1 Pascagoula School District Human Resources Department 1006 Communy Avenue P. O. Box 250 Pascagoula, MS (228) FAX (228) Employment Application Process For Classified (Non-licensed) Applicants Application: All persons interested in employment with the Pascagoula School District must have a current application submitted online. Please see our district web site (www.psd.ms) for a current listing of vacancies and to complete an online application (click on Employment, then Search for Job). If you do not have internet access, you may submit a paper application at our Human Resources office at 1006 Communy Ave., Pascagoula, MS. All applications will remain on file for two years. All employees hired by the school district must pass a criminal background and child abuse registry check at their own expense. Visit our website at: for up-to-date listings of vacancies. Click on Employment! For each vacancy, there is a contact name and phone number. If you find a vacancy that you are interested in, you should call the contact listed for that vacancy to express your interest in the position, and leave your name and phone number. Applicants will be chosen for interviews at the principal/supervisor s discretion based upon qualifications and/or job experience. It is your responsibility to keep your application up to date with employment and contact information. Assistant Teacher Applicants: All Assistant Teacher applicants must meet one of the following qualifications to be considered for employment: 1. Must possess an Associates Degree or above; Or 2. Must have 48 hours of college credit; Or 3. Must provide passing scores for the WorkKeys tests: Reading(4), Math(4) and Writing(3). Please attach a copy of your qualifying documents to your online application. You may also provide our Human Resources office with the documentation so that our records will reflect your qualifications accurately. The Pascagoula School District does not offer the Work Keys tests for assistant teacher applicants. CARES of MS is a licensed ACT Work Keys Service Center and currently administers the Work Keys tests. They may be reached at or ext. 10. You may also visit their website for additional information and testing dates at Cafeteria Applicants: A copy of your application will be forwarded to the Child Nutrition Department. Cafeteria personnel are initially hired on a substitute basis. Substitutes are required to work, as needed, anywhere within the district (Pascagoula and/or Gautier). Permanent cafeteria employees will be hired from the substitute list. Questions regarding employment as a cafeteria worker should be directed to the Child Nutrition office at Custodial/Janitorial Applicants: A copy of your application will be forwarded to the Maintenance Department. Custodial personnel are initially hired on a temporary basis. Substitute custodians are required to work, as needed, anywhere within the district (Pascagoula and/or Gautier). Permanent custodial employees will be hired from the substitute custodian list. Questions regarding employment as a custodial worker should be directed to the Maintenance Department office at Transportation/Bus Driver Applicants: Transportation/Bus Driver applicants should contact the Transportation Department for a transportation application and information on obtaining a commercial driver s license. Transportation applicants must have at least a Class C commercial license with a P endorsement, pass a drug test and have a clear moving vehicle record. Questions regarding employment as a bus driver should be directed to the Transportation office at Return the attached application to the Human Resources Department. Keep this sheet for future reference! It is your responsibility to keep up with position vacancies that are posted. You may visit our website (www.psd.ms) for up-to-date listings of vacancies. We also have a job board at the District s Central Office.
2 PASCAGOULA SCHOOL DISTRICT EMPLOYMENT APPLICATION FOR CLASSIFIED EMPLOYEES Position(s) Desired (Check all that apply) DATE: Cafeteria Manager Secretary Assistant Teacher Cafeteria Worker Clerk Substitute Assistant Teacher Terms of Employment Maintenance Bookkeeper Hours per day preferred: Custodian Other Full-time Part-time Either Note: If you are interested in Substitute Teaching, you must apply with Kelly Services (toll-free ). NAME: _ Last First Middle STREET ADDRESS: Street City State Zip MAILING ADDRESS: (If different) Street City State Zip Telephone Alternate Telephone EDUCATION: High School Diploma: Yes No GED College Years Completed: (Circle one) Hrs Completed: Degree(s) Awarded: Assoc. BS BA Master s Paraprofessional Applicants (Assistant Teachers, Lab Assistants): In accordance with the No Child Left Behind Act of 2001, all paraprofessional applicants must meet one of the following requirements in order to qualify for employment: Associates Degree or above; 48 earned hours of college credit; WorkKeys tests for Reading (4), Math (4) and Writing (3) (minimum scores) Please attach a copy of your transcripts and/or degree; or Please attach a copy of your Work Keys test results: List scores: Reading Math Writing Written verification of qualifications will be required prior to employment. Do you hold a Mississippi Teacher s License Yes No Class Areas of Endorsement: Food Service Applicants: Do you hold these certificates? School Food Service Manager Certificate Yes No Valid from to School Food Service Serv-Safe Certificate Yes No Valid from to Have you previously been employed by the Pascagoula School District? Yes No If yes, Date(s) of employment Position(s) Held: Reason(s) for leaving: Are you presently employed? Yes No If yes, with whom? Type of work List any office equipment that you are able to operate List any office and computer skills: Date available for employment: information, veteran status.
3 EDUCATION Name of School and Location; Include High School, College Graduate, Post Graduate Work in Order Taken Degree Received Major Subject Sem. Hrs. in Major Minor Subject Sem. Hrs. in Minor EMPLOYMENT List most recent employment first Name and Address of Employer Period of Service Month-Year Length of Time Employed (Months or Years) Position and Job Duties Reason for Leaving Have you ever been asked to resign, been discharged, or failed to be employed? Yes No If yes, give details MS Code Section requires that all employees hired by school districts on/after July 1, 2000, have a criminal background check conducted on them. All Employees hired by the Pascagoula School District must pass a criminal background and child abuse registry check at their own expense before being allowed to begin work. Have you ever been convicted of an offense other than a misdemeanor? Yes No If yes, explain REFERENCES List four (4) references. Include supervisors under whom you have worked. Please do not list relatives as references. Name Employer Official Position Address (Street, City, State, and Zip) Telephone Read carefully and sign the following statement.--by my signature I attest the information contained in this application is true and represents me accurately. If employed, I agree to abide by all the policies approved by the Board of Trustees and will cooperate fully with in-service programs for improvement. I understand that this application will remain in the active file for a period of two years and will be classified as inactive unless I notify the Human Resources Office in writing to keep the application current. I hereby authorize any previous or current employer, educational institution, law enforcement agency, or other agency to release to the Pascagoula School District any information requested in connection with this application for employment. I further release and hold harmless any previous or current employer, educational institution, law enforcement agency, or other agency that furnishes written or oral information requested in connection with this application for employment. Date Signature
4 PASCAGOULA SCHOOL DISTRICT EMPLOYEE DATA SHEET The information requested on this page is being collected to monitor this school district s efforts to provide equal employment opportunity as requested by civil rights laws. The Pascagoula School District has a policy of non-discrimination on the basis of age, sex, race, color, religion, disability, national origin, genetic information, or veteran status. EMPLOYEE: Last First Middle Maiden ADDRESS: Street City State Zip SOCIAL SECURITY NO: DRIVER S LICENSE NO: DATE OF BIRTH: SEX: RACE: Have you ever been convicted of a felony? Yes No (If Yes, please explain) Do you have any disabilities that may require accommodation? Yes No (If Yes, please explain): Are you a graduate of the Pascagoula School District? Yes No Last Employer: Name of Employer Employer s Address Nearest relative not living with you: Name Address Telephone Signature: Date:
5 Pascagoula School District Instructional Administrative Services Center Human Resource Department 1006 Communy Avenue P. O. Box 250 Pascagoula, MS Telephone (228) Fax (228) PERMISSION FOR BACKGROUND CHECK Effective , Ms. Code Section requires that all employees hired by school districts on/after July 1, 2000, shall have a criminal background check conducted on them. I understand that, as a potential employee of the district, I am responsible for the cost of the background check and it will be deducted from my first payroll check (not to exceed $50). I give my permission for the Pascagoula School District to conduct a criminal background check with the FBI and State of Mississippi, child abuse registry check with law enforcement, previous employers, and any other persons to determine my suitability in working with children. I further understand that this information shall only be used in regard to my association with the Pascagoula School District. Kelly Services employees: are responsible for the costs of the background check. Payment is due at the time fingerprints are taken (CASH only). As an employee of Kelly Services, I give my permission for the Pascagoula School District to inform Kelly Services as to the results of my background check as A - Acceptable, or U - Unacceptable. I UNDERSTAND THAT MY POTENTIAL AND/OR CONTINUED EMPLOYMENT OR ASSOCIATION WITH THE PASCAGOULA SCHOOL DISTRICT WILL BE DETERMINED BY THE RESULTS OF THIS BACKGROUND CHECK. I ACKNOWLEDGE RECEIPT OF THE FINGERPRINT RECORD USE/DISSEMINATION NOTICE. Printed Name: Address: Social Security #: Date of Birth Signature Date: