Substitute Kitchen Help

Special Education Attendant Job Description

A BCI and FBI criminal background check and completed application are required before you can be placed on the substitute list. The ESCLC Fingerprinting application is attached. Please call Judy Baumann at View phone number on click.appcast.io, or by email at View email address on click.appcast.io, with questions or needing more information about this job.

I authorize the ESC to bill our organization/district

Authorized signature from organization/district

1885 Lake Ave, Elyria

Phone: View phone number on click.appcast.io Fax: View phone number on click.appcast.io Email: View email address on click.appcast.io Scan to schedule

FINGERPRINTING HOURS: ONLINE: Monday - Friday 8:00am 3:00pm -or- CALL: View phone number on click.appcast.io Appointment required

CHECK WHICH CRIMINAL RECORDS CHECK IS NEEDED BCI (Ohio) only $32 FBI (Federal) only $34 BCI & FBI $60 CASH, CHECK, OR MONEY ORDER ONLY. NO CREDIT/DEBIT CARDS

CHECK DIRECT COPY MAIL TO (if applicable) ODE ODJFS Type A Daycare Board of Nursing OH Dept of Pharmacy Social Work Board Occ./Phy. Therapy BMV Dealer

COMPLETE YOUR INFORMATION FIRST NAME: Click here to enter text. LAST NAME: Click here to enter text. STREET ADDRESS: Click here to enter text. CITY, ZIP: Click here to enter text. DATE OF BIRTH: SOCIAL SECURITY #: Click here to enter text. (MMDDYYYY) (xxx-xx-xxxx) Click here to enter text. Click here to enter text.

PHONE NUMBER: JOB TITLE: (ex: teacher, volunteer, bus driver, sub, nurse, etc)

MAIL MY RESULTS TO ORGANIZATION/DISTRICT NAME: FIRELANDS LOCAL SCHOOL DISTRICT STREET ADDRESS: If a Lorain County School District do not enter address CITY, STATE, ZIP If a Lorain County School District - do not enter address

I hereby certify that I have given the above organization/district permission to obtain a copy of any arrest or conviction record pertaining to me in the file of the Ohio Bureau of Criminal Identification/Federal Investigation.

I understand that, if the release is statutorily required as a condition of employment, or being a volunteer, the Educational Service Center of Lorain County (ESCLC) will be provided with any additional arrestor conviction record pertaining to me entered into the files of the Ohio Bureau of Criminal Identification Investigation for a period of one year following the date of the execution of this release. I hereby release Ohio Bureau of Criminal Identification/Federal Investigation, the ESCLC and all individuals connected therewith from all liability in connection with the dissemination of such arrest and conviction data.

Signature: Date:

SIGN and DATE AT YOUR APPOINTMENT By signing, you are agreeing that the information on our computer screen is entered correctly by the fingerprinting agent.

SAVE AND EMAIL FORM: Save as your last name and email as attachment to View email address on click.appcast.io.

BRING THE FOLLOWING 3 ITEMS TO YOUR APPOINTMENT 1. Photo ID (Driver's License/State ID) 2. Payment (NO credit/debit cards) 3. Facial Covering (mask)

Office Use Only: Cash Check# Money Order #

North Coast Council Application Consortium