Apply for School Nurse - Perm/Prov RB# 22 - 193b

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:School Nurse - Perm/Prov RB# 22 - 193b
ID:7445
Department:Other
Location:City Hall
Division:Civil Service
Type:N/A
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
Cell Phone:
* Email:
* Current Employee: Yes    No   
Employee Number:
Opt-In Confirmation
I authorize recruiters from Buffalo Public Schools to send text messages from 8775649458 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Resume:
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Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Residency
Proof of domiciled City of Buffalo residency is a requirement to be considered for this position.
* Have you been a domiciled resident of the City of Buffalo for at least the last 90 days?
Yes
No
If no, are you able and willing to establish domiciled residency within the City of Buffalo within 90 days?
Yes
No
General Questions
* Have you submitted an application with us before?
Yes
No
* Have you ever been employed with us before?
Yes
No
* Have you ever been dismissed, asked to resign, or non-renewed from a school system?
Yes
No
* Can you travel if a job requires it?
Yes
No
* Are you in the NYS Retirement System?
Yes
No
If yes, what is your NYS Retirement ID Number?
* Are you working or able to work in the U.S. with a Visa?
Yes
No
If Yes, what type of visa?
* Have you been fingerprinted pursuant to Part 87 of the Regulations of Commissioner of Education?
Yes
No
* Do you speak another language fluently?
Yes
No
If so, what language(s)?
* Are you 18 years of age or older?
Yes
No
* Have you been a City of Buffalo resident for a least 90 days?
Yes
No
* Do you possession of a license and current registration as a REGISTERED NURSE issued by the NYS Department of Education?
*** Note -License must be  presented at time of filing application.***
Yes
No
If yes please provide the license registration # and date of issuance?
Yes
No
Registered Nurse License
Minimum requirements of this position are a license and current registration as a REGISTERED NURSE issued by the NYS Department of Education.
* Do you possess a license and current registration as a REGISTERED NURSE issued by the NYS Department of Education?
Yes
No
Employment - Non Teaching
* Are you currently employed?
Yes
No
Name of most current employer?
Job Title?
Street Address
City
State
Zip
Start date?
End date? (leave blank, if still employed)
Supervisor's Name?
Provide a brief description of the duties you perform(ed):
Specific reason for leaving (or seeking other employment)?
May we contact this current employer?
Yes
No
Name of employer prior to the most current?
Job Title?
Street Address
City
State
Zip Code
Start Date
End date? (leave blank, if still employed)
Supervisor's Name?
Provide a brief description of the duties you perform(ed):
Specific reason for leaving (or seeking other employment)?
May we contact this employer?
Yes
No
Name of employer prior to the previously listed employer?
Job Title?
Street Address
City
State
Zip
Start date?
End date?
Supervisor's Name?
Provide a brief description of the duties you performed?
Specific reason for leaving (or seeking other employment)?
May we contact this employer?
Yes
No
Educational Background - Bachelors and Masters
* Do you have a Bachelors Degree?
Yes
No
* College (Undergraduate)    
Name of College:    
Major/Minor:
Degree:
Date of Graduation:
* Do you have a Master's Degree?
Yes
No
* College (Graduate)  
Name of College:  
Major/Minor:  
Degree:
Date of Graduation:
Vocational/Technical
References
* First Reference Name:
* Contact Information: (i.e. address and phone number)
* Second Reference Name:
* Contact Information: (i.e. adddress and phone number)
* Third Reference Name:
* Contact Information: (i.e. address and phone number)
Conviction or Dismissal
* Have you ever been convicted of a felony or misdemeanor crime?
Yes
No
* Are you the subject of pending criminal charges or investigation?
Yes
No
* Have you ever had your teaching certificate suspended or revoked?
Yes
No
* Were you ever dismissed from a school district conferring tenure pursuant to Education Law section 3020a?
Yes
No
Applicant Statement
* I certify that the answers given herein are true and complete without omissions of any kind. I understand that any misleading or incorrect statements will render this application void, and if employed will result in termination. I agree that The Buffalo Public School District shall not be held liable in any respect if my employment is terminated because of false statements, answers or omissions made by me in this application.

I also authorize pertinent; companies, schools, agencies or persons to give any information requested regarding my employment, character, experience, qualifications and/or suitability for employment. I hereby forever release, discharge and covenant not to sue any person or organization for any result of providing, obtaining or acting upon such information. I understand that such information is sought with confidentiality and I will not request copies of such information. In addition, a copy of this authorization is as valid as the original and should be recognized as such.

I understand that any offer of employment or continued employment, if hired, may be conditioned upon a background check and physical examination, including substance abuse screening. Refusal to participate will result in termination or denial of employment.
Yes
No
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred - a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5,1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.

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