Application for Professional Employment

I certify that all information on this application is true and complete to the best of my knowledge. I understand that any withholding or falsification of information on this application constitutes grounds for dismissal if I am employed. As an applicant with Hicksville Exempted Village Schools, I make the following commitments that I will abide by if employed:

1. I will respect other human beings regardless of race, sex, color, creed, handicap, or economic status.
2. As an educator, my highest priority will be service to students.
3. I will spend the time necessary to plan and organize for successful teaching.
4. I will spend time to attend and help supervise school activities and professional meetings outside of school hours.
5. I will assume additional duties to assure an efficient school operation such as hall duty, playground duty, etc.
6. I will continuously strive for better ways to help youngsters grow and learn through professional reading, further training, and participation in staff development activities.
7. I will take pride in my personal appearance and conduct to help ensure a proper image for students.

I agree that any claim or lawsuit relating to my service with the Hicksville Exempted Village School District must be filed, no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitations to the contrary.

I hereby authorize the Hicksville Exempted Village Schools to obtain from my previous employer(s) all data necessary to support this application. In consideration of the disclosure and receipt of personal information necessary for full consideration of this employment application, I authorize the release of all high school, college, or other education records pertaining to my attendance, course work, and other school activities. I further consent to the disclosure of any and all information contained in private and governmental files relating to this employment application or relating to my present and former employment history. I authorize and request all former employers and federal, state, and local government agencies to release such information to Hicksville Exempted Village School District or its agent upon request. Hicksville Exempted Village School District is also authorized to make any investigation of my personal history and financial and credit record through any investigative or credit agencies of their choice.

I release Hicksville Exempted Village Schools, its employees and agents, and all sources of information listed above from any and all legal liability arising from the release of the foregoing information to Hicksville Exempted Village Schools, or any other party with a proper and appropriate interest.

Or

ANY FELONY, OR ANY OFFENSE OF VIOLENCE, THEFT OFFENSE,OR DRUG ABUSE OFFENSE, UNDER EITHER STATE LAW OR ANYSIMILAR MUNICIPAL ORDINANCE, THAT IS NOT A MINOR MISDEMEANOR.

If you cannot sign this form for any reason please write an explanation on a separate page or discuss directly with the hiring officer.