CSC of Eastern Hancock County

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1 CSC of Eastern Hancock County East County Road 250 North Charlottesville, IN (317) Phone (317) Phone (317) Fax TO APPLY FOR A SUBSTITUTE TEACHING PERMIT To be eligible to substitute teach at Eastern Hancock schools, you must have/be: 1. At least 20 years old 2. Complete a Support Staff (Classified) application. (attached) 3. Complete a comprehensive background check (attached) or have one sent to us from another school corporation you may already be subbing at. Make checks payable to Eastern Hancock. 4. Have a Substitute Teaching Permit from the Indiana Department of Education. Permits are valid for three years, and then a new one will need to be applied for. You can check on the validity of your permit or apply for a new one at The cost is $15 + processing fee. You can follow step-by-step instructions at substitute-permits. Printed copies of your permit need to be sent to the Corporate Office at EH for your file. 5. Schedule a 10 minute interview with the Superintendent. Please return all forms to Tracy McCarty in the Administrative Office. Our pay rate is $70.00 per day for non-certified subs and $75.00 for certified (certified=have a teacher s license). If you have questions, please contact Tracy McCarty at the Administration Office or tmccarty@eastemhancock.org

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4 Eastern Hancock Schools Support Staff Application Conviction of a crime is not an automatic bar to employment. The district will consider the nature of the offense, the date of the offense, and the relationship between and the position for which you are applying. Any false or misleading information on this application shall be fully sufficient grounds to refuse to employ or, having been employed, shall be immediate cause for dismissal. Your signature below constitutes authorization to check your employment history, including without limitation, evaluations, criminal arrest and conviction record checks, reference checks, and release of investigatory information possessed by any private or public employer or any state, local or federal agency. It further authorizes those persons, agencies or entities that the Community School Corporation of Eastern Hancock County contacts in connection with your employment application to fully provide any information on the matters set forth above. You expressly waive in connection with any request for or provision of such information, any claims, including without limitations, defamation, emotional distress, invasion of privacy, or interference with contractual relations that you might otherwise have against the Community School Corporation of Eastern Hancock County, its agents and officials or against any provider of such information. I certify that the information on this application is true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries as may be necessary in arriving at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application. In the event of employment, I understand that false or misleading information given in my application or interview(s) may be sufficient cause for dismissal. Signature of Applicant Date n,e Community School Corporation of Eastern Hancock Co1mtyass11res that it will comply fully witlt all requirements of Title I'/ of the Civil Rights Act of /96./, Tille IX of the 1972 Education Amendments, and Section 50./ of the Rehabilitation Act of /973 as amended. Eastern Hancock County further assures that ii will not discriminate against any person in the United Stales 011 the basis of race, color, se.t, national origin. religion, or handicap, nor will anyone be subjected lo discrimination in admission or access lo, or treatment or employment in the conduct of its programs and activities and operation of its facilities. For inquiries reg.irding complioncc!is wcll os grievances on the above assurances contact Superintendent, I 0370 E. 250 N. Charlottesville, IN or Office ofc1v1l Rights, US Deponment of Education, Washington. DC Please return application to: Administration Building Community School Corporation of Eastern Hancock County E. 250 N. Charlottesville, IN or scan and to tmccarty(@.easternhancock.org

5 EMPLOYEE/COACH BACKGROUND INVESTIGATION PLEASE NOTE: Employee/Coach Background Checks are now required by the state of Indiana to be renewed every 5 years. A consumer report (background screening report) and/or an investigative consumer report which may include information concerning your character, employment history, general reputation, personal characteristics, police record, education, qualifications, motor vehicle record, mode of living, and/or credit and indebtedness may be obtained in connection with your application for and/or continued employment with Community School Corporation of Eastern Hancock County. A consumer report and/or an investigative consumer report may be obtained at any time during the application process or during your employment with the Community School Corporation of Eastern Hancock County. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Safe Hiring Solutions LLC, P.O. Box 295, Danville, IN AUTHORIZATION By signing below, I,, hereby voluntarily authorize Community School Corporation if Eastern Hancock County to obtain either a consumer or an investigative consumer report about me from a consumer reporting agency and to consider this information when making decisions regarding my employment and/or continued employment at Community School Corporation of Eastern Hancock County. I understand that I have rights under the Fair Credit Reporting Act, including rights discussed above. This report may be delivered in either written or electronic form. Print Name (last, first, middle) Social Security Number Date of Birth (MM/DD/YYYY) Drivers License Number Drivers License State (For ID Purposes Only) Any other names I have been known by: Current Address: City State Zip Previous Addresses (Last 7 Years) Signature Date Telephone number (to reach you if there are any questions) Please return the authorization ASAP and include a check for $21.95 made payable to CSC of Eastern Hancock. If this is a renewal, you do not need to pay. Thank you. If you have any questions please call Tracy McCarty, or or tmccarty@easternhancock.org

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