Join the ELC Team!
Information Technology Specialist Application
All information provided will be a public record and will be released upon request, unless exempt or confidential by law.Your submission and all supporting documentation must be submitted no later than 11:59 PM (ET) on the announced deadline date.If, because of a disability, you require a special accommodation to participate in the application and selection process, please notify the hiring authority in advance. All information is subject to verification. Fields marked with an asterisk (*) are required and must be filled out to complete your application. For assistance with your application, contact the HR Department by e-mailing: HR@elcbrevard.org.
Today's Date:
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Month
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Full Name:
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First Name
Last Name
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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United States
Afghanistan
Albania
Algeria
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Anguilla
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The Bahamas
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Namibia
Nauru
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Netherlands
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New Caledonia
New Zealand
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Nigeria
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Turkish Republic of Northern Cyprus
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Oman
Pakistan
Palau
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Peru
Philippines
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Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
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Saint Kitts and Nevis
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Samoa
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Other
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Phone:
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Area Code
Phone Number
E-mail:
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Exemption from public record: Are you a current or former law enforcement officer, other covered employee** or the spouse or child of one, whose information is exempt from public records disclosure under Section 119.071(4)(d), Florida Statutes (F.S)?
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Yes
No
Citizenship: The Early Learning Coalition of Brevard hires only U.S. citizens and lawfully authorized alien workers. You will be required to provide identification and either proof of citizenship or proof of authorization to work in the U.S. Are you a U.S. citizen or legally authorized to accept employment with the specific hiring authority to which you are applying?
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Yes
No
Relatives: To your knowledge, do you have any relatives working in this organization?
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Yes
No
Do you have a valid Driver's License?
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Yes
No
Background Information
A "yes" answer to these questions will not automatically bar you from employment. The nature, job-relatedness, severity, and date of the offense in relation to the position you are applying are considered.
Have you ever been convicted of a felony or a first degree misdemeanor ?
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Yes
No
If yes, what were the charges ?
Where ? (City/State)
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Date
Have you ever pled nolo contendere or guilty to a crime which is a felony or a first degree misdemeanor ?
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Yes
No
If yes, what were the charges ?
Where ? (City/State)
Date
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Have you ever had the adjudication of guilt withheld for a crime which is a felony or first degree misdemeanor ?
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Yes
No
If yes, what were the charges ?
Where ? (City/State)
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Resume
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Signature
I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, law enforcement agencies, and other individuals and organizations to investigators, human resources staff, and other authorized employees of the Early Learning Coalition of Brevard for employment purposes. The consent shall continue to be effective during my employment if I am hired. I understand that applications submitted for Coalition employment are public records. I certify to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.
By electronically signing in this box, I certify that I have read and agree with these statements
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