Human Resources How to Hire Manual 2013 - 2014

Human Resources
How to Hire Manual
2013 - 2014
Revised: 2/25/2013
Table of Contents
Page
Introduction to the “How to Hire” Manual --------------------------------------------- 2
Advertising
Advertising Vacancies ---------------------------------------------------------------- 3
Length of Advertisement ------------------------------------------------------------- 4
Changes to Advertisement ----------------------------------------------------------- 4
Cancellation of Advertisement ------------------------------------------------------ 4
Staffing Procedures ---------------------------------------------------------------- 5-6
Interviewing
Applicant List -------------------------------------------------------------------------- 7
Interviewing Candidates -------------------------------------------------------------- 7
Hiring
Recommending an Applicant -------------------------------------------------------- 8
Fingerprinting for FDLE/FBI -------------------------------------------------------- 9
Drug Testing ----------------------------------------------------------------------- 9-10
Certification Needs ------------------------------------------------------------------ 11
Notice of Personnel Action (NPA)------------------------------------------------ 12
Orientation
New Employee Orientation -------------------------------------------------------- 13
Work Verification ------------------------------------------------------------------- 14
Appendices of Forms
Leave of Absence -------------------------------------------------------------------- A
Notice of Employment Termination ----------------------------------------------- B
Request to Advertise ----------------------------------------------------------------- C
Applicant List ------------------------------------------------------------------------- D
Interview Disposition -----------------------------------------------------------------E
Telephone Reference – Instructional ----------------------------------------------- F
Telephone Reference – Support ---------------------------------------------------- G
Assessment/Testing Needs ---------------------------------------------------------- H
Example Letter for New Graduates ------------------------------------------------- I
Out of Field Assignment ------------------------------------------------------------- J
Notice of Personnel Action --------------------------------------------------------- K
Work Verification – Instructional ---------------------------------------------------L
Work Verification – Support ------------------------------------------------------- M
1
HOW TO HIRE MANUAL
Introduction
The “How to Hire” manual is a resource made available by the Human Resources Division. It is designed to
assist site and division personnel regarding advertising vacancies or recommendations of persons to be hired.
The intention is to promote an understanding of the sequence of necessary procedures that are involved in the
employment process for the School District of Volusia County.
The Human Resources Division employees remain available to assist you, should any problems or unique
circumstances develop somewhere in the advertisement or employment process. Please call the extension
identified on the Human Resources directory for specific questions.

If the advertisement does not show up on the Vacancy website after 48 hours, contact the
Advertisement Section, extension 20185; or

If certification problems continue or remain unresolved, contact the Certification Section,
extension 20660; or

If the inquiry is regarding the status of the application, contact the Application Processing
Section at extension 20177 or 20179.

For hiring clearance issues contact the Screening & Hiring Section at extension 20183 or 20184.
All forms mentioned within this training manual are available online by visiting the Volusia County Schools
website, select the Staff icon, select Forms and Report Management and click on Look Up a Form. Enter the
form title or number on the look-up page for the needed form.
2
ADVERTISING
ADVERTISING VACANCIES
A vacancy occurs when a current employee leaves their existing position or a new position is created. The
appropriate form(s) must be submitted to Human Resources before a Request to Advertise can be processed.
The work site will use one or more of the following forms to create the vacancy:
1. Leave of Absence – A leave of absence is for a predetermined time within the school year. Please see
Staffing Procedures section on page 5 to determine staff replacement [Appendix A].
2. Resignation/Retirement – A Notice of Employment Termination (NET) must be submitted with a valid
effective date for any employee that is terminating their position. Employees cannot resign on a nonwork day or a paid holiday, or use leave time to extend a resignation/retirement date. The effective date
is at the end of the last day worked [Appendix B].
3. Transfer – A transfer occurs when an employee retains continuity of employment but moves to a new
work site or a position is reclassified. A Notice of Personnel Action must be completed by the receiving
school/department following the procedures found on page 12.
4. New Position – All new positions and any revisions to a current position must be approved prior to the
Request to Advertise submission.
5. School Way Café and Extended Day Vacancies – All School Way Café (SWC) vacancy requests must
be submitted by the SWC Department. All Extended Day vacancy requests must be submitted through
the Extended Day Enrichment Office.
To submit a Request to Advertise, go to the VCS website at http://www.volusia.k12.fl.us/eforms/vacancy.asp.
We encourage you to place this in your favorites. We have provided descriptions of each field on the Request
to Advertise form [Appendix C].
To submit a Request to Advertise:
1. Complete all fields. If information is not needed for the position, it is necessary to enter N/A in the box.
2. If you are requesting an advertisement begin date in the future, please note the future begin date in the
Comments section of the Request to Advertise.
3. Before pressing the submit button, print a copy.
4. When the submit button is selected, the request will automatically be forwarded to Human Resources.
5. If any information is omitted, a message in RED will appear at the bottom of the screen. NOTE: There
are three (3) areas that will not give the error message but will block transmission of the request. They
are: Grant Funded, Re-Advertisement and Category. Verify the completeness of your request before
submitting and watch your email for receipt of your posting on the web.
6. Requests submitted prior to 10 A.M. will be verified for all requirements that day. If complete, the
advertisement should be posted that same day. When submitted after 10 A.M., the position will be
posted on the next business day.
7. If the position is not cleared, the advertisement will not post until all requirements are met.
8. If you do not receive email notification within 48 hours of submitting the Request to Advertise, notify
the Advertisement section at extension 20185.
NOTE: Questions concerning position codes, funding and the creation of positions should be directed to the
Budget Office, extension 20334.
3
ADVERTISING
LENGTH OF ADVERTISEMENT
The minimum lengths of advertisement described below must be met. However, longer periods of
advertisement may be requested. If you desire a longer time, indicate such in the Comments section.
INSTRUCTIONAL VACANCIES:
The advertisement of vacancies is addressed in the Volusia Teacher Organization (VTO)
negotiated contract in Article 15 – Transfer and Vacancies, which, in paragraph “D”, states as
follows: “Vacancies shall be advertised for three (3) work days beginning the day after post
planning and concluding July 31. From August 1 through post planning, vacancies shall be
advertised for two (2) workdays.”
In calculating whether a vacancy has been advertised for a sufficient time period under the
above stated requirements, the parties hereby agree that the day in which the vacancy is first
advertised shall count as a full day, provided the vacancy is advertised by no later than 4 P.M.
SUPPORT VACANCIES:
Negotiated contract language states that all support vacancies must be advertised at least (5)
workdays for American Federation of State and Municipal County Employees (AFSMCE) and
three (3) days for Volusia Educational Support Association (VESA).
CHANGES TO ADVERTISEMENT
Certain changes to vacancy announcements, once the correction is entered on the web, may result in the original
list of applicants being automatically deleted. It is so important, therefore, to be accurate with data on the
Request to Advertise.
CANCELLATION OF ADVERTISEMENT
Cancellation of an advertisement is highly discouraged as it results in confusion, additional work for all and
frustration for the candidates that have already applied.
If it is decided to cancel an advertisement, email the Human Resources contact in the Advertisement Office
immediately. If an advertisement has not already been made available to applicants, it can be cancelled. If it
has already been posted to the web, it will be deleted and the applicants will need to be notified of the change(s)
by the school or department advertising and request they reapply when the new posting is available.
4
ADVERTISING
STAFFING PROCEDURES
FOR POSITIONS VACATED BY EMPLOYEES ON BOARD-APPROVED LEAVE OF ABSENCE
SUBSTITUTE: Person hired as a replacement for an employee whose anticipated leave of absence will
not exceed 30 workdays:
1. Job need not be advertised.
2. Paid as a regular substitute with no benefits*.
3. No interview disposition form is required; clearance to hire is same as regular substitute.
4. Paid using standard substitute procedure. Job record is substitute teacher with no unique position
coding required.
Employment of substitutes for clerical, non-ESE paraprofessionals, and other non-bargaining
positions MUST be approved in advance.
LIMITED TERM REPLACEMENT: Employee with the appropriate certification, who is hired as a
replacement for an employee whose anticipated leave of absence is for a period of more than 30
workdays but less than 90 workdays:
1. Job need not be advertised.
2. The rate of pay will be based on the salary schedule for the position but at the eligible rank and/or
step of the person hired as the replacement.
EXCEPTION: Those employees returning to work who terminated under the Voluntary Incentive
Program (VIP) will be placed on the entry-level step.
3. No benefits*.
4. Two (2) telephone references with the most recent supervisors are required, as well as the
submission of the interview disposition form to the Human Resources Division.
5. Paid for time worked in each pay period under established pay type for limited term.
TEMPORARY REPLACEMENT: Employee with the appropriate certification, who is hired as a
replacement for an employee whose anticipated leave of absence is for a minimum of 90 workdays but
does not exceed six calendar months:
1. Job advertised in accordance with School Board policy or the applicable collective bargaining
agreement with appropriate ending date.
2. Person hired will receive all benefits excluding enrollment in the Florida Retirement System.
These employees will be placed under the Alternate Social Security Plan (Bencor) for an
individual retirement benefit.
3. Two (2) telephone references with the most recent supervisors are required, as well as the
submission of the interview disposition form to the Human Resources Division.
4. Paid under regular pay type for this position.
*No benefits – Refers to the Florida Retirement, social security, sick/annual leave, paid holiday leave,
health insurance, life insurance, and other miscellaneous deductions. These employees will be placed
under the FICA Replacement Plan (Bencor) for an individual retirement benefit.
5
ADVERTISING
TEMPORARY – LONG TERM REPLACEMENT: Employee with the appropriate certification, who
is hired as a replacement for an employee whose anticipated leave of absence exceeds six calendar
months:
1. Job advertised in accordance with School Board policy or the applicable collective bargaining
agreement with appropriate ending date.
2. Person hired will receive all benefits**.
3. Two (2) telephone references with the most recent supervisors are required, as well as the
submission of the interview disposition form to the Human Resources Division.
4. Paid under regular pay type for this position.
TRANSFERRING A CURRENT EMPLOYEE INTO A LEAVE OF ABSENCE VACANCY:
A current employee, with the appropriate certification or skills, who is hired as a replacement for an
employee whose anticipated leave of absence is during the school year:
1. Job advertised in accordance with School Board policy of the applicable collective bargaining
agreement with appropriate ending date.
2. One (1) telephone reference from the current VCS supervisor.
**Benefits include enrollment in the Florida Retirement System, social security, sick/annual leave, paid holiday leave, health
insurance, life insurance, and other miscellaneous deductions.
FOR POSITIONS VACATED BY EMPLOYEES THROUGH TRANSFER, TERMINATION, OR
CREATION OF A NEW POSITION (NO LEAVE OF ABSENCE INVOLVED)
INSTRUCTIONAL AND PARAPROFESSIONALS:*
INTERIM – Employee hired from the first day of the second semester to 30 workdays before the end
of the school year.
1. Job advertised in accordance with School Board policy or the applicable collective bargaining
agreement with appropriate ending date.
2. Employee hired will receive all benefits **.
3. Two telephone references with the most recent supervisors are required, as well as the
submission of the interview disposition form to the Human Resources Division.
4. Paid under regular pay type for this position.
SUBSTITUTE – Employee hired on or after the 30th workday before the end of the school year.
1. Job need not be advertised.
2. Paid as a regular substitute with no benefits*.
3. No interview disposition form is required. Clearance to hire is same as regular substitute.
4. Paid using standard substitute procedures.
Employment of substitutes for clerical, non-ESE paraprofessionals, and other non-bargaining
positions MUST be approved in advance.
ALL OTHER POSITIONS*
REGULAR – Standard hiring procedures should be followed.
*Temporary Assignment – Interim and Regular employees may be hired or assigned to positions that end on a designated
date.
6
INTERVIEWING
APPLICANT LIST
The Applicant List is a list of applicants that are interested in your position. This list is available during and up
to thirty (30) days after the posting of your vacancy. Lists are available only to those whose email address was
listed on the Request to Advertise. NOTE: Human Resources DOES NOT add names to the list once the
vacancy closes. If additional persons are to be considered, they must have submitted a resume for the job
(postmarked before the end date of the advertised vacancy.)
To view the applicant list, click on the Staff Icon and select the Warehouse Shopping Cart link on the VCS
home page and click on Applicant Administration. Once your vacancy is posted, you can begin to review the
applicants and their qualifications. A list of applicants can be viewed by clicking on the Description (or title) of
your position and then clicking on View to get further information on each applicant. You can see an example
of the applicant list in Appendix D. Recommendation of an applicant cannot be made prior to the closing date
of the advertisement.
Remember, applicant lists are only available to those whose email addresses have been listed on the Request to
Advertise. Please make sure that all email addresses listed are correct.
INTERVIEWING CANDIDATES
Hiring Managers are encouraged to interview at least (3) persons listed on the ‘Applicant List’ or any received
resumes. Please do not tell applicants the position is filled prior to the end date of the advertisement.
REMEMBER: Veterans who applied for the position and claim Veteran’s Preference must be given
consideration. In Volusia County, our consideration is that we must interview all veterans who apply for
positions.
7
HIRING
RECOMMENDING AN APPLICANT
A recommendation packet must be sent to Human Resources for the recommended candidate. The packet will
contain the following items:


Interview Disposition Forms [Appendix E]
o Completed for the recommended candidate
o Completed for the applicants that were interviewed but not selected
o Completed for all veterans on the Applicant List, whether they were the recommended applicant
or not
o Remember that comments should be work related for non-selection. (For example, not certified
in the area)
Telephone reference Forms [Appendix F & G]
o For new applicants, two (2) references are needed from their most recent supervisors. Please do
not use colleagues.
o For previous employees, two (2) references are needed with one of the references from the VCS
administrator who most recently evaluated their performance
o For current employees, one (1) reference is needed from the VCS administrator who most
recently evaluated their performance – if remaining at current school, no reference is needed
o For self-employed applicants, two (2) references are needed from vendors or clients of the
business. Under no circumstances are references from family members of friends accepted.
o For former military personnel with foreign or stateside assignments, the honorable discharge
papers and evaluations while in the military will be accepted.
The hiring paperwork can be submitted several ways. You can submit your paperwork by:
1. Fax machine – our number is 386-943-3426 or 386-626-0041 (please dial carefully; other fax machines
have similar or close numbers). Send to the attention of Hiring Section, Human Resources.
2. Mail paperwork to the HR office to Hiring Section, Human Resources.
3. Scan paperwork to a .pdf document and send by email. This would be our preferred option.
We would request that you send your paperwork in only one manner. We do not require an original signature
so you do NOT need to follow up your fax/email with hard copies.
Upon receipt of the recommendation packet, the Screening and Hiring Section will review the required items, as
well as verify certification and Federal, State, and local requirements/laws. If testing is required to meet the
position qualifications, the applicant must contact our Assessment Section to receive the information. Contact
extension 20312 to request information or to schedule an appointment [Appendix H].
The school/department will be notified if fingerprinting and drug screening are required. The procedures and
locations for these screenings are available on page 9. If screenings are required, wait until you receive email
notification to send the recommended candidate for them.
Once the application and screening review is complete and required documents are in order, the hiring site will
be contacted and authorized by email to submit the ‘Notice of Personnel Action’ (NPA) that will contain the
data related to the position. Upon receipt of the Authorization to Hire email from Human Resources, the
individual must be scheduled for the new employee orientation following the instructions on page 13.
Orientation is not optional.
8
HIRING
FINGERPRINTING AND DRUG TESTING
When an applicant is authorized for a full-time, part-time or substitute position, it is necessary that notification
be given to the person that the processes of fingerprinting and drug screening must be completed. If screenings
are required, wait until you receive email notification to send the recommended candidate for them.
FINGERPRINTING
In accordance with Florida Statutes 1012.32 and School Board Policy 401 all persons recommended for hire
must be fingerprinted. As of January 1, 2007, PrideRock Holding Corp completes the fingerprinting for
Volusia County Schools. Registration for fingerprinting can be found on the Volusia County website, select the
Employment tab and then select Employment Screening. Because this is work related, school computers may
be used to assist applicants.
Total fingerprint costs for applicants are $55.50. The fee is paid online at PrideRock Holding Corp. Payment
can be made by check or credit card. We recommend credit card as the quickest method of response. If a check
is used, we will not receive the results of screening until the check has cleared. There are no refunds because
screenings are from an outside provider.
DRUG SCREENING
It is the intention of the School Board of Volusia County to maintain a drug-free workplace and school
environment for its employees and students. It is also our intention to use all available means to discourage
drug use and abuse by students and employees.
Policy Number 415 entitled "CONDUCT OF EMPLOYEES REGARDING ILLEGAL DRUG OR ALCOHOL
ABUSE" became effective July 1, 1991. Procedures for implementing this policy include "...provisions for
drug testing applicants for employment and employees."
Be advised that an applicant's refusal to submit to a drug test or a positive drug test shall be grounds for refusal
to hire.
Quest Diagnostics
851 Dunlawton Ave., Suite 102
Port Orange, FL 32127
(386) 760-0500
Testing Hours: 7:00 a.m. – 4:00 p.m.
Closed: 12:00 p.m. – 1:00 p.m.
Quest Diagnostics
830 Commed Blvd., Suite B
Orange City, FL 32763
(386) 774-8035
Testing Hours: 6:30 a.m. – 3:30 p.m.
Closed: 11:30 a.m. – 12:30 p.m.
Quest Diagnostics
1702 N. Woodland Blvd, Suite 106
DeLand, FL 32720
(386) 734-7167
Testing Hours: 7:00 a.m. – 3:30 p.m.
Quest Diagnostics
372 W Granada Blvd
Ormond Beach, FL 32714
(386) 673-5693
Testing Hours: 7:00 a.m. – 4:00 p.m.
Quest Diagnostics
Quest Diagnostics
1663 No Clyde Morris Blvd
1704 State Rd 44, Suite 1704
Daytona Beach, FL 32117
New Smyrna Beach, FL 32168
(386) 274-2797
(386) 428-0932
Testing Hours: 7:00 a.m. – 3:30 p.m. Testing Hours: 7:00 a.m. – 4:00 p.m.
Closed 1:00 p.m. to 2:00 p.m.
Closed 12:00 p.m. to 1:00 p.m.
Open Saturday 8:00 a.m. to 12:00 p.m.
There are no appointments necessary for drug testing.
We encourage the applicant to call ahead to see if the office is busy
9
HIRING
The fee for drug screening is $27.20. Quest Diagnostics accepts checks or money orders only. No cash is
kept on the premises or accepted for services.
In accordance with Policy Number 415, the following information is provided:
I.
Over the counter and prescription drugs which could alter or affect the outcome of a drug test:
Amphetamines – Obetrol, Biphetamine, Desoxyn, Dexedrine, Didrex, Ionamine, Fastin;
Cocaine – Cocaine HCL topical solution (Roxanne);
Opiates – Paregoric, Parepectolin, Donnagel PG, Morphine, Tylenol with Codeine,
Empirin with Codeine, APAP with Codeine, Aspirin with Codeine, Robitussin AC,
Guiatuss AC, Novahistine DH, Novahistine Expectorant, Dilaudid (hydromorphone),
M-S Contin and Roxanol (Morphine Sulfate), Percodan, and Tussi-Organidin;
Cannabinoids - Marinol (Dronabinol, THC);
and Phencyclidine - Not legal by prescription
II.
Common medications and other items that could alter or affect a drug test:
Advil;
Nuprin;
Contac;
Sudafed;
Over the counter diet pills
and Bread products containing poppy seeds
III.
Drugs for which the School Board will test:
Amphetamines;
Cocaine Metabolites;
Marijuana Metabolites;
Opiate Metabolites;
Phencyclidine (PCP);
Methaqualone;
Barbiturates;
Benzodiazepines;
Propoxyphene; and
Methadone.
Data or information received from the Quest Diagnostic clinics, FDLE and the FBI, is recorded in the HR
system.
Questions regarding FDLE/FBI clearance and drug-testing clearance can contact extension 20183 or 20184.
10
HIRING
CERTIFICATION NEEDS
Following administrative review of the employment application, all transcripts are forwarded to the
Certification section to verify the transcript and validate the areas of certification the applicant is eligible to
receive or has received from the Florida Department of Education. This certification information is reflected on
the applicant listing when an advertised vacancy closes, provided the applicant has submitted the application
and the transcript and certification has been verified.
Applicants, who are nearing graduation or are recent graduates of a teacher-education program, may arrange for
the university or college to validate graduation and eligibility in one or more of the available areas in Florida. A
form letter similar to the enclosed sample [Appendix I] is acceptable. These letters are kept on file until the
new graduate can secure the official transcripts that state the degree has been conferred from the university or
college from which they have graduated. Two official transcripts must be provided to the Certification section
in Human Resources within thirty (30) days after the first day of work in the District. If they are not received in
this time frame, the employee may be removed from the classroom until position requirements are met.
Once the Certification section receives and verifies the official transcripts, one (1) will be forwarded to the
Bureau of Educator Certification, Florida Department of Education (DOE). Applicants must complete the
FLDOE CG-10 online application. Persons may not begin teaching with Volusia County Schools until the CG10 application is submitted. Questions regarding this requirement should be directed to the Certification
section, extension 20182.
School sites need to discuss candidates that will be out of field in their recommended subject area with the
Certification section, extension 20660. The out-of-field form [Appendix J] indicating recommendation by the
site administrator must be sent to the Certification section for review and submission to the Volusia County
Schools’ Board for necessary approval.
If it is determined that none of the applicants for an advertised vacancy have the certification or qualities needed
for the advertised position, the Request to Advertise should be re-submitted.
New hires can secure information regarding the General Knowledge Test from the Certification section if
needed. This important information is in written form and available upon request. Certification information is
also available on the Human Resources website and includes a link to the Florida Department of Education.
11
HIRING
NOTICE OF PERSONNEL ACTION (NPA)
An NPA is completed when you are authorized to hire or transfer an employee to your site. You will be
notified by the Screening and Hiring section of Human Resources when you are authorized to submit the NPA.
1. NPA for New Hire – submit the NPA once clearance has been received from the Screening and Hiring
Section.
2. NPA for Transfers - must occur when an employee retains continuity of employment but moves to a
new work site or a position is reclassified. The NPA to transfer an employee should be submitted by the
receiving site in a timely fashion to enable the releasing organization to fill its vacancy without a delay.
The releasing organization will send an email to the Screening and Hiring section agreeing to the
transfer and date of release of the employee to the new work site.
To submit an NPA, go to the VCS website www.volusia.k12.fl.us/eforms/npa.asp. The NPA form must be
completed in its entirety, with all boxes containing an entry. If the box doesn’t apply to your NPA, use Not
Applicable or N/A. We encourage you to place this in your favorites. We have provided descriptions of each
item on the NPA [Appendix K].
After submitting the NPA, scroll all the way to the bottom of the page to verify that “Information was
Submitted” appears. Print this copy for your records.
After an NPA form is submitted, processed, and the employee’s job record is built in the HR system, the
employee’s name should appear on your center’s payroll report. If the employee’s name does not appear on the
report, check with Human Resources.
12
ORIENTATION
NEW EMPLOYEE ORIENTATON
After you have been authorized by email to hire your new employee, the Human Resources office will schedule
your new employee for orientation in the next available class. Please email orientation@volusia.k12.fl.us, if
you have any questions.
Scheduled orientations are held almost weekly throughout the year at the DeLand Administrative Complex
(DAC).
The orientation form will be sent to you by email and contains information about the orientation date, time,
and items to bring to the orientation. Please give your new employee a copy of the orientation form and ask
them to take it to their orientation.
Please provide driving directions in addition to an approximate length of time to travel from the work
site to the orientation site.

Category 1 employees (who need OSHA training) should arrive at approximately 12:00 p.m. in order to
have a photo taken for an I.D. badge prior to the 12:30 p.m. – 1:30 p.m. OSHA training. The New
Employee Orientation follows at 1:30 p.m.

Category 2 employees (all others) should arrive at approximately 1:00 p.m. in order to have a photo taken
for an I.D. badge prior to the 1:30 p.m. New Employee Orientation.

Transportation Department employees should arrive at approximately 9:00 a.m. to have an I.D. photo taken
prior to the 9:30 a.m. New Employee Orientation. OSHA training follows the orientation for these
employees.

Identification Badges – Pictures for the identification badges will be taken at orientation, if needed and
processed. However, to expedite this process, the worksite may take a picture prior to the orientation and
submit it to Human Resources (badges@volusia.k12.fl.us) for processing. A badge will then be made and
forwarded to the work site.
13
ORIENTATION
WORK VERIFICATION
One of the items discussed at the new employee orientation is how to obtain the form necessary to verify the
individual’s previous work experience. The verified experience is reviewed for wage or salary determination.
It is the employee’s responsibility to have this form completed by each former employer and returned to Human
Resources. Forms can be found in the ePortal (Employee Portal). Once the employee is in the ePortal, they
select the Human Resources tab and then select the Experience link on the left menu. If there are difficulties in
verifying previous experience, the employee should notify the Job Records office, Human Resources at
extension 20191. Once the verification form is received, it will be evaluated using the following guidelines:
(1) INSTRUCTIONAL: [APPENDIX L]
According to the contract between the district and the Volusia Teachers Organization (VTO), one year
of service credit is allowed “for each year of service in Public K-12 schools systems, including public
and private institutions of higher learning and private K-12 schools which require state certification
based upon a baccalaureate degree as a precondition to employment, and the teacher will have held such
certificate at the time of service”. Experience is granted for all in-state and out-of-state teaching
experience provided that certification was a condition of employment in the public or private sector. A
“good year of service” for salary credit must consist of at least one day more than one-half of the school
term. Such verification must be submitted to Human Resources within thirty (30) days of employment.
A new teacher should contact Human Resources at extension 20191 to determine their step on the
instructional salary schedule
(2) SUPPORT: [APPENDIX M]
A) According to the contract between the district and the Volusia Educational Support Association (VESA),
“new employees will begin at Step 1. If experience is verified in the same or related field, credit will be
afforded at the rate of one (1) step for each year of verified experience to a maximum of five (5) years
experience. Once experience has been verified, the employee shall receive a maximum of ninety (90)
days retroactive pay within the same fiscal year.” Please note that substitute experience is not applicable
toward salary step increases, except for paraprofessionals who can receive up to three (3) years of salary
credit for substitute teaching experience completed after July 1, 1994. One year of salary credit shall be
given for each 180 days of substitute teaching experience.
B) According to the contract between the district and the American Federation of State, County and
Municipal Employees (AFSCME), “new employees shall begin at Step 1, except that an employee will
be granted up to a maximum of step 5 when experience is verified in the same or similar job category.”
(3) ADMINISTRATIVE/ NON-BARGAINING: According to District salary tables and related experience.
14
APPENDICES
Appendix A – Leave of Absence
Appendix B – Notice of Employment Termination
Appendix C – Request to Advertise
Appendix D – Applicant List
Appendix E – Interview Disposition Form
Appendix F – Telephone Reference Form – Instructional
Appendix G – Telephone Reference Form – Support
Appendix H – Assessment/Testing Needs
Appendix I – Example Letter for New Graduates
Appendix J – Out of Field Assignment Form
Appendix K – Notice of Personnel Action (NPA)
Appendix L – Work Verification – Instructional
Appendix M – Work Verification – Support
15
APPENDIX A
The School District of Volusia County
Leave of Absence Request
Social Security Number: _______ - _____ - _______
Last Name: _______________________________First Name: _________________ Middle Initial: _________
Center Name: _____________________________ Center Number:_________
Position: _________________________________ Number of Months: __________ Number of Hours: _____
======================================================================================================================
Length of Leave Requested: Only dates in the current fiscal year can be used (July to June).
First day of leave: __________________________ Last day of leave: __________________________
If left blank, last date of pay type fiscal year will be used.
======================================================================================================================
Type of Leave of Absence without pay:
(L1) Maternity / Paternity
(L2) Medical
(L3) Personal
(L4) Professional
(L5) Child Care
(L6) Military – Attach copy of military orders
Comments (Attach a separate piece of paper if necessary): ______________________________________
___________________________________________________________
I wish to work as a Substitute for Volusia County Schools during my term of leave.
=====================================================================================================================
Signature of Employee ______________________________________ Date _________________________
Signature of Administrator __________________________________ Date _________________________
HUMAN RESOURCES USE ONLY
DATE OF BOARD MEETING ______ / ______ / ______
APPROVED ______________________________________
Copy: Retain copy for Site/Department records and send original to Human Resources.
Owner: Human Resources
Revised 8/2010
2002083VCS
Print Locally
16
APPENDIX B
17
APPENDIX C
Request to Advertise
Use this form to request position advertisement.
Center Name:
Center Number:
Position Code:
Title Code:
Grant/Title I funded
Position:
Paraprofessional:
Job Title:
Grade:
Subject:
Hours:
Months:
Temporary Dates From:
Temporary Dates To:
Replacing Name:
Replacing SSN:
Reason for Leaving:
Email Address to
Review Notification:
Re-advertisement:
Category:
Submitted By:
Authorized By:
Comments:
Your organization name.
Your three (3) digit organization number.
The nine (9) digit position code number assigned by Allocation/Staffing Specialist.
The five (5) title code number assigned by Allocations/Staff Specialist.
Yes – if specially funded
No – if not specially funded
LifeSkills Paraprofessional
Other – check if other than a LifeSkills Paraprofessional
The specific job title for this position.
The specific grade level for this position (enter “N/A” if not applicable).
The specific subject (course) for this position or “N/A”.
The specific number of daily work hours for this position.
The specific number of months for this position.
First day of employment for a temporary or limited term position only or “N/A”.
Last day of employment for a temporary or limited term position only or “N/A”.
The name of the former employee assigned to this position or “New Position” or “N/A”.
The Social Security number of the former employee or “N/A”.
List the reason the former employee is leaving (listed on the NET form) or “N/A”.
Enter addresses of all who need to view the list. This will be their authorization to view the
Applicant List. This link is not transferrable. .
Yes – if this position was previously advertised and not filled
No
This refers to the Bloodborne Pathogens requirement.
1 – Positions requiring immunization of this employee.
2 – Positions not requiring immunization of this employee.
If you do not know the category to use, contact extension 20185.
Your name.
Name of administrator or site principal.
Enter special instructions on items needed or change to the current status of the position
Some examples are:
 Special job beginning dates
 Specific date of ad to be posted
 Approval for longer advertisement period
 Resumes required, if applicable, and full details
18
APPENDIX D
To view Applicant List, select the Warehouse icon on the VCS home page and click on Applicant
Administration. By selecting the title of the position, you should receive a list of all interested applicants.
To see more detailed qualifications, click on View for each applicant.
SSN:
Name:
Veteran:
Flags:
Highest Degree:
Phone:
Other Phone:
Email:
Type of Flags:
Current Site:
Current Position:
Contract Status:
City:
App Status: Application
Complete
Letter of Intent: N
VCS Internship: N/A
Cancel
View Resume TeacherInsight Score: N/A
View Application District Interview Link: N/A
Skills:
Perceiver Test Support
Certifications:
Subjects:
CERT: FIRN
 Business Education
Degree Attained:
Major(s):
Bachelor's Degree
 Business Education (7-12)
VERIFICATION
Any item that has been verified by the Human Resources staff will be noted with the green “Verified” checkmark.
(SRI) PERCEIVER RATINGS
These are the results of the Gallup perceiver, structured interview. The questions are built around themes that research has shown are typically
found in competent and successful teachers/workers and show a potential for success in the workplace. The ratings should be considered when
determining which applicants should be interviewed and/or recommended for employment.
PERCEIVER RATING SCALE – INSTRUCTIONAL
Gallup TeacherInsight (Score Range 1-100)
67 or Higher Preferred
SELECT RESEARCH INSTITUTE (SRI) RATING SCALE – NON INSTRUCTIONAL
High Potential
4
At Expectation
3
Conditional
2
Below Expectation 1
BLANK, if employed prior to the use of the perceiver interview or a category not currently administering the structured interview
CONTRACT - Contract status of a current employee
Contract Status 1 – Annual Year 1
Contract Status 2 – Annual Year 2
Contract Status 3 – Annual Year 3
Contract Status 4 – Tenured
Contract Status 5 – Did not meet tenure requirements
Contract Status 6 – Annual Year 3 Extended
Contract Status 9 – Position Ineligible for Tenure
VETERAN - Applicant or current employee may be claiming Veteran’s preference
Y – Claiming preference and must be interviewed
19
APPENDIX E
DIVISION OF HUMAN RESOURCES
INTERVIEW DISPOSITION
INSTRUCTIONS: For each applicant interviewed, please indicate interview results on the upper portion of this form. If you wish to
recommend the applicant for a position: complete the appropriate Telephone Interview Reference Check form, sign the
Recommendation for Employment portion of this form below, and forward both forms to the Division of Human Resources. For
applicants not recommended, forward only the Interview Disposition form to the Division of Human Resources.
Position Code #: _______________________________
Applicant’s Name: ________________________________________
Title Code #: _________________
Social Security #: _______-____-__________
School/Department: _______________________________________ Date of Interview: ______________________
Position Name: ___________________________________________
Please rate this applicant on a scale of 1 - 5 (1=low; 5=high).
1 2 3 4 5 (circle one)
For excellent candidate, please list strengths: _________________________________________________________
______________________________________________________________________________________________
COMPLETE ONE BOX:
Not Recommended for Employment
I do not recommend the above applicant for this position because:
_____ Could Not Contact
______ Did Not Report For Interview
_____ Please call me for additional information
______ Other
(Description)_____________________________________________________________________________________
__________________________________________________________________________________________
_____________________________________________ ___________________________
School/Department Administrator’s Signature
Date
Recommended for Employment
I have completed the telephone reference checks and I recommend the above applicant for this position.
_____________________________________________
School/Department Administrator’s Signature
__________________________
Date
For Human Resources Personnel Only
HUMAN RESOURCES JOB OFFER AUTHORIZATION
The School District of Volusia County’s Human Resources Officer authorizes the principal/ department head of
_____________________ to extend a job offer to the individual named above.
____________________________________________________ ________________________________
Human Resources Representative
NOTIFICATION GIVEN BY:
Date
E-mail
Other ______________
Distributed By: Human Resources
Revised 6/30/08
Print Locally
2002-183 VCS
20
APPENDIX F
Social Security Number
Instructional Applicant or
Instructional Substitute Applicant
Telephone Reference Check
INSTRUCTIONS: Please complete two telephone interview reference checks for recommended applicant and forward to
Human Resources.
Applicant Name:
Position Sought:
Work Site:
Reference Contacted:
Reference Position:
Reference Place of Employment:
Applicant Position:
Verified Employment Dates:
To:
From:
Please respond to the following questions with one of these answers:
above expectations (4)
at expectations (3)
below expectations (2)
no basis for judgment (1).
4
Communication
Initiative
Personal Judgment
Classroom/Resource
Management
Flexibility/Adaptability
Assessment
Attendance/Punctuality
3
2
1
Uses appropriate oral, written and body language
Ability to influence others and events to achieve goals; originates
action
Exhibits the ability to act and make decisions based on factual
information and logical assumptions within the bounds of legal and
ethical practice
Develops and implements procedures that create a positive,
organized and productive environment
Ability to maintain effectiveness when varying techniques and
instructional approaches to meet the needs of children
Uses a variety of assessment methods that accurately and fairly
measure student understanding and achievement
Maintains good attendance and punctuality to work and/or job
assignments
Yes
No
To your knowledge, is there any reason why this person should not work with or around
children?
Would you recommend this applicant for employment with the Volusia County Public Schools?
School/Site Administrator’s Signature
Date/Time of Contact
_____ Recommended
_____ Not Recommended
Human Resources Administrator Approval
Date
Revised 4/20/09
Owner: Human Resources
2003003 VCS
Print Locally
21
APPENDIX G
Social Security Number
Support Applicant or
Support Substitute Applicant
Telephone Reference Check
INSTRUCTIONS: Please complete two telephone interview reference checks for recommended applicant and forward to
Human Resources Services.
Applicant Name:
Position Sought:
Work Site:
Reference Contacted:
Reference Position:
Reference Place of Employment:
Applicant Position:
Verified Employment Dates:
To:
From:
Please respond to the following questions with one of these answers:
above expectations (4)
at expectations (3)
below expectations (2)
no basis for judgment (1).
4
3
2
1
The individual’s work meets or exceed standards
Acts in a responsible manner and does what is necessary to get the
job done
Able to adapt to varying work situations and changes in process
Reports on time and not often absent from work
Recognizes and demonstrates interest in and makes good decisions
regarding the needs and concerns of others at the work site
Understands, accepts and carries out instructions
Ability to work with others to achieve tasks or goals, relates well
with others
Quality Of Work
Dependability
Flexibility
Attendance
Judgment
Responsibility
Cooperation
Yes
No
To your knowledge, is there any reason why this person should not work with or around
children?
Would you recommend this applicant for employment with the Volusia County Public Schools?
School/Site Administrator’s Signature
Date/Time of Contact
_____ Recommended
_____ Not Recommended
Human Resources Administrator Approval
Date
Revised 4/20/09
Owner: Human Resources
2003002 VCS
Print Locally
22
APPENDIX H
VOLUSIA COUNTY SCHOOLS
DIVISION OF HUMAN RESOURCES
ASSESSMENT INFORMATION
APPLICANTS WHO HAVE NOT EARNED A HIGH SCHOOL DIPLOMA OR G.E.D.
Support Applicants who have not earned high school diploma or general equivalency diploma (G.E.D.) are required to
successfully pass the TABE level “M” literacy assessment before beginning employment. Applicants successfully
completing the assessment will become eligible to apply for the following positions: school way café, dining room aide, bus
driver, bus attendant, or roofer. All other positions require a high school diploma or G.E.D from an accredited school.
Please Note: This is also a requirement for substitutes of the positions mentioned above.
The TABE level “M” content is not equivalent to that of a General Equivalency Diploma (GED)
examination. For job requirement information, refer to the required qualifications listed on the
job vacancy announcement.
CLERICAL APPLICANT TESTING INFORMATION
Clerical applicants are required to successfully pass the clerical TABE level “D” literacy assessment, keyboarding test and
receive an SRI interview before beginning employment with Volusia County Schools. Applicants who possess a two year
degree or higher from an accredited university may submit official transcripts for review and possible exemption from the
TABE level “D” assessment.
KEYBOARDING TESTING INFORMATION
DeLand Administrative Complex
Brewster Center
200 North Clara Avenue
Hours: 8:00 am to 4:30 pm
Note: To be successful at the keyboarding assessment, clerical applicants are required to type a calculated net score of 35
wpm.
Study Guide Information
The math and language study guides “Building Skills with TABE” are available for checkout (no charge) at all Volusia
County public libraries. The study guides may be located under reference numbers 374.012 and 374.0151. Clerical
applicants should request level “D” and entry level applicants level “M.”
Scheduling Appointments
Prior to scheduling applicants are required to have a completed application on file in the Human Resources office
Keyboarding Tests and TABE Literacy Assessments may be scheduled by
Telephone: (386) 734-7190, 427-5223 or 860-3322
Extension 20312 or by contacting Marilyn H. Jordan
Email: mjordan@volusia.k12.fl.us
Additional assessment information may be found on the district website: http://www.myvolusiaschools.org
Click on: Employment, then click on Interested in Support Position.
Revised: 3/22/13
23
APPENDIX I
Date:_______________________
Dear Mrs. Presley:
I am writing to confirm that ___________________________________________________________is scheduled to
graduate from our institution and will complete the teacher-education program permitting certification by the State of
Florida.
Major(s):__________________________________________________________________________________
Area(s) of Certification_______________________________________________________________________
Graduation Date:____________________________________________________________________________
College/University:__________________________________________________________________________
__________________________________________________________________________________________
Signature of College/University/Personnel Verifying
Telephone Number/Extension:_________________________________________________________________
Please provide this completed verification to students graduating from your program to allow inclusion with the application for
employment with the School District of Volusia County.
Thanking you in advance for your cooperation and assistance.
Please direct any questions to:
Dana Paige-Pender, Director
Human Resources Division
Volusia County School District
200 N. Clara Avenue, DeLand, FL 32721-2118
Telephone: (386) 734-7190 Ext. 20165 Fax: (386) 626-0041
24
APPENDIX J
THE SCHOOL DISTRICT OF VOLUSIA COUNTY
OUT-OF-FIELD ASSIGNMENT RECOMMENDATION
NAME_________________________________________________SOC. SEC.# ______________________________
SCHOOL_______________________________________________PRINCIPAL ______________________________
NEW HIRE_____ RE-ASSIGNMENT_____ REGULAR_____ TEMPORARY_____ LIMITED TERM____
RECOMMENDED POSITION
____ B.A. DEGREE
# OF PERIODS
____ B.S. DEGREE
COURSE CODE NUMBER
(LIST FIELD__________________________)
NAME OF UNIVERSITY: __________________________________________________________________________
____________________________________
_______________________________________
CITY
STATE
____ M.A. DEGREE
____ M.S. DEGREE
(LIST FIELD__________________________)
NAME OF UNIVERSITY: __________________________________________________________________________
_____________________________________
_______________________________________
CITY
STATE
OTHER DEGREES: ________________________________________________________________________________
CERTIFICATION: ____FLORIDA
____OTHER
____STATEMENT OF ELIGIBILITY
LIST ALL AREAS OF CURRENT CERTIFICATION: _____________________________________________________
LIST COURSEWORK TOWARD CERTIFICATION IN RECOMMENDED OUT-OF-FIELD ASSIGNMENT:
__________________________________________________________________________________
PREVIOUS RELATED EXPERIENCE: _________________________________________________________________
JUSTIFICATION FOR RECOMMENDATION:___________________________________________________________
__________________________________________________________________________________________________
THIS RECOMMENDATION MEETS SACS ACCREDITATION STANDARDS: _____YES
_______/_______/_______
DATE OF ASSIGNMENT
(ESOL/Current Employee)
_____NO
_______________________________________________________
PRINCIPAL DATE
**************************************************************************************************
THE ABOVE INFORMATION WILL BE PRESENTED TO THE SCHOOL BOARD.
HUMAN RESOURCES DIVISION USE ONLY:
ASSIGNMENT/RE-ASSIGNMENT
APPROVED ____________________/DENIED_____________________
DATE OF BOARD MEETING _____/_____/_____
APPROVED ____________________/DENIED____________________
Revised 5/22/09
Owner: Human Resources
DISTRIBUTED BY CERTIFICATION DEPARTMENT
25
2004-115-VCS
Print Locally
APPENDIX K
Notice of Personnel Action
Use this form to request personnel action.
Center Name:
Center Number:
Internal Move:
Returning From Leave:
Employee Name:
Employee SSN:
Last Date Worked:
Position Code:
Title Code:
Grant/Title funded
position:
Job Title:
Months:
Hours:
Grade:
Subject:
Replacing Name:
Replacing SSN:
Transferring From
Center Name:
Transferring From
Center Number:
Comments:
Out of Field:
Subject Area Expertise:
Persons Interviewed:
Temporary Dates
From:
Temporary Dates To:
Advertised:
Category:
Requested Begin Date:
Authorized By:
Your organization name.
Your three (3) digit organization number.
Yes – Individual is transferring within your center.
No – Individual is transferring from a different center.
Yes – Employee is returning from a Leave of Absence.
No– Employee is not returning from Leave of Absence.
Employee’s name as shown on Social Security Card.
Social Security number of employee – no spaces or dashes
For Transfers – Using mm/dd/yyyy format, indicate the last working date for which the employee
was paid.
Your nine (9) digit code assigned by Staffing and used to advertise the vacancy.
Your five (5) digit code for the title of the position
Yes – if specially funded
No – if not specially funded
The specific title used when advertised.
The specific number of working months for position.
The specific number of working hours for position.
For teachers only – Specify grade level of assignment.
For teachers only – Specify subject (course) assignment.
Proper name of last employee in position - if none, enter “Vacant”.
Social Security Number of last employee in position – no spaces or dashes
Name of site where employee was before this change.
The three (3) digit organization number of previous site.
Any pertinent information needed such as Correction, Re-send, Change Check Location Only,
Change Organization Number, etc.
Yes – If the teacher was hired outside their area (field) of certification.
No – If the teacher is within their area (field) of certification. The administrator will know this
information at the time of recommendation
N/A
Minor in field of instruction
Maximum two courses remaining for certification with one year of teaching
Fluent in a foreign language with one year of teaching
Expert in field with one year of teaching
Instructor at a college/university with a minimum of 18 hours taught in last two years
List names of applicants interviewed (Remember: recommended three be interviewed for a
vacancy).
If advertised as temporary, date position begins.
If advertised as temporary, date position ends.
Yes – This position was recently advertised.
No – This position was not recently advertised.
This refers to the Bloodborne Pathogens requirement.
1 – Positions requiring immunization of this employee.
2 – Positions not requiring immunization of this employee.
If you do not know the category to use, consult the current Exposure Control Plan, or contact the
health office at extension 20523.
First day of employment in position indicated.
Site Principal/Administrator.
26
APPENDIX L
VERIFICATION OF TEACHING / ADMINISTRATIVE EXPERIENCE
School District of Volusia County
Division of Human Resources
Post Office Box 2118, DeLand, Florida 32721-2118
SECTION 1: PERSONAL DATA (To be completed by employee / applicant) (Please print or type)
INSTRUCTIONS: Please complete the following section and send this form to your previous employer. A separate form must be sent to each school district / organization with
which the service was performed. It is the responsibility of the employee / applicant to have this information verified within the first sixty (60) days of employment.
Last
Name:
Name under which
Service was rendered:
First
Name:
Middle
Name:
Social Security
Number:
Signature:
Date:
Dates of employment:
Date:
SECTION 2: TEACHING / ADMINSTRATIVE EXPERIENCE (To be completed by authorized official) (Please print or type)
INSTRUCTIONS: The above named individual has applied for an instructional position with our school district. Years of past experience will be used to compute his / her salary.
Please verify his / her length of service with your school district / organization by providing the information requested below. A separate line is provided for each year of service.
Make copies as needed. Please process immediately, as this form must be returned to the School District of Volusia County within the first sixty (60) days of employment.
School Year*
MM/DD/YYYY To
MM/DD/YYYY
Name of school district / organization
Position and subject or
grade level taught
Annual
Performance
Evaluation**
Hours/
Day***
Days in full
contract year
Student
Days
Actual days
served****
Pre-planning
days worked
Postplanning
days worked
Status: Regular,
Temporary, or
Substitute
*
Please list experience YEARLY beginning with July 01 and ending with June 30.
** If Annual Performance Evaluation was satisfactory or better, please indicate with an "S."
*** For an elementary or secondary school or for experience not in a classroom setting, please indicate the number of hours in a normal workday. For a college or university, please specify each semester
worked and the number of credit hours worked each semester (i.e. Fall 1994, 6 credit hours).
**** Actual days served should include all paid personal or sick leave taken as workdays during the school year.
Revised 1/26/04
OVER
Distributed by Human Resources
2002-033 MIS
27
SECTION 2: TEACHING / ADMINISTRATIVE EXPERIENCE (continued)
Please complete the following:
1. The experience listed on the reverse side was in a
Public School District
Private School
Public College / University
Private College / University
Other, please specify: ____________________________________________________________________________________________________
Please note: For private school experience, please provide a brief description of the school (i.e. type of curriculum, grade and / or age levels of instruction) in the area below.
For non-school related experience (i.e. social work, vocational work), please provide a brief description of the duties performed and the minimum degree required for employment.
2.
Was this school / organization accredited at the time the applicant was employed?
No
Yes, by _____________________________ (accrediting agency)
3.
Did this school / organization require state certification based upon a baccalaureate degree as a precondition to employment?
4.
Did the applicant hold such certificate during the time of the experience listed on the reverse side?
5.
If period of employment included any extended period(s) of leave, please indicate nature of leave(s) and exact dates: ___________________________________________
No
No
Yes
Yes
____________________________________________________________________________________________________________________________________________
I certify that the information provided on this form is true and correct according to our official records.
_______________________________________ __________________ ____________________________ __________________________
Signature of certifying official
Date
Print name of certifying official
Title of certifying official
(Sign in front of notary or use School Board or Corporate Seal)
_______________________________________________
_________________________________________________________
_(______)_________________________
Name of organization
Mailing Address
Telephone number
City
Sworn to and subscribed to me on (date) ______________________
Affix School
Board, Corporate
or Notary Seal
Here
State
Zip Code
by (name of certifying official) ______________________________________
who is personally known to me or who has presented (type of identification) ______________________________________________________as identification.
___________________________________________ __________________________________ _______________________________________________
Signature of Notary
Commission Number
Date commission expires
Please mail directly to: School District of Volusia County - Division of Human Resources - Post Office Box 2118, DeLand, Florida 32721-2118
Equal Opportunity Employer
Revised 1/26/04
Distributed by Human Resources
2002-033 MIS
28
APPENDIX M
VERIFICATION OF SUPPORT PERSONNEL WORK EXPERIENCE
School District of Volusia County
Division of Human Resources
Post Office Box 2118, DeLand, Florida 32721-2118
SECTION 1: PERSONAL DATA (To be completed by employee / applicant) (Please print or type)
INSTRUCTIONS: Please complete Section 1 and send this form to your previous employer. A separate form must be sent to each organization with which the service was
performed. Make additional copies as needed. Employees under the Volusia Educational Support Association (VESA) bargaining group are eligible to receive salary credit for up to
five (5) years of related work experience. Employees under the American Federation of State, County and Municipal Employees (AFSCME) bargaining group are eligible to receive
salary credit for up to four (4) years of related work experience. It is the responsibility of the employee / applicant to have this information verified within the first ninety (90) days of
employment. Please note: Individuals who were self-employed should contact the Personnel Services Department for additional information.
Last
Name:
First
Name:
Middle
Name:
Social Security
Number:
SECTION 2: WORK EXPERIENCE (To be completed by authorized official) (Please print or type)
INSTRUCTIONS: The above named individual has been hired by our school district. Please verify the individual's length of service with your organization by providing the
information requested below. Please list each year of service on a separate line. Return the completed form directly to the School District of Volusia County at the address above.
Your assistance is appreciated.
Title of position
From
(MM/DD/YYYY)
To
(MM/DD/YYYY)
# of hours
worked
per day
# of days # of months
worked
in full work
per week
year
# of months
actually
worked
Description of individual's major duties and responsibilities
(Attach separate sheet if needed)
If period of employment included any extended period(s) of leave, please indicate nature of leave(s) and exact dates: _______________________________________________
____________________________________________________________________________________________________________________________________________
I certify
that the
information provided on this form is true and correct according to our official records.
Affix School
Board,
_______________________________________
__________________ ____________________________ __________________________
Corporate or
SignatureNotary
of certifying official
Date
Print name of certifying official
Title of certifying official
(Sign in Seal
frontHere
of notary or use School Board or Corporate Seal)
Please mail directly to: School District of Volusia County - Division of Human Resources - Post Office Box 2118, DeLand, Florida 32721-2118
Revised 6/26/01
Equal Opportunity Employer
2002-032 VCS
Distributed by Human Resources
29
33