P-10 (Rev 01/2019)
ADDITIONAL INFORMATION:
PRE-EMPLOYMENT REQUIREMENTS – PLEASE READ CAREFULLY
Education Code § 87408.6 states that no person shall be initially employed by a community college district in an academic or classified position unless the person
has submitted to an examination within the past sixty (60) days to determine that he or she is free of active tuberculosis.
As a condition of employment the position you are applying for may require that you provide fingerprints to the local police department. The fee charged by the
Department of Justice (DOJ) for the fingerprint report is the employee’s responsibility. If you should be offered this position and it requires fingerprinting, you will be
asked to sign a payroll deduction form which will authorize the District to deduct the fee charged by the DOJ from your first paycheck.
GENERAL: (This space is provided for any additional information which you believe will be helpful in considering your application.)
Do you have any relatives currently working at Butte College? Yes No
I declare that the information in this application is true and complete to the best of my knowledge, and I authorize investigation of all statements herein recorded. I
waive and release from all liability persons and organizations reporting information required by this application. I certify that I do not advocate, nor am I a member of
any party or organization, political or otherwise, that now advocates the overthrow of the government of the United States or the State of California by force or
violence or other unlawful means. I understand that I will be subject to forfeiture of the employment process or dismissal if any statement in this application is found to
be untrue.
Signature __________________________________________________________________ Date ______________________
APPLICATION MUST BE SIGNED AND DATED
The Butte-Glenn Community College District, Oroville, California, in compliance with Titles VI and
VII of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972 (45 CFR86), and
Sections 503 and 504 of the Rehabilitation Act of 1973, Titles I and II of the American’s with
Disabilities Act of 1990 does not discriminate on the basis of race, color, national origin, religion,
sex, sexual orientation, or physical/mental disability or medical condition in any of its policies,
procedures, or practices; nor does the District, in compliance with the Age Discrimination in
Employment Act of 1967 and Section 402 of the Vietnam Era Veterans Readjustment Act of 1974,
discriminate against any employee or applicants for employment on the basis of age or because
they are U.S. disabled veterans or veterans of the Vietnam era. This nondiscrimination policy
covers admissions, access, and treatment in the District’s programs and activities, and application
for and treatment in District employment. In conformance with District policy and pursuant to
Executive Order 11246 and 11375, Section 503 of the Rehabilitation Act of 1973, and Section 402
of the Vietnam Era Veterans Readjustment Act of 1974, the District affirms diversity and is an
equal opportunity employer.
Inquires regarding the District’s equal opportunity policies may be directed to the Equal
Opportunity Officer, Administration Building, Office of Human Resources, Butte College, 3536
Butte Campus Drive, Oroville, CA 95965-8399 (Telephone 530-895-2400); Title IX Compliance
Officer, 530-895-2379; and Sections 503/504 Compliance Officer, Specialist/Disabled Student
Services, 530-895-3455, ADA Coordinator, 530-895-2244. In addition, inquiries may be directed to
the Director of the Office of Civil Rights, Department of Labor, Washington, D.C. 20201.
