Drug Free Workplace

The School Board of Levy County policy requires drug testing. After being offered employment and prior to reporting to your worksite, the Principal or Worksite Supervisor will direct you to report for a drug test within 24 hours. Your name and social security number will be forwarded to the lab. Failure to report to the lab within 24 hours of a job offer or a positive test will result in the job offer being rescinded. Please take positive photo identification with you. At the lab, you will be asked to provide a urine sample. The SBLC will be billed and pay for the test. The lab is open from 8:00 a.m. to 3:00 p.m. The lab's doctors will notify you of any positive test results, as well as notifying our office. We may have a conference with you to discuss positive test results and you will be notified in writing of the results. If you have not been contacted by the Personnel Office about a positive test result, you may report to work. I hereby affirm that I have received this information on SBLC policy regarding drug testing. I understand that employment is contingent upon reporting to the lab for drug testing within 24 hours of a job offer and a negative test result.

Conditions of Employment

* Are you a U.S. citizen or otherwise legally authorized to work in the U.S.?

* Are you willing to submit to a drug test?

* Are you willing to submit to a Level 2 Criminal Background check?

* Do you understand that any false or misleading information in this application (or any omissions of information) shall be full and sufficient grounds to refuse to employ or having been employed shall be immediate cause for dismissal?

General Questions

* List skills/certifications/licenses you possess which are pertinent to the position you are applying for (i.e., 10-key calculator, computer, air conditioning, auto mechanic)

* Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer; or have you offered a resignation to your previous employer because of an investigation or consideration of discharge for misconduct? Please answer "yes" or "no".

* If "yes" explain the circumstances.

* Have you ever been convicted, found guilty, had adjudication withheld, entered a pre-trial diversion program, or pled guilty or nolo-contendere, (no contest) or guilty to any offense classified as a felony or misdemeanor? Please answer "yes" or "no".

* If "yes" explain the circumstances.

* Have you ever had a positive drug test, or been tested for alcohol on or after January 1, 1995 and the results yielded a concentration of .904 or greater, or have you ever refused to be tested for alcohol, drugs and/or controlled substances?

* If "yes" explain the circumstances.

Social Security and ADA

Social Security Numbers are collected and will only be used to prevent application duplication, to conduct background checks, and, once hired, to process payroll, employment benefits, and retirement benefits.

Attachments

Substitute Certificate

High School Diploma

References

Reference must be work related-NI/Sub: 3 of 7 external references required.