SPEECH/LANGUAGE PATHOLOGIST

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Conditions of Employment

  1. Are you legally eligible to work in the United States?
  2. Are you able to meet the attendance requirements of the position?
  3. Agreement, Authorization, Waiver and Release may be sent to all references. I hereby certify that the information contained in this application is true, accurate and complete, to the best of my knowledge and belief. I understand and agree that any misrepresentation or willful omission of facts shall be sufficient cause for disqualification of my application or for termination of my employment. Failure to provide all or part of the information requested may result in the refusal of the Hobbs Municipal School District to further consider me for possible employment. I hereby authorize the Hobbs Municipal Schools District and its agents to investigate my work history and education history and to conduct personal inquiries. I understand that the Hobbs Municipal School District will send a copy of this Agreement and Authorization to each individual or entity from whom it is seeking a reference or background information, if requested. I hereby authorize the party receiving a copy of this electronically signed form (including a photocopy or facsimile copy) to provide and release complete information as may be requested, and I hereby waive any claim of confidentiality I might have with regard to such information. I hereby release any person or entity providing information or records in accordance with this Agreement, Authorization, Waiver, and Release from any and all claims or liability for compliance. I am also waiving any right of action, cause of action or other means of redress I may have against any person or entity supplying employment related information - including but not limited to information concerning my background, work history, and disciplinary history - to the Hobbs Municipal School District under a guarantee of confidentiality. I understand and agree that if I am considered as a finalist for, or I am actually recommended for employment, I will submit to a criminal background investigation, including mandatory fingerprinting, at my expense, to determine my acceptability for employment. Criminal convictions shall not automatically bar an applicant from obtaining employment with the School District, but pursuant to the Criminal Offender Employment Act of New Mexico (NMSA 1978, 28-2, et seq.), such convictions may be the basis for refusing employment. I understand that my employment offer is contingent upon the satisfactory completion of all background checks. I understand that the information contained in this application and the information submitted by me or obtained pursuant to this agreement and authorization is confidential, for the exclusive use of the Hobbs Municipal School District and its agents for employment decisions, and will not be transferred to any other entity without my written authorization unless required to be disclosed upon request by either New Mexico or federal law.
General Questions
  1. Have you ever been employed by the Hobbs Municipal Schools?
  2. If you answered yes to question #1 please indicate when and in what capacity.
  3. When are you available to begin employment?
  4. If you answered other to #3 please indicate date of availability.
  5. Have you ever been involuntarily terminated from another school district?
  6. If you answered yes to #5, please give the district, the date and the reasons for termination.
  7. If you would like to coach a sport, please check the box next to each sport below that you would be willing to coach.
  8. If you would like to sponsor an activity please check the box next to each activity below that you would be willing to sponsor.
  9. In what languages other than English are you fluent?
  10. Have you ever left a school district during the school year for reasons other than medical, or relocation?
  11. Have you ever received a less than satisfactory employment evaluation from any employer?
  12. Have you ever been asked to resign, had your contract, non-extended, non-renewed or been terminated by a school system? If so, please explain.
  13. List three most recent references. Include supervisors, co-workers, principals, superintendents, or others whom you have worked for and who have first hand knowledge of your character and demonstrated competence for the position for which you are applying. PROVIDE ALL INFORMATION NECESSARY FOR US TO CONTACT THESE REFERENCES INCLUDING: NAME OF REFERENCE, POSITION/RELATIONSHIP, COMPLETE MAILING ADDRESS AND CONTACT PHONE NUMBER.
  14. Are you aware of any reason you would not be able to perform the duties of the position for which you are applying as outlined in the applicable for this position? If yes, please explain.

Benefits
10 days sick leave
3 days personal leave
District paid $50,000 basic life insurance
Attachments
Resume*
Transcripts*
Professional License NM
Professional License - not NM
Competency Test Scores

References
Certified : 3 of 5 external references required.
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