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2018-19 School Year Substitute Questionnaire
Please fill out the questionnaire below to apply for substitute positions with the Lake County ESC or participating districts. All fields are required.  Please note, additional paperwork may be required. 

Please choose one of the options below

Indicate your interest in the below positions:




First Name
Last Name
Street Address, City, State and Zip Code
Contact Phone
Email Address
Please indicate the License or Permit Type you currently hold or are applying for:




Please list any additional information regarding your license below (type/area of license):
License/permit expiration date, date you applied for a license/permit, or N/A if you do not hold or have not applied for a license/permit.
Indicate your interest in Lake County ESC Programs:






Indicate your interest in Lake County ESC Preschool Programs:



Indicate your interest in district specific positions -- certified teachers only:





I am NOT currently under a full-time contract with any other Ohio School District
Are you eligible to work in the United States?
Notice of Unemployable Offenses: Ohio Revised Cord (O.R.C.) 9.73 permits public employers to place on their employment applications notice of Ohio and federal laws that disqualify an individual with a particular criminal history from being hired for certain school district positions. Be advised that public schools and educational service centers are prohibited from employing: (1) anyone who has been previously convicted of or pleaded guilty to the offenses listing in O.R.C. 3319.39; (2) anyone in a teaching position who has previously been convicted of or pleaded guilty to any of the offences listed in O.R.C. 3319.39 and O.R.C. 3319.31; and (3) anyone in a pupil transportation position previously convicted of or pleaded guilty to any of the offenses listed in O.R.C. 3319.39 and Ohio Administrative Code 3301-83-23. Additionally, public schools and educational service centers are required by law to conduct criminal records checks for most positions before employing individuals.
Lake County Educational Service Center is an Equal Opportunity Employer. Lake County Educational Service Center ensures equal employment opportunities regardless of race, creed, gender, color, national origin, religion, age, sexual orientation or disability. Lake County Educational Service Center has a policy of active recruiting qualified minority teachers and non-certified employees. Any individual needing assistance in making application for any opening should contact the Department of Human Resources. By marking the box below I acknowledge that I have read and understand this statement.
Candidate authorizes the school district to conduct an investigation of candidate pursuant to The School Code to determine whether candidate has been convicted of any criminal or drug offenses as set forth in such statute, and, upon request agrees to execute an investigation authorization form as a condition for candidate's employment. The School Code also stipulates that the School District perform a check on the Statewide Sex Offender Database. Candidate may not be employed unless such investigations have been initiated. By marking the box below I acknowledge that I have read and understand this statement.
Have you ever had a teaching certificate or teaching license revoked or suspended?
If you answered yes to the previous question, please explain.
Have you ever failed to be rehired, been asked to resign a position, resigned to avoid termination or terminated from employment?
If you answered yes to the previous question, please explain
Are you a relative of any board member, administrator or supervisor who is currently service the ESC or School District?
If you answered yes to the previous question, please provide name, position and relationship of the relative.
Can you perform all essential job function(s) of the position for which you are applying, with or without reasonable accommodations?
Please list any special accommodations
Government agencies require us to collect information and file periodic reports regarding the gender, race and/or ethnicity of applicants. The data collected enables us to analyze our hiring processes, and to ensure equal employment opportunity. The information requested below is voluntary and will not be available to individuals involved in the hiring process. This information is kept separate from your application so that it remains confidential. By choosing an option below you are acknowledging that you read this statement.
OPTIONAL: Gender
OPTIONAL: Ethnic Group: This question is about ethnicity not race. No matter what you choose please continue to answer the rest of the questions
OPTIONAL: Racial Group: No matter what you selected above, please mark one or more boxes to indicate what you consider your race to be.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

4 + 2 =
Lake County Educational Service Center

8221 Auburn Road, Concord Township, Ohio 44077
Phone: 440.350.2563
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