CAMPUS NURSE ASSISTANT

EEOC DISCLAIMERInternational Leadership of Texas provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, International Leadership of Texas complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.International Leadership of Texas expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of International Leadership of Texas employees to perform their job duties may result in discipline up to and including discharge.Years Of Experience* Years of Experience in Related FieldConditions of EmploymentI understand that I may be required to submit to a fingerprint background check at my own expense before employment or at any time during my employment.Are you legally authorized to work in the United States? (If offered employment, you will be required to complete an Employment Eligibility Verification Form (I-9) and produce documentation of identity and authorization to work).I understand ILTexas does not petition or sponsor an employment visa.I authorize representatives of International Leadership of Texas to contact all persons and entities listed on this application and to make all contacts, inquiries and investigations which they deem necessary in order to verify my education, employment and criminal history. I consent to the release by third parties of information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing same to the District.I understand that International Leadership of Texas will keep such information in a confidential file, available only to appropriate district officials. I understand this application and all supporting material submitted becomes the property of the International Leadership of Texas which reserves the right to accept or reject said application.I understand that International Leadership of Texas is an equal opportunity employer and does not discriminate in hiring decisions based on any state or federally protected right.I hereby affirm that all information, without exception, provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsification, misrepresentation, or omission of fact may be grounds for rejection of my application or employment or dismissal from subsequent employment by International Leadership of Texas.General QuestionsPlease enter your Social Security Number.How did you hear about ILTexas?If you were referred by an ILTexas Employee, please state the ILTexas employee's first and last name and department and/or campus.Are you a current or former employee of the district? If yes, please list campus, position, and dates worked.Have you retired from Teacher Retirement System(TRS)? If yes, please provide retirement date. If no, type N/A.Are you an active member of TRS?Are you a relative of any current ILTexas board member or a relative of any current ILTexas employee by blood or marriage?A relative shall include the following relationships: relationships established by blood, marriage or legal action. Examples include (but are not limited to) the employee: spouse, mother, father, son, daughter, sister, brother, mother-in-law, father-in-law, sister-in-law, brother-in law, daughter-in-law, stepparent, stepchild, aunt, uncle, nephew, niece, grandparent, grandchild or cousin. The term also includes domestic partners (a person with whom the employees life is interdependent and who shares a common residence) and, a daughter or son of an employee domestic partners. If yes, please state name, position held, and relationship. If no, please type N/A.Are you aware of any reasons why you would not be able to perform the duties of the position for which you are applying? If yes, please explain.Do you know any other language other than English? If yes, please indicate which languages and skill level.I understand that upon employment I must provide my official transcript(s) and service record if applicable.Have you ever been employed or currently employed by one of the following substitute staffing agencies?BenefitsLeave days offered by ILTexas:* 3 Local Days- Do not rollover to the following year.* 5 State Days- Unused days will rollover.You will only receive the full amount of days if you complete the full year.Benefits:* Medical Insurance (TRS ActiveCare) Blue Cross Blue Shield & Express Scripts Pharmacy Prescription. ILTexas medical employee-only contribution is $450 for ActiveCare Primary and $462 for ActiveCare HD and Primary Plus.* Free $50,000.00 Basic Life Insurance (The Hartford)Supplemental Benefits:Available at additional cost/ILTexas does not contribute towards the plans listed below.Dental (Cigna)Vision (Avesis)Cancer (CHUBB)Accident Insurance (Pan American Life)Identity Theft (ID Watchdog)Disability Insurance (CHUBB)Voluntary Group Life (The Hartford)AD&D (The Hartford)Section 403b & 457 Retirement Saving Plans (National Benefit Services)HealthCare FSA (National Benefit Services)Dependent Care FSA (National Benefit Services)HSA (EECU)EAP (The Hartford)Hospital Indemnity Plan (CHUBB)Critical Illness (CHUBB)Telehealth (MDLive)Pet Insurance (MetLife)For more information, please visit our ILTexas Benefits Portal at: http://www.mybenefitshub.com/iltexasAttachmentsRESUME / CURRICULUM VITAE*TRANSCRIPT WITH DEGREE DATE*STATE ID / DRIVERS LICENSE*SOCIAL SECURITY CARD*OTHERReferencesGENERAL: 2 of 3 external references required.