NURSE

Years Of Experience

Years of Experience in Related Field

Conditions of Employment

• I understand that I may be required to submit to a fingerprint background check at my own expense before employment or at any time during my employment.
• Are you legally authorized to work in the United States? (If offered employment, you will be required to complete an Employment Eligibility Verification Form (I-9) and produce documentation of identity and authorization to work).
• I understand ILTexas does not petition or sponsor an employment visa.
• I authorize representatives of International Leadership of Texas to contact all persons and entities listed on this application and to make all contacts, inquiries and investigations which they deem necessary in order to verify my education, employment and police history.

I consent to the release by third parties of information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing same to the District.

I understand that International Leadership of Texas will keep such information in a confidential file, available only to appropriate district officials.

• I understand this application and all supporting material submitted becomes the property of the International Leadership of Texas which reserves the right to accept or reject said application.
• I understand that International Leadership of Texas is an equal opportunity employer and does not discriminate in hiring decisions based on any state or federally protected right.
• I hereby affirm that all information, without exception, provided in this application is true and accurate to the best of my knowledge and understand that any deliberate falsification, misrepresentation, or omission of fact may be grounds for rejection of my application or employment or dismissal from subsequent employment by International Leadership of Texas.

General Questions

• Please enter your Social Security Number.
• How did you hear about ILTexas?
• If you were referred by an ILTexas Employee, please state the ILTexas employee's first and last name and department and / or campus.
• Are you a current or former employee of the district? If yes, please list campus, position, and dates worked.
• Have you retired from Teacher Retirement System(TRS)? If yes, please provide retirement date. If no, type N / A.
• Are you an active member of TRS?

Are you a relative of any current ILTexas board member or a relative of any current ILTexas employee by blood or marriage?

A relative shall include the following relationships : relationships established by blood, marriage or legal action. Examples include (but are not limited to) the employee : spouse, mother, father, son, daughter, sister, brother, mother-in-law, father-in-law, sister-in-law, brother-in law, daughter-in-law, stepparent, stepchild, aunt, uncle, nephew, niece, grandparent, grandchild or cousin.

The term also includes domestic partners (a person with whom the employees life is interdependent and who shares a common residence) and, a daughter or son of an employee domestic partners.

If YES , please state name, position held, and relationship. If NO , please type N / A.

Have you ever been convicted of, plead guilty or no contest (nolo contendre) to, or received probation, suspension, or deferred adjudication for a felony or offense involving moral turpitude (including, but not limited to theft, rape, murder, swindling, and indecency with a minor)?

If YES , please state where, when, and the nature of the offence. If NO , please type N / A. (Arrest for or conviction of a crime is not an automatic bar to employment.

The District will consider the nature and date of the offense, and the relationship between the offense and the position for which you are applying.)

Have you ever been involuntarily terminated, asked to resign from, or not reemployed by a public, private, and / or charter school while holding a teaching or non-teaching position, or while in any other type of employment?

If YES, please explain. If NO, type N / A.

Have you ever been reassigned, demoted, and / or non-renewed due to a performance concern while employed by a public, private, and / or charter school in a teaching or non-teaching position, or while in any other type of employment?

If yes, please explain. If no, type N / A.

Have you resigned from, or otherwise left, any type of employment to avoid investigation for alleged misconduct and / or dismissal in Texas or any other state or place?

If yes, please explain.

Have you ever had a certificate, credential, license, application or permit, or other document authorizing public school service or teaching investigated, suspended, revoked, limited, reprimanded, voided, denied or otherwise rejected in Texas or any other state or place?

If yes, please explain.

• I hold, or am eligible to hold, certification for the position I seek with this application in the State of Texas.
• Are you aware of any reasons why you would not be able to perform the duties of the position for which you are applying?

If yes, please explain.

• Do you know any other language other than English? If yes, please indicate which languages and skill level.
• I understand that upon employment I must provide my official transcript(s) and service record if applicable.
• Have you ever been employed or currently employed by one of the following substitute staffing agencies?

Benefits Leave days offered by ILTexas :

• 3 Local Days- Do not rollover to the following year.
• 5 State Days- Unused days will rollover.

You will only receive the full amount of days if you complete the full year.

Benefits :

Medical Insurance (TRS ActiveCare) BCBS & Caremark Prescription

ILTexas offers $429.00 towards any TRS medical plan available through ILTexas.

Basic Life Insurance (Unum)

Supplemental Benefits :

Available at additional cost / ILTexas does not contribute towards the plans listed below.

• Dental Insurance (MetLife)
• Vision Insurance (Avesis)
• Cancer Insurance (American Public Life)
• Accident Insurance (Pan American Life)
• Identity Theft (ID Watchdog)
• Disability Insurance (The Hartford)
• Voluntary Term Life and AD&D (Unum)
• Section 457 Retirement Savings Plan
• Section 403(b) Retirement Savings Plan
• NBS Flexible Spending Accounts (FSA)
• NBS Health Savings Accounts (HSA)
• Employee Assistance Plan (Unum)
• Critical Illness (The Hartford)
• Hospital Indemnity Plan (The Hartford)
• Telehealth (MDLive)

For more information, please visit our benefit website at :