Riverview School District Application For Employment printable pdf download

Riverview School District Application For Employment

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RIVERVIEW SCHOOL DISTRICT

APPLICATION FOR EMPLOYMENT

Position Desired: ________________________________________

Date: ___________________

Name: _________________________________________________

SS # ___________________

Address: _____________________________________________________________________________

Phone: _________________________________

Email:

Yes

Current Riverview School District Employee:

If Yes:

Current Position: ___________________________________________

Full-time ___ Part-time ___ Substitute ____ Long-term Substitute ____

Building Assignment:_______________________________________________

NOTE: If you do not have valid clearances on file, you will be required to do so

prior to consideration for this position.

Your application must include the following:

If No:

Valid Act 34 Clearance (Criminal)

Valid Act 151 Clearance (Child Abuse)

Valid Act 114 Clearance (FBI Fingerprint)

PDE-6004 Form

Act 168 Disclosure

Physical Exam within one (1) year (not needed for Volunteer position)

Tuberculin Skin Test Results – current or within past three (3) months

Valid Act 126 Clearance (Mandated Reporter)

Background Check

PA Law (Act 34, 1985) “... shall require prospective employees to submit with their employment application a report of

criminal history record information from the PA State Police or a statement from the PA State Police that the State Police

Central Repository contains no such information relating to that person.” Also PA Law (Act 151) requires a Pennsylvania

Child Abuse History Clearance be obtained from the Department of Public Welfare. All applicants will submit a report of

FBI criminal history record (Act 114) through the PA Department of Education.

Riverview School District Application For Employment