I certify that all statements made by me in this application are true, complete and correct to the best of my knowledge. I am aware that any false statements, misrepresentations or omissions of the facts will be sufficient cause for dismissal. If I am hired, I am aware that this application becomes part of my official employment record.
I understand that the Hicksville Exempted Village School District may want to verify the statements that I have made in this application. I authorize investigation of all statements contained herein, and give my permission for the Hicksville Exempted Village School District to request and review any of my employment records from previous employers, court records, and police records from any local, state or federal agency keeping such records. If Hicksville Exempted Village School District makes an offer of employment to me, I authorize the Hicksville Exempted Village School District, either at that time or any time during my employment, to request and review any of my medical records as needed. I shall execute any and all documents necessary to authorize production of said medical records, including but not limited to release forms required by the custodian of said medical records. I also authorize the Hicksville Exempted Village School District to obtain oral and written reference checks from the persons listed on this application (from all previous employers and from persons listed as personal references), and authorize any such persons to give the Hicksville Exempted Village School District any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing the same to the Hicksville Exempted Village School District.
I also authorize the Hicksville Exempted Village School District to obtain information regarding my record with the Bureau of Motor Vehicles if the job for which I am applying will require driving as part of my job duties.
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.
The Hicksville Exempted Village School District will provide equal opportunities for employment, retention and advancement of all personnel regardless of race, color, creed, national origin, citizenship status, political affiliation, age, sex or disability that can be reasonably accommodated.