Non-District Volunteer Coach Application · 3. Select the second option: “Archive Application...

OCEAN CITY SCHOOL DISTRICT 501 Atlantic Avenue, Suite 1

Ocean City, NJ 08226

(609) 399-4161

www.oceancityschools.org

Ocean City School District – Committed to Excellence

Equal Opportunity Employer

Non-District Volunteer

Coach Application

2019-2020

OCEAN CITY SCHOOL DISTRICT

Personnel Services Department

501 Atlantic Avenue, Suite 1

Ocean City, New Jersey 08226 – 3891

Phone: (609) 399-4161

Fax: (609) 399-4656


Ocean City School District – Committed to Excellence Equal Opportunity Employer

NON-DISTRICT VOLUNTEER COACH INFORMATION - INSTRUCTIONS

Welcome to the Ocean City School District. As a potential volunteer coach, please read this informational

packet concerning coaching requirements in the Ocean City School District.

Please complete the following (a checklist has been included for your convenience):

1. Please schedule an interview with the Athletic Director. To schedule your interview, please

contact the Athletic Director’s office at 609-399-1290 ext. 8733.

At your interview, you will receive a Coaches Handbook; please read the Handbook, sign the

last page and return it to the Personnel Services Department.

2. Fingerprinting and NJ criminal history approval is required for employment in Public

Education. Please refer to the enclosed instruction sheet for your options. Please note if you

do not have a current NJ Teaching certification of a valid NJ Substitute Teacher credential

please select “substitute teacher” in the job category when processing your fingerprinting.

3. If you are actively working in another School District, please have that School District

complete the Verification of Continuous Employment Form. In addition, you will need to

transfer your fingerprints to the Ocean City School District. If you are not currently a

coach/employee/substitute in another School District, disregard this step.

4. To become a volunteer coach in the Ocean City School District you must hold either a valid NJ

Teaching certification or a valid NJ Substitute Teacher credential. Please supply a copy of

your valid NJ Teaching or your NJ Substitute Teacher certificate. If you do not have one of the

above-mentioned certificates, please complete the New Jersey Substitute Certificate

application and submit a check (no cash accepted) for $125.00, paid to the order of

“Commissioner of Education.

5. If you are applying for a NJ Substitute Teacher certification, please supply official unopened

transcripts from your college or university. To become a volunteer coach sixty (60) college

credits are required. You may elect to have your official unopened transcripts sent directly to

the Personnel Services office, or you may hand deliver them unopened when returning your

coaching packet.

6. Return the notarized Oath of Allegiance. For your convenience, the Board of Education Office

has a notary who can complete this process with you.

7. Read and complete the Health Information Form.

http://www.oceancityschools.org/






Phone: (609) 399-4161

Fax: (609) 399-4656



8. It is state law that everyone working in a school district must have a Mantoux Skin Test for

Tuberculosis. If you already had this test (less than six months ago or have been continuously

employed by another school district) please supply verification when you submit your

application. If you need to have this screening, you may contact your doctor’s office or the

Ocean City High School’s Health Office to perform the test.

9. Personal Data Form – Complete and return with your packet.

10. I-9 Form – Read instructions and complete. Valid identification must accompany this form.

Please see the enclosed Lists of Acceptable Documents.

11. Read and sign the Ocean City Public Schools – Access to Information, Software, and

Computing Agreement form.

12. Please complete the Residency Form.

13. Please complete the online professional development tutorials. Print one certificate after the

completion of all assigned GCN tutorials, print each certificate completed on the NFHS

requirements, and return it with your coach’s packet.

14. All new coaches are required to take a National Federation of State High School Associations

(NFHS) “Fundamentals of Coaching” course or present a certificate verifying course

completion.

15. Please read and sign the confidentiality clause and return it with your coach’s packet.

16. Volunteer coaches will need to supply a copy of their current CPR/AED and Basic First Aid

certification cards.

*The above steps do not have to be completed in any certain order, however, you will not be recommended as a volunteer coach in the Ocean City School District until your packet is complete.

If you have, any questions please feel free to contact Kelly Donato, Personnel Services Manager at 609-399-4161 or by email at [email protected].


mailto:[email protected]






Phone: (609) 399-4161

Fax: (609) 399-4656



Non-District Volunteer Coach Check List

Non-District Volunteer Coach Name: ____________________________

Sport Applying for: _____________________________________

Items Needed Date Received

Interview with Athletic Director

Signed Signature Page from Coach’s Handbook

Fingerprinting approval letter or copy of processed paperwork

Verification of continuous employment form where applicable

Valid NJ Teaching or County Substitute application with

$125.00 check

Official unopened transcripts

Oath of Allegiance (Notarized)

Completed Health Information form

Mantoux Skin Test (TB Test) negative results

Personal Data Form

I – 9 Form completed with proper forms of ID

Signed Access to Information, Software and Computing

Agreement form

Residency Form

GCN Training Certificate

NFHS Training Certificates (Heat Illness & Concussion)

NFHS Fundamentals of Coaching Certificate (if applicable)

Copy of current CPR/AED and First Aide certifications

Signed Confidentiality Clause

School Board Approval Date: ___________________________________







Phone: (609) 814-8750



CRIMINAL HISTORY INSTRUCTIONS FOR NEW APPLICANTS

Includes new hires, substitutes, coaches, club advisors or club specialists who have not

previously been fingerprinted for education positions.

1. To complete this application, please use a Microsoft Internet Browser like Internet Explorer or Edge all

other operating systems and internet browsers are unreliable with this program. Do not use Smart phones,

tablets, iPads or other mobile devices. Access the Office of Student Protection’s direct web address

https://www.nj.gov/education/crimhist/ to begin the process. Click on “File Authorization and Make

Electronic Payment for Criminal History Record Check.”

2. Select the first option: “New Administration Fee Request (New Applicants Only)” and enter your Social Security

number to ascertain if you are eligible for the process. The screen displays four (4) options as to the job position(s)

and employer. Please select the appropriate option and proceed to next screen.

1. All Job Positions, except School Bus Drivers and Bus Aides, for Public Schools, Private Schools for Students

with Disabilities and Charter Schools

2. All School Bus Drivers and Bus Aides for Public Schools, Private Schools for Students with Disabilities,

Charter Schools and Authorized School Bus Contractors

3. All Job Positions, except School Bus Drivers and Bus Aides, for Non Public Schools

4. All School Bus Drivers and Bus Aides for Non Public Schools and Other Agencies

3. Complete the requested applicant information to include the county/district/school/contractor code names furnished

to you by your employer) and proceed to the Legal Certification. In order to continue with the ePayment process,

read and accept the terms of the AA&C by checking the box.

4. Please complete the required payment information. There is a $10.00 administrative fee for the department to

process the request and issue an approval letter. There will also be an additional $1.00 convenience fee charged by

the private vendor, NicUSA for processing the credit card information. Methods of payment are Visa, MasterCard,

American Express or Discover credit cards.

You MUST click the “Make Payment” button only one time to complete the transaction.

5. After completing the transaction, you will be presented with three required steps:

1. View and/or print your New Administration Fee Payment Request confirmation page

2. Complete and/or print your IdentoGO NJ Universal Fingerprint Form

3. Click here to schedule your fingerprinting appointment with MorphoTrust

6. Select the first option “View and/or print your New Administration Fee Payment Request confirmation page”

and print a copy of the receipt by clicking the print button in the upper right corner of the page and presenting a

copy to the employing entity.

7. Next select the second option “View and/or print your IdentoGO NJ Universal Fingerprint Form.” You must

print the IdentoGO NJ Fingerprint Form, fill in the boxes for Height, Weight, Maiden Name (if applicable), Place of

Birth, Country of Citizenship, Hair Color, and Eye Color and present it to MorphoTrust at the time of LiveScan

fingerprinting.

8. Access the MorphoTrust web page by selecting the third option “Click here to schedule your fingerprinting

appointment with MorphoTrust” or call 1-877-503-5981 to schedule a fingerprinting appointment. The fee for

fingerprinting is $66.05.

9. In about two weeks, you will be able to view and print your “Applicant Approval Employment History” by

accessing the Criminal History Review Unit website. Please give a copy to your employer.



https://www.nj.gov/education/crimhist/






Phone: (609) 814-8750



ARCHIVE APPLICATION REQUEST

For use by candidates who have previously completed the fingerprinting process for education

employee positions. This process excludes those who were fingerprinted as volunteers.

Applicants that were LiveScan printed subsequent to February 21, 2003 and have had the State fingerprint image

retained by the state police category Education Keep (EDK), are eligible for the Archived Submission Process. Re-

fingerprinting is not necessary; however, you will need your PCN number, which is located on your original

fingerprinting receipt.

2. To complete this application, please use a Microsoft Internet Browser like Internet Explorer or Edge all

other operating systems and internet browsers are unreliable with this program. Do not use Smart phones,

tablets, iPads or other mobile devices. Access the Office of Student Protection’s direct web address

https://www.nj.gov/education/crimhist/ to begin the process. Click on “File Authorization and Make

Electronic Payment for Criminal History Record Check.”

1. Your most recent PCN (Process Control Number) is required for this process. Your PCN can be obtained from

your MorphoTrust receipt or by accessing, you’re “Applicant Approval Employment History” on the

website.

2. Click on “File Authorization and Make Electronic Payment for Criminal History Record Check.”

3. Select the second option: “Archive Application Request (Applicants Previously Fingerprinted for the

Department of Education and Approved Subsequent to February 2003).”

4. Please enter your Social Security number to ascertain if you are eligible for the process. Click “Continue.”

5. Select the appropriate Applicant Authorization and Certification form (AA&C) that is suitable to your job

position and employer.

6. Complete the requested applicant information to include the county/district/school/ contractor code names

furnished to you by your employer) and proceed to the Legal Certification. In order to continue with the

ePayment process, read and accept the terms of the AA&C by checking the box. Click “Next”

7. Submit your credit card payment. Total payment is $29.75 (includes $10 administrative fee plus a $1.00

convenience fee charged by the private vendor). Click “Continue” and then click “Make Payment” at the

bottom of the next page.

8. The Payment Confirmation page will state, “Your ePayment transaction has been processed successfully.”

You should print a copy of this receipt.

9. In about two weeks, you will be able to view and print your “Applicant Approval Employment History” by

accessing it on the Criminal History Review Unit website. Please give a copy to your employer.








Phone: (609) 814-8750



TRANSFER REQUEST For use by substitutes currently working in other School Districts.

1. Access the Criminal History Review Unit’s direct web address to begin the process. The web

address is http://www.nj.gov/education/educators/crimhist.

2. Click on “File Authorization and Make Electronic Payment for Criminal History Record

Check.”

3. Select the third option: “Transfer Request (Only Substitutes & Bus Drivers are eligible).”

4. Please enter the Social Security number to ascertain if the applicant is eligible for the process.

Click “Continue.”

5. The screen will display two options:

1. For All Bus Drivers ONLY

2. For All Other Job Categories

6. Select the option for the position for which you are requesting the transfer. Complete the

requested applicant information including the county/district/school/contractor-vendor code

names furnished to you by your employer and click on the “Next” button.

7. Review your information and submit your credit card payment. Total payment is $6.00 ($5.00

plus a $1.00 convenience fee charged by the private vendor). Click “Continue” and then click

“Make Payment” at the bottom of the next page.

8. The Payment Confirmation page will state, “Your ePayment transaction has been processed

successfully.” You may print a copy of this receipt.


http://www.nj.gov/education/educators/crimhist

http://www.nj.gov/education/educators/crimhist





Phone: (609) 399-4161

Fax: (609) 399-4656



To:

From:

Re:

Office of Personnel

____________________________________________________________

(School District where originally fingerprinted)

Fax # _________________________________

Ocean City School District, Personnel Services Department

Kelly Donato, Personnel Services Manager

Verification of Continuous Employment

(Criminal History Procedure)

The Ocean City School District wishes to employ _______________________ as a Volunteer.

In order to comply with the rules established by the Office of Student Protection, The Ocean City

School District is asking you to complete the information below confirming that the above

mentioned candidate has been continuously employed with your School District with no break in

service.

Please return the completed form by fax (609) 399-4656 or email [email protected]

Thank you for your assistance in this matter.

This section to be completed by current School District

________________________________ _____________________________________

Name of Employee Position Held

Period of Employment: From: ____________________ To: ____________________

I hereby certify that the above information being provided to the Ocean City School District is true.

_____________________________ ________________________ _______________

Signature of District Administrator Title Date



(REV. 10.15.14) STATE OF NEW JERSEY – DEPARTMENT OF EDUCATION

DIVISION OF FIELD SERVICES AND OFFICE OF CERTIFICATION AND INDUCTION SUBSTITUTE CREDENTIAL APPLICATION COUNTY:

NOTE: THIS APPLICATION MUST BE TRANSMITTED TO THE COUNTY OFFICE IN WHICH THE SPONSORING DISTRICT IS LOCATED

This credential will be issued for a five-year period, but the holder may serve for no more than 20 total instructional days in the same position in one school district during the school year unless approved by the Executive County Superintendent for an additional 20 instructional days pursuant to N.J.A.C. 6A: 9B-6.5(b). Such credentials, which are issued by the Executive County Superintendent of Schools under the authority of the State Board of Examiners, are designed only for emergency purposes when the supply of properly certificated substitutes is inadequate to staff a school. They are intended only for persons temporarily performing the duties of a fully certificated and regularly employed teacher.

TO BE COMPLETED BY APPLICANT -- Please Type or Print Clearly

Name (First) (Middle/Maiden) (Last)

Social Security #

Address (Street) (City) (State) (Zip)

Date of Birth E-Mail Address Telephone

Are you a citizen of the United States? Yes No If no, have you filed an Affidavit of Intent to Become a Citizen? Yes No If yes, Alien Registration #

NOTE: The Affidavit of Intent to Become a Citizen is not a requirement for the substitute credential. Have you ever been convicted of a crime in this or any other state? Yes No If yes, give the name of the municipality and attach statement giving details. Have you ever had an educator’s certificate revoked or suspended in this or any other state? Yes No If yes, attach statement giving details. Have you taken the Oath of Allegiance? Yes No

EDUCATION Regionally-Accredited College Name Location Degree / Degree Date Major # Credits

WORK EXPERIENCE (teaching)

I certify that the above statements and data are correct: (Signature of Applicant) (Date)

FOR DISTRICT OR DISTRICT DESIGNEE* USE: AFFIRMING TRANSMITTAL OF APPLICATION

_ _ Print Name of District Representative or District Designee Representative Signature of District Representative or District Designee Representative

_ Name of District for Which Application is Transmitted Date

Name Vendor / Firm if Transmitted by Designee *District designee is defined as a vendor / firm that contracts with the district for this purpose.

FOR COUNTY USE: REGULAR SUBSTITUTE APPLICATION VOCATIONAL / SCHOOL NURSE APPLICATION

Application Oath Transcripts Fee Date of Criminal History Approval if applicable or

For vocational applicants/notarized statement of previous employment or valid occupational license.

Date of Emergent Hire Approval if applicable CERTIFICATE # DATE OF ISSUE

RN License # Exp.Date

Dr. Kathleen Taylor

Ocean City School District

IMPORTANT: This form is to be completed by only those individuals who are U.S. citizens. See Section B below.A. Basic Information Please print your name as it appears on any documentation that you are required to submitLast Name First Name Middle Name or Initial

Street Address

City State Zip

Social Security Number Date of Birth: Month Day Year

Tracking Number

Email Address Phone Number Including Area Code

Are you applying for the New Charter School Certificates? Circle whichever applies YES NOAre you a military veteran? Circle whichever applies YES NOEndorsement Information. Please enter below the code and print the name of each endorsement for which you are applying.Code Name of Endorsement

B. Oath of Allegiance Choose one of the following.Option II, ______________________________________________________do solemnly swear, (or affirm) that I will support the Constitution of the United States and the Constitution of the State of New Jersey, and that I will bear true faith and allegiance to the same and to the governments established in the United States and in this State, under the authority of the people, so help me God.

Option III, ______________________________________________________do solemnly swear, (or affirm) that I will support the Constitution of the United States and the Constitution of the State of New Jersey, and that I will bear true faith and allegiance to the same and to the governments established in the United States and in this State, under the authority of the people.

C. Certification Failure to complete these items will result in rejection of the candidate’s application forcertification.

Circle whichever applies

1.Have you ever been convicted of, pled guilty, no contest or nolo contendere to, or had adjudication withheld toa crime or offense, including DUI, in New Jersey or any other state or jurisdiction? If yes, complete and submit aCriminal/Offense Information Form. Yes No

2. Have you ever had an education or other professional certificate, license or credential revoked, suspended,invalidated or denied for cause in New Jersey or any other state or jurisdiction?* Yes No

3. Have you ever surrendered or relinquished an education or other professional certificate, license or credentialin New Jersey or any other state or jurisdiction? * Yes No

4. Are you the subject of any pending action or proceedings against your education or other professionalcertificate(s), license(s) or credential(s) in New Jersey or any other state or jurisdiction? * Yes No

New Jersey State Department of EducationOffice of Certification and Induction

OATH OF ALLEGIANCE / VERIFICATION OF ACCURACY

5. Have you ever resigned, retired or been dismissed or suspended from an education-related position in NewJersey or any other state or jurisdiction following allegations of misconduct? * Yes No

6. Are you the subject of any civil, criminal or administrative investigation in New Jersey or any other state orjurisdiction? * Yes No

* If any answer to Questions 2 through 6 is “yes,” complete and submit an Additional Information For the Oath ofAllegiance Form.

D. Verification of AccuracyI certify that all statements and information provided herein are true and accurate.Applicant’s Signature (in ink) Date

Sworn and subscribed to before me this _________________day of _________________________, 20______

Notary Seal Notary Signature

_____________________________________________________

Once completed, mail the form to: New Jersey State Department of EducationOffice of Certification and InductionP.O. Box 500Trenton, New Jersey 08625-0500

Attention: Oath of Allegiance/Verification of AccuracyRev 04.04.16





Phone: (609) 399-4161

Fax: (609) 399-4656



SCHOOL HEALTH SERVICES

NON-PERMANENT EMPLOYEE HEALTH INFORMATION

(substitutes, student teachers, volunteers, coaches, etc.)

SECTION A: EMERGENCY INFORMATION

NAME_________________________________________________ DATE OF BIRTH______________________

ADDRESS______________________________________________ PHONE NUMBER_____________________

FAMILY PHYSICIAN_________________________________________________________________________

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY: please include relationship and phone number

_____________________________________________________________________________________________

SECTION B: MEDICAL HISTORY

ACCIDENTS (SERIOUS)_______________________________________________DATE___________________

ALLERGIES __________________________________________ASTHMA_______________________________

DIABETES___________HEADACHES_____________HEART CONDITION_____________________________

HIGH BLOOD PRESSURE_________________ORTHOPEDIC________________________________________

EYE PROBLEMS______________________GLASSES______________CONTACTS______________________

OPERATIONS (INCLUDE DATE)________________________________________________________________

LIST ANY OTHER HEALTH PROBLEMS YOU MAY HAVE:________________________________________

_____________________________________________________________________________________________

LIST ANY MEDICATIONS PRESENTLY PRESCRIBED:____________________________________________

_____________________________________________________________________________________________

DATE OF LAST MANTOUX:__________________ARE YOU A POSITIVE REACTOR___________________

_____________________________________________________________________________________________

SECTION C: NON-EMPLOYEE ASSURANCE STATEMENT

I certify that the above information is true to the best of my knowledge.

________________________________________________________________ __________________________

Signature of applicant Date







Phone: (609) 399-4161

Fax: (609) 399-4656



MEMORANDUM

To: New Employees, Substitutes, Coaches and Activity Advisors, etc.

Re: Mandatory Mantoux Test (TB Test)

________________________________________________________________________________

The law requires that all new employees, substitutes, coaches and activity advisors, etc., have a

Mantoux (TB) Test performed and a result documented prior to employment with the School District.

You may have your doctor administer the test and return the original results with your packet or the

Ocean City High School Health Office will complete the test free of charge.

To schedule your screening with the Ocean City High School Health Office, please call

609-399-1290 ext. 8731. Appointments are between the hours of 3:00 pm and 5:30 pm, Monday

through Wednesday; with a site assessment, completed 48 hours post intradermal injection.

The test schedule is as follows:

• Tests Administered on Monday will be read on the following Wednesday

• Tests Administered on Tuesday will be read on the following Thursday

• Tests Administered on Wednesday will be read on the following Friday

Please Note: If you had a Mantoux (TB) Test within the last six months or if you are transferring

between school districts and/or from a non-public school within New Jersey, there is no need to be re-

screened, simply supply a copy of the test with the submission of your packet.

In addition: If you have tested positive in the past please supply a copy of your chest x-ray in lieu of

completing the screening again.

Name: ________________________________________________________________________

Position/Department: Please circle: Employee (ex. staff, substitutes, and paid coaches)

Volunteer (unpaid positions ex. coaches and parents)

Contractor (paid by third party)

Date Administered: __________________ Administered by: ___________________________

Lot # _____________ Expiration date: ______________

Date read: _________________________ Read by: ________________________________

TEST RESULT: (please circle) NEGATIVE OR POSITIVE ____ mm in size

____ induration present

____ redness noted







Phone: (609) 399-4161

Fax: (609) 399-4656



Please complete the information below to make sure the information we have on file is accurate.

If you have any questions, please contact Kelly Donato, Personnel Services Manager at

[email protected] or (609) 399-4161

Thank you.

Name: ____________________________________________________________________

First Middle Last

Address: _____________________________________________________________________

_____________________________________________________________________

Home Phone Number: _____________________ Cell Phone Number: ___________________

Home email address: ____________________________________________________________

Social Security Number: _______________________ Date of Birth: ______________________

Place of Birth: _____________________________

Emergency Contact: ______________________________ Relationship: __________________

Emergency Contact Phone Number: _______________________

Education

Name Location Major/Minor Diploma/Degree

______________________________________________________________________________

High School

______________________________________________________________________________

Undergraduate College or University

______________________________________________________________________________

Master’s Degree College or University

______________________________________________________________________________

Please List Student Teaching District or Alternate Route Program Attended (if applicable)

Highest Degree: High School or Equivalent 60 or more College Credits

Associate Degree Bachelor’s Degree Master’s Degree

Doctorate Degree National Board Certified

(Please be sure to complete the reverse side of this form)









Phone: (609) 399-4161

Fax: (609) 399-4656



List of Certifications and Highly Qualified Status (if applicable): _________________________

______________________________________________________________________________

______________________________________________________________________________

Employment (List Employer’s Names and Dates of Employment)

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Have you retired from a NJ State Administered Retirement System? ________________

If so:

a. Retirement Date: ________________

b. Employer at Retirement: __________________________________________

c. Retirement # or Former Membership #: ______________________________

d. Retirement Type: Disability Other

Please note: A Notification of Employment After Retirement form is required by the state for

anyone collecting a retirement benefit from any NJ State-Administered Retirement system. If

applicable, the Ocean City School District will complete the form and return it to the Division

of Pension and Benefits within 15 calendar days of your employment.


Instructions Start Over Print

USCIS

Form I-9 OMB No. 1615-0047

Expires 08/31/2019

Employment Eligibility Verification

Department of Homeland Security

U.S. Citizenship and Immigration Services

Page 1 of 4 Form I-9 07/17/17 N

Today's Date (mm/dd/yyyy)

►START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically,

during completion of this form. Employers are liable for errors in the completion of this form.

ANTI-DISCRIMINATION NOTICE: It is illegal to discriminate against work-authorized individuals. Employers CANNOT specify which

document(s) an employee may present to establish employment authorization and identity. The refusal to hire or continue to employ

an individual because the documentation presented has a future expiration date may also constitute illegal discrimination.

Section 1. Employee Information and Attestation (Employees must complete and sign Section 1 of Form I-9 no later

than the first day of employment, but not before accepting a job offer.)

Last Name (Family Name) First Name (Given Name) Middle Initial Other Last Names Used (if any)

Address (Street Number and Name) Apt. Number City or Town State ZIP Code

Date of Birth (mm/dd/yyyy) U.S. Social Security Number Employee's E-mail Address Employee's Telephone Number

- -

I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in

connection with the completion of this form.

I attest, under penalty of perjury, that I am (check one of the following boxes):

1. A citizen of the United States

2. A noncitizen national of the United States (See instructions)

3. A lawful permanent resident (Alien Registration Number/USCIS Number):

4. An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy):

Some aliens may write "N/A" in the expiration date field. (See instructions)

Aliens authorized to work must provide only one of the following document numbers to complete Form I-9:

An Alien Registration Number/USCIS Number OR Form I-94 Admission Number OR Foreign Passport Number.

1. Alien Registration Number/USCIS Number:

OR

2. Form I-94 Admission Number:

OR

3. Foreign Passport Number:

Country of Issuance:

QR Code - Section 1

Do Not Write In This Space

I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my

knowledge the information is true and correct.

Signature of Preparer or Translator Today's Date (mm/dd/yyyy)

Last Name (Family Name) First Name (Given Name)

Address (Street Number and Name) City or Town State ZIP Code

Employer Completes Next Page

Click to Finish

Preparer and/or Translator Certification (check one): I did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1.

(Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.)

Signature of Employee


USCIS

Form I-9 OMB No. 1615-0047

Expires 08/31/2019




Page 2 of 4 Form I-9 07/17/17 N

Section 2. Employer or Authorized Representative Review and Verification (Employers or their authorized representative must complete and sign Section 2 within 3 business days of the employee's first day of employment. You

must physically examine one document from List A OR a combination of one document from List B and one document from List C as listed on the "Lists

of Acceptable Documents.")

Employee Info from Section Last Name (Family Name) First Name (Given Name) M.I. Citizenship/Immigration Status

1

List A OR List B AND List C Identity and Employment Authorization Identity Employment Authorization

Document Title Document Title Document Title

Issuing Authority Issuing Authority Issuing Authority

Document Number Document Number Document Number

Expiration Date (if any)(mm/dd/yyyy) Expiration Date (if Expiration Date (if any)(mm/dd/yyyy)

Document Title

N/A

Additional Information QR Code - Sections 2 & 3 Do Not Write In This Space

Issuing Authority

N/A

Document Number

N/A

Expiration Date (if

N/A

Document Title

N/A

Issuing

N/A

Document

N/A

Expiration Date (if

N/A

Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee,

(2) the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best of my knowledge the

employee is authorized to work in the United States.

The employee's first day of employment (mm/dd/yyyy): (See instructions for exemptions)

Signature of Employer or Authorized Representative Today's Date Title of Employer or Authorized Representative


Last Name of Employer or Authorized Representative

Donato First Name of Employer or Authorized Representative Kelly

Employer's Business or Organization Name

Ocean City Board of Education

Employer's Business or Organization Address (Street Number and

501 Atlantic Avenue Suite 1

City or Town

Ocean City

State

NJ

ZIP Code

08226

Section 2 completion in progress.

Click to Finish


USCIS

Form I-9 OMB No. 1615-0047

Expires 08/31/2019




Page 3 of 4 Form I-9 07/17/17 N

Employee Name from Section 1: Last Name (Family Name) First Name (Given Name) Middle Initial

Section 3. Reverification and Rehires (To be completed and signed by employer or authorized representative.)

A. New Name (if applicable) B. Date of Rehire (if applicable)

Last Name (Family Name) First Name (Given Name) Middle Initial Date (mm/dd/yyyy)

C. If the employee's previous grant of employment authorization has expired, provide the information for the document or receipt that establishes

continuing employment authorization in the space provided below.

Document Title Document Number Expiration Date (if any) (mm/dd/yyyy)

I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if

the employee presented document(s), the document(s) I have examined appear to be genuine and to relate to the individual.

Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Name of Employer or Authorized Representative

Click to Finish

Form I-9 07/17/17 N Page 4 of 4

LISTS OF ACCEPTABLE DOCUMENTS

All documents must be UNEXPIRED

Employees may present one selection from List A

or a combination of one selection from List B and one selection from List C.

LIST A

Documents that Establish

Both Identity and

Employment Authorization OR

LIST B LIST C

Documents that Establish Documents that Establish

Identity Employment Authorization

AND

1. U.S. Passport or U.S. Passport Card 1. Driver's license or ID card issued by a

State or outlying possession of the

United States provided it contains a

photograph or information such as

name, date of birth, gender, height, eye

color, and address

1. A Social Security Account Number

card, unless the card includes one of

the following restrictions:

(1) NOT VALID FOR EMPLOYMENT

(2) VALID FOR WORK ONLY WITH

INS AUTHORIZATION

(3) VALID FOR WORK ONLY WITH

DHS AUTHORIZATION

2. Permanent Resident Card or Alien

Registration Receipt Card (Form I-551)

3. Foreign passport that contains a

temporary I-551 stamp or temporary

I-551 printed notation on a machine-

readable immigrant visa2. ID card issued by federal, state or local

government agencies or entities,

provided it contains a photograph or

information such as name, date of birth,

gender, height, eye color, and address

4. Employment Authorization Document

that contains a photograph (Form

I-766)

2. Certification of report of birth issued

by the Department of State (Forms

DS-1350, FS-545, FS-240) 3. School ID card with a photograph

5. For a nonimmigrant alien authorized

to work for a specific employer

because of his or her status:

a. Foreign passport; and

b. Form I-94 or Form I-94A that has

the following:

(1) The same name as the passport;

and

(2) An endorsement of the alien's

nonimmigrant status as long as

that period of endorsement has

not yet expired and the

proposed employment is not in

conflict with any restrictions or

limitations identified on the form.

3. Original or certified copy of birth

certificate issued by a State,

county, municipal authority, or

territory of the United States

bearing an official seal

4. Voter's registration card

5. U.S. Military card or draft record

6. Military dependent's ID card

4. Native American tribal document 7. U.S. Coast Guard Merchant Mariner

Card 5. U.S. Citizen ID Card (Form I-197)

8. Native American tribal document6. Identification Card for Use of

Resident Citizen in the United

States (Form I-179) 9. Driver's license issued by a Canadian

government authority

For persons under age 18 who are

unable to present a document

listed above:

7. Employment authorization

document issued by the


6. Passport from the Federated States of

Micronesia (FSM) or the Republic of

the Marshall Islands (RMI) with Form

I-94 or Form I-94A indicating

nonimmigrant admission under the

Compact of Free Association Between

the United States and the FSM or RMI

10. School record or report card

11. Clinic, doctor, or hospital record

12. Day-care or nursery school record

Examples of many of these documents appear in Part 13 of the Handbook for Employers (M-274).

Refer to the instructions for more information about acceptable receipts.





Phone: (609) 399-4161

Fax: (609) 399-4656



Access to Information, Software and Computing Agreement

As a user of Ocean City School District’s computing facilities, I agree to the following rules and

provisions:

1. I will only use the computer account provided to me and will take the responsibility to protect my

account from unauthorized access. I will not give my personal password to anyone and will take

steps to prevent others from learning my password. If I become aware of attempts to violate or

bypass security mechanisms, I will promptly report such attempts to my supervisor.

2. I will respect the privacy of information stored in Ocean City School District’s computing facilities.

3. I will not acquire or modify, in any way, information that belongs to another person nor will I

attempt to access restricted portions of the network or operating system.

4. I will only use the software to which I have been granted express rights by the network supervisor.

5. I will not copy unauthorized software onto the local drive or onto the network drive.

6. I agree to abide by any patent, copyright, or license restrictions that may relate to the use of the

computing facilities, products, programs or documentation. I agree not to copy, disclose, modify,

or transfer any such materials that I did not create without the express consent of the original owner

or copyright holder. I agree not to use Upper Township School District’s computing facilities to

violate the terms of any software license agreement, or any applicable local, state, or federal laws.

7. I agree not to use Ocean City School District’s computing facilities for any purpose other than that

for which it was intended.

8. I shall not use my privileges to access other computing facilities to which Ocean City School

District is connected without appropriate approvals to do so.

9. Internet access/e-mail is a privilege and not a right which can be revoked if used for purposes other

than professional enrichment, research, instruction and/or dialogue.

10. This agreement remains in force as long as I make use of Ocean City School District’s computing

facilities or services.

______________________________________________

Signature/Date







Phone: (609) 399-4161

Fax: (609) 399-4656



RESIDENCY FORM

Employee Name: ______________________________________________________________

Address: _____________________________________________________________________

City: ___________________________________ State: _______________ Zip: ___________

Date of Hire: ____________________________ Position: ____________________________

NEW JERSEY FIRST ACT

Effective September 1, 2011, in accordance with the “New Jersey First Act” P.L. 2011, c.70, all employees of

State and local government, including school districts or an authority, board, body, agency, commission, or

instrumentality of the district, must reside in the State of New Jersey, unless exempted under law. All

employees hired on or after September 11, 2011 not residing in New Jersey will have one year after the date

employment begins to relocate residency to New Jersey. An employee who does not do so is subject to removal

from office, position, or employment.

In accordance with the “New Jersey First Act” amending N.J.S.A. 52:14-7:

Please the applicable box:

I hereby attest that my principal residence* is in the State of New Jersey.

I hereby attest that my principal residence is outside the State of New Jersey. I understand that I have

one year to relocate and establish my principal residence in the State of New Jersey. Failure to do so

will result in my being deemed unqualified for holding my position in accordance with the New

Jersey First Act.

ACKNOWLEDGEMENT

By signature below, I acknowledge receipt of the information contained in N.J.S.A. 52:14-7. I also

acknowledge my obligation to notify the Superintendent’s Office if/when my principal residence changes.

Employee Signature Date

*In accordance with statute, “… a person may have only one principal residence, and the state of a person’s

residence means the state (1) where the person spends the majority of his or her nonworking time, and (2) which

is most clearly the center of his or her domestic life and (3) which is designated as his or her legal address and

legal residence for voting. The fact that a person is domiciled in this State shall not by itself satisfy the

requirement of principal residency.”


7/31/2019 GCN: UserInstructions

https://site.gcntraining.com/assets/documents/admin_resources/GCN_UserInstructions_v5.htm?o=40040=Ocean City Public School District 1/1

3) The User ID

If you do NOT have a User ID,

click I was not provided a User ID

and follow the prompts to create one.

If no account is found, check with your HR Deparment orSupervisor to see if there is an issue with youraccount/name. -- it may be a difference of "Smith-Jones"vs "Smith Jones" or "VanHoff" vs "Van Hoff".

If you have created a User IDalready, enter your User ID and click Submit

If you've forgotten your User ID, click "I Don'tKnow..." below the User ID field.

INSTRUCTIONS: Ocean City Public School District1) Access the Login ScreenEnter www.gcntraining.com into your browser's address bar

When the website loads, Click

2) Enter your Organization ID

40040The Organization ID is a code unique to each organization.

4) The Tutorial Listing PageOn the Tutorial Listing page you'll see a list of tutorials your organization has eitherrequired or has made available to you -- if the list does not specifically state "Required",it's possible that not all on the list are required (your organization may provide a list foryou in this case).Take notice of any articles in the News & Information area to the right of thepage.

5) Viewing TutorialsTo view a tutorial, click START to the left of any title in the list. Your progress is savedafter each slide completes, so you may complete a tutorial in several sessions.If you have trouble viewing a tutorial or slide, use the orange buttons below the tutorialviewer.

Need More Assistance? Contact [email protected]






Phone: (609) 399-4161

Fax: (609) 399-4656



COACHES

Instructions to use the NFHS Site

Go to website: http://www.nfhslearn.com

Log in to your account or create a new account

Click on Courses (located on the top of the page on the red bar)

Under free courses you will find the following two required tutorials:

Concussion in Sports

Heat Illness Prevention

Please complete the tutorials, print out the certificates, and return them with your

coaches’ packet.

If you have any questions, you may contact:

Kelly Donato, Personnel Services Manager at (609) 399-5150 or

[email protected]



http://www.nfhslearn.com/

http://www.nfhslearn.com/







Phone: (609) 814-8750



CONFIDENTIALITY AGREEMENT

All information concerning employees, students, clients, donors, and organizations with which the

Ocean City School District does business is to be considered privileged and maintained in strict

confidence. All employees/coaches/club advisors/volunteers, etc. are responsible for protecting the

confidentiality of such information. Information concerning past and present employees, other than

essential employment verification, will not be released without the proper written authorization

request.

CONFIDENTIALITY CLAUSE

The employees/coaches/club advisors/volunteers, etc. agrees to keep confidential and not disclose to

others, nor make personal use of any information concerning the personal, financial or other affairs of

the School District, which may have become known to The Employee/Volunteer during his/her

employment or volunteer services for the Board. The employees/coaches/club advisors/ volunteers,

etc. further agrees to maintain the privacy rights of students in accordance with the provisions of all

applicable federal and State laws and regulations, as well as all Board policies relating to student

records. Specifically, the employees/coaches/club advisors/volunteers, etc. agrees not to disclose or

permit access to any information regarding or relating to any student in the Ocean City School

District, unless such disclosure or access is specifically authorized by law and/or board policy and

regulation.

_____________________________________________________

Signature

_____________________________________________________

Print Name

_____________________________________________________

Date



Non-District Volunteer Coach Application · 3. Select the second option: “Archive Application...

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Transcript of Non-District Volunteer Coach Application · 3. Select the second option: “Archive Application...