Apply for Coach - Boys Tennis - Varsity - PS 197 Math Science Technology Preparatory School RB# 25-305

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Summary
Title:Coach - Boys Tennis - Varsity - PS 197 Math Science Technology Preparatory School RB# 25-305
ID:10226
Department:Other
Location:School Location
Division:Instructional
Type:Athletics
Contact Information
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General Questions - Edited 7/2023
* Have you ever submitted an application with BPS?
Yes
No
* Have you ever been employed by BPS (if  not a current employee)?
Yes
No
If you are a former employee, when were you last employed by BPS and what position did you hold? (Month/Year)
* How did you hear about this employment opportunity?
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If other, please explain:
* Have you ever been dismissed or asked to resign from employment; or had an employment contract non-renewed in lieu of termination?
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If yes, please explain:
* Can you travel if a job requires it?
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* Are you legally authorized to work in the United States?
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I am a United States Citizen
* Will you now, or in the future require Buffalo Board of Education to commence (sponsor) an immigration case in order to employ you (for example, H-1B or other employment-based immigration case)?
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* Have you been fingerprinted pursuant to Part 87 of the Regulations of Commissioner of Education?
Yes
No
* Do you speak another language fluently?
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No
* If so, what language(s)?
* Are you 18 years of age or older?
Yes
No
Coaches Certification/License
* Do you hold a New York State Certification?
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No
* If so, in what subject area is your certification? If not type NA
* * How does your name appear on your NYS Certification?
* What type of certification is it?
Permanent
Professional
Provisional
Initial
Trans A
N/A
* Do you hold more than one certification in New York State?
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If so, in what other areas are you certified?
* Are you certified in First Aid?
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No
* If so, when does it expire? If not type NA
* Are you certified in CPR/AED?
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No
* If so, when does it expire? If not type NA
* Have you completed DASA training?
Yes
No
* Have you completed a Child Abuse Identification Workshop?
Yes
No
* Have you completed a SAVE Workshop?
Yes
No
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. Refusal to participate will result in termination or denial of employment.
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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:
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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
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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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