If you have answered YES to any of the previous questions, provide full details below including, with respect to court actions, the date, offense in question, and the address of the court involved. Attach additional sheets if necessary. Conviction or other disposition of a crime is not necessarily an automatic bar to employment.
NOTE: Conviction of a crime is not an automatic bar to employment by the school department. Any willful falsification of information or misleading information on this application shall be fully sufficient grounds to refuse to employ, or having been employed, shall be immediate cause for dismissal. My signature below constitutes authorization to check my employment history, including without limitation, criminal arrest and conviction record checks, reference checks, and release of investigatory information possessed by any state, local or federal agency. I further authorize those persons, agencies or entities that the Islesboro School Department contacts in connection with my employment application to fully provide the Islesboro School Department any information on the matters set forth above. I expressly waive in connection with any request for or provision of such information, any claims including without limitation, defamation, emotional distress, invasion of privacy, or interference with contractual relations that I might otherwise have against the Islesboro School Department, its agents and officials or against any provider of such information.