ENGLISH LANGUAGE SCHOOL BOARD ~~ Board Office Use Only ~~ Date Received Date Approved Application for Employment Resume DD TD1 TD1PE SUBSTITUTE/CASUAL SUPPORT STAFF CRC Proof of Education Please complete and forward application to the English Language School Board: Human Resources, English Language School Board STRATFORD OFFICE: SUMMERSIDE OFFICE: Mail to: PO Box 8600, Charlottetown, PE C1A 8V7 288 MacEwen Rd, Summerside, PE C1N 0J1 Deliver to: 2-234 Shakespeare Dr, Stratford, PE C1B 2V8 288 MacEwen Rd, Summerside, PE C1N 0J1 Fax to: (902)368-8890 Human Resources Phone: (902)368-6817 (902)888-8400 Toll-free Phone (to reach both offices): 1-800-280-7965 E-mail: hr-elsb-apps@edu.pe.ca Substitute Bus Driver Substitute Custodian/Cleaner Substitute School Administrative Assistant/Clerical Substitute Trades Worker POSITION BEING APPLIED FOR (check one): PERSONAL INFORMATION (OPTIONAL) Check one: First Name: Mr. Ms. Middle Name: Last Name: Mailing Address: TELEPHONE Home: Employee # (if applicable): Mrs. Civic Address: Work: Cellular: E-mail Address: (please print clearly) Are you legally entitled to work in Canada? Yes No If you are a recent immigrant, do you have permission to work indefinitely in Canada? Yes No YES When? NO PREVIOUS HISTORY WITH THE ENGLISH LANGUAGE SCHOOL BOARD Have you previously been employed with the English Language School Board? If YES, what position? Where? Name used at job or school, if different from above: REFERENCES (Professional / Work Related) Name Complete Mailing Address Telephone Occupation (document1– 02/15) RECORD OF EDUCATION Educational Institution Course of Study Grade Completed Year Completed Diploma or Certificate High School Technical Trade School / College University ~~ THIS SECTION TO BE COMPLETED BY BUS DRIVER APPLICANTS ONLY ~~ REQUIRMENTS FOR EMPLOYMENT AS A SCHOOL BUS DRIVER: The PEI School Act and Regulations require special qualifications for bus drivers. Please provide copies of these requirements which you have completed. Proof of Grade 12 education or equivalent. Hold a valid drivers' license for at least five (5) years. Submit the following documents to the English Language School Board: o This application form o Current resume o Proof of medical fitness (on the approved form – enclosed) o Highway Safety Vision Test (on the approved form – enclosed) o Driver's Abstract o Current Criminal Record Check with Vulnerable Section (completed within the last 90 days) Proof of Student Management Training For more information regarding qualifications and documentation, please visit the English Language School Board website at: www.gov.pe.ca/edu/elsb . (document1– 02/15) APPLICANT'S CHECKLIST: This application form – fully completed AND SIGNED AND DATED BELOW. Up-to-date resume Proof of high school graduation certificate or GED equivalent. Copies of certificates of any university, college, technical, trade or bus driver training programs completed. Employee Information Form completed (attach VOID cheque) TD1 and TD1PE forms completed Other documentation, as required for specific type of position applied for. Current Criminal Record Check with Vulnerable Sector Inquiry completed no more than 90 days prior to employment – Original required – photocopy will not be accepted. IMPORTANT NOTES – INFORMATION AND OTHER REQUIREMENTS: 1. 2. If you become unavailable for substitute work, please contact the Human Resources Department to have your name removed from the substitute list: Bus Drivers; Contact 368-6840 (Stratford) or 888-8421 (Summerside). All Others: Contact 368-6817 (Stratford) or 888-8400 (Summerside). All applicants must have grade 12 or GED equivalent. 3. All sections of the Application for Employment must be completed and all supporting documentation provided before an application can be considered. 4. A Criminal Records Check with Vulnerable Sector Inquiry is required before an applicant's name can be placed on the substitute list. (See note below regarding custodian/cleaner applicants.) 5. Applicants applying for Custodian/Cleaner must take ELSB training. NOTE: Custodian/cleaner applicants are not required to submit a Criminal Record Check until they have been invited for training. 6. Applicants applying for School Administrative/Clerical must provide proof of completion of an accredited office administration course. DECLARATION: All the information provided in this Application is true and complete to the best of my knowledge. I understand that any person who makes a false statement of any matter or who omits to state a material fact in an Application shall not be eligible for appointment or shall, if appointed to a position, be liable for dismissal. I authorize the English Language School Board to contact any person or persons to obtain information pertaining to my suitability for employment unless otherwise noted in this application. Signature of Applicant FOR E-MAIL SUBMISSION: If submitting the completed application as an attachment to an e-mail, place an "X" in this box – in lieu of your signature - as an indication that you are the person named on the first page of this application, and that you agree to all portions of the above DECLARATION. Date Date: Personal information on this form is collected under Section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988c. F-15.01 as it relates directly to and is necessary for purposes of considering employment of applicants and will be used for purposes of school board operations and administration. If you have any questions about this collection of personal information, you may contact the English Language School Board by telephone at 902.368.6990, 902.888.8400, or toll free at 1-800-280-7965. (document1– 02/15)