Special Education · Education Services Center

Behavior Support Assistant

FCUSD is committed to providing excellence in educational programs that carry high expectations for each student's success.

Other previous legal names:

Please disclose all other names you have previously used, including any given names, aliases, or former legal names.

Are you currently employed by Folsom Cordova Unified School District?

Yes

What is your current home address (include street number, City and Zip Code)?

Enter Street number, Street name, City, Zip Code

What is your highest level of education?

This position requires the mobility and range to arm lift 50 pounds and floor lift 50 pounds. Are you physically fit to meet these requirements?

Yes

How many years of relevant experience do you have?

Resume (Provide clear evidence of required experience)

May we contact your most recent employer?

Yes

Name and Title of Current or Most Recent Supervisor include phone number and email

Reason for Leaving Most Recent/Current Employment

Please list at least two (2) professional references and indicate the relation to you. (ie. coworker, manager, etc.)

Please provide an email address and phone number for each.

Have you ever been dismissed or asked to resign from any position?

Yes

If you answered "Yes" to the question above, please explain below.

Are you currently working for or have you ever worked for a CalPERS/CalSTRS Employer?

Yes

Are you currently in "retired" status with CalPERS or CalSTRS?

Yes

Per Senate Bill 848 and Education Code §44939.5, please provide a list of all positions you have held at any school district, county office of education, charter school, and/or state special school, regardless of duration of employment. Please list all agency name(s), position title(s), dates of employment.

Effective January 1, 2026, and in accordance with Senate Bill 848 and the Education Code §44939.5, applicants are required by law to provide a complete and accurate list of all school districts, county offices of education, charter schools, and/or state special schools where they have been employed, regardless of the length of service. This includes full-time, part-time, substitute, and temporary positions. Failure to disclose any prior employment with these entities may be considered dishonesty in the hiring process and/or dishonesty following termination, which could result in disqualification from employment.

SB 848 Acknowledgment: Please acknowledge you have listed all agencies, and position title(s) you have been employed as (including short term/temp assignments) at a School District, County Office of Education, Charter School and/or State Special School.

Please note that any falsification of information on a job application may disqualify you from the selection and/or hire process.

Yes

Have you ever been convicted of a felony or misdemeanor, or do you currently have a felony or misdemeanor charge pending? Convictions include a plea of guilty, nolo contendere (no contest) and/or a finding of guilty by a judge or a jury, or a conviction that has been judicially dismissed or ordered sealed, including 'expungement' granted pursuant to Penal Code section 1203.4. (Note: Exclude convictions related to the use of marijuana that are over two years old).

The following information is REQUIRED for your application to be considered. Your answers will not necessarily disqualify you from consideration, except for affirmative responses to certain enumerated sex and/or drug convictions and/or convictions for committing serious and/or violent felonies. Note: Inconsistencies, omissions, and/or inaccurate representations in the information provided may result in a declination of your application for employment.

Yes

If "Yes" to the question above, list all convictions including, but not limited to convictions for "driving under the influence," and convictions for sex and/or drug offenses listed in California Education Code Sections 44010 and 44011, except for convictions related to marijuana if it is more than two years after the date of the conviction. Include any serious or violent felony conviction in any state or jurisdiction as enumerated in California Penal Code sections 667.6(c) and 1192.7(c). If "No" enter N/A in the field below.

California Labor Code section 432.8 prohibition on asking about marijuana convictions does not apply to Health and Safety Code section 11359 (possession of marijuana for sale) and Health and Safety Code section 11378 (possession of a specific controlled substance). These convictions must be disclosed.

If you need a reasonable accommodation to participate in the hiring process, the district/county office will provide you with one upon notice.

Yes

If you answered "Yes," please explain below.

Would you mind providing additional information regarding where you first heard about this position?

Personal information

First name

Last name

Phone

Additional files

Cover letter