AGREEMENT (Read carefully before signing or submitting electronically)
By my signature I submit:
Terms and Release Authorization
1. The information disclosed will be made available only to appropriate district officials.
2. You must complete all sections of this application form. If employed, making false statements or omitting information, may be grounds for dismissal.
3. I hereby authorize representatives of the Iron County C-4 School District to contact all persons and entities listed on this application form and to make all other contacts, inquiries and investigations which they deem necessary in order to verify my education, employment and criminal and child abuse history, including but not limited to contacting current and, or past employers, educational institutions, law enforcement, and child abuse agencies. I hereby consent to the release of any such information by third persons and I understand that the Iron County C-4 School District will keep such information in a confidential file, available only to appropriate district officials.
I hereby release and hold harmless the directors, officers, employees, and agents of Iron County C-4 School District; each of my past employers; and any other person or entity providing information to the Iron County C-4 School District and/or members in connection with my application for employment, from any and all liability arising from disclosure of personnel records and/or from oral appraisals of my past performance made to the Iron County C-4 School District.
I understand that employment with Iron County C-4 School District is contigent upon the satisfactory completion of a criminal and child abuse/neglect record check. In accordance with State law, this background check will include a complete fingerprint criminal records check. An unsatisfactory report shall constitute cause for rejection of an application or immediate termination, if the applicant has been hired. Although the existence of an arrest, charge, plea, convictions, and/or sentence alone may not constitute an unsatisfactory report, an Iron County C-4 School District member has a compelling interest in ensuring the safety and welfare of its students. Therefore, an obligation, to request criminal and child abuse/neglect information and official records for each applicant and employee, and to act in accordance with such information and official records.
I hereby certify that all information provided by me in connection with this application is true, accurate, and complete. I understand that any false, inaccurate, incomplete, omitted, or misleading information provided on this application, or on any other documents submitted in connection with this application, shall be the cause for refusal to hire, or if the applicant has been hired, for immediate termination.