & FBI background checks must be on file in the office of the Midwest Regional Educational Service Center.

Criminal Records Check: If selected for employment, I acknowledge and agree that, consistent with Ohio Revised Code Section 3319.39, the Educational Service Center will conduct a criminal records check. I understand that the result of this check could legally prevent me from becoming or remaining employed by the Educational Service Center.

What are unemployable offenses? What does unemployable mean? ORC 3319.39 says that no board of education of a school district, no governing board of an educational service center, and no governing authority of a chartered nonpublic school shall employ a person as a person responsible for the care, custody or control of a child if the person has previously been convicted of or pleaded guilty to any of the offenses listed, unless the person has been rehabilitated pursuant to rules adopted by the Ohio Department of Education. For more information about OHIO REVISED CODE 3319.39 and “UNEMPLOYABLE OFFENSES”, please visit http://codes.ohio.gov/orc/3319.39

Licensure: Please indicate below the State of Ohio License/Permit(s) you hold or anticipate receiving. When employed, your license/permit must be on file at the Midwest Regional Educational Service Center before you can be paid.

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If you do not hold an Ohio License / Permit, have you applied for one?
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Are you certified in another state?

Educational History: (start with high school and list all colleges attended)
Graduated
Graduated
Graduated

Military Experience:

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Are you currently under contract to another district?
If yes, please complete information below:
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Educational Work Experience: Starting with most recent. Please use a separate sheet, if necessary.

Other Work Experience:

Professional / Work References: Please list below the names and addresses of three (3) persons who can speak of your professional competency and character.

Does the Board or its agents have your permission to contact the above named persons?
Does the Board or its agents have your permission to contact your current and/or previous employer?

Max. file size: 16 MB.
Consent

The Midwest Regional Educational Service Center is an EQUAL OPPORTUNITY EMPLOYER

In accordance with the regulations set forth in Title VI and Title VII of the Civil Rights Act of 1964, as amended, Title IX of the Educational Act of 1972, as amended, Section 504 of the Rehabilitation Act of 1973, as amended, the Age Discrimination Act of 1975, the Age Discrimination Act, and the American Disabilities Act of 1990, the Midwest Regional Educational Service Center does not discriminate on the basis of race, color, religion, national origin, sex, age or disability, in providing equal opportunity for employment and admission or access to any of the facilities, programs, and activities which it operates.