Crossing Guard Interest Form

Crossing Guard Interest Form

Full Name*

Address*

City*

State*

Zip*

Home Phone*

Phone

Mobile Phone*

Phone

Work Phone

Birthdate*

Social Security #*

Drivers License or State ID #*

State of DL or ID*

Email*

Hours available to work*

Currently Employed*

YES

Where Employed

If Education above is Other specify here

JOB SUMMARY

Under the direction of the Special Operations Crossing Guard Coordinator, Crossing Guards are responsible to assist children to and from school in the crosswalk areas while following Crossing Guard Expectations and State Laws.

ESSENTIAL FUNCTIONS

Be available during the crossing periods.
Have transportation available to get to and from crossings.
Available by phone for assignments and ability to be punctual for crossing shifts.
Requires good vision, visual depth perception, and the ability to evaluate safe vehicle traffic and pedestrian movement.
No illegal drug use in the last 2 years.
No disqualifying convictions, or offense involving dishonesty, unlawful sexual conduct, physical violence unlawful use, sale, or possession of a controlled substance, or any offenses involving children.
Able to pass a background check.
Have a valid government issued ID.
Willing to work in all types of weather.
Ability to stand for periods of time from 45 minutes to an hour.
Able to communicate with others clearly.
Be able to hold stop paddle upright during crossings and lift/place cone in proper area.
Ability to move about an intersection to and from the middle of the street as necessary.
Ability to reach and lock/unlock padlocks to activate school crossing lights.
Ability to discern the presence of danger to children in the area of the crosswalk and be able to react quickly move them to safety.
Ability to communicate developing safety hazards or issues to the Crossing Guard Coordinator.
Maintain a sense of responsibility for the safety of students.
Able to attend training outside the normal crossing periods.
Adhere to training, instruction, and policy.
Accept work responsibilities and exhibit's a high degree of professionalism.
Basic computer knowledge and ability to complete accurate online timecard.
Report any issues with crossing guards or citizens to the Crossing Guard Coordinator.

ADDITIONAL RESPONSIBILITIES AND FUNCTIONS

Full-time assigned crossing guards should be able to cover approximately 80% of their crossings through school year to maintain a full-time spot.
Substitute crossing guards should be able to complete approximately 3 crossings per month.

EXPERIENCE/EDUCATION REQUIREMENT

At least 18 years of age.
Proof of citizenship or current legal documentation to work in the United States.
High School Diploma or GED.

From what source did you learn of the UPD Crossing Guard Program?*

Why do you want to become a Crossing Guard for the Unified Police Department?*

What previous Crossing Guard experience, if any, do you have?*

Is there anything pertaining to the minimum requirements that we should know about?*

Any comments you would like to add:

Availability:

Crossing Guards will follow the school calendar where they are assigned. Full time and Substitute crossing guard positions available.

Full time crossing positions are offered to substitutes by seniority as they become available.

Will your schedule allow you to commit to the position you are being considered for?

I certify that I meet the minimum requirements, and the information contained in this form is truthful. If appointed, I understand I must pass a criminal background check and a Unified Police Department background check.

I Certify*

Send me a copy of my responses

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