Respond to EACH item. If there is no response to any item, or if the required attachments do not accompany your application, your application WILL BE REMOVED FROM CONSIDERATION. Information provided in this disclosure will not automatically bar you from employment but will be considered in view of all relevant circumstances.
I HEREBY AUTHORIZE Educational Service Unit #1 to make any investigation of my personal history and criminal records through any investigative agencies of their choice. This includes any educational institution, government agency, Child/Abuse/Neglect Registry or any other person having any records or information concerning me to furnish such records or information requested to Educational Service Unit 1. In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through interviews of persons with whom I am acquainted. This investigation may include, but is not limited to, such information as criminal or civil convictions, driving records, previous employment and education, personal references, professional references and other appropriate sources.
I FURTHER AUTHORIZE AND GIVE CONSENT to anyone contacted for the purpose of obtaining such information during the course of the investigation as described above to provide relevant information and opinions about me and to release and discuss all records and information they may have pertaining to my consideration for employment at Educational Service Unit 1. Such persons may include, but are not limited to, individuals listed as references, previous employers, law enforcement agencies and the courts. I hereby release such persons who may give or receive information pursuant to this authorization from any legal liability and from any and all claims of any kind. I further waive my right of access to any such information or any liability with its release or use.
I FURTHER CERTIFY that I have made true, correct and complete answers and statements on this application in the knowledge that they may be relied upon in considering my application. I understand it is my responsibility to immediately provide updated, correct information if any of the information changes at any time. I understand that any omission, falsification or misrepresentation made by me on this application or any supplement will be sufficient grounds for failure to employ me or for my discharge should I become employed with Educational Service Unit #1. I understand that disclosure of social security number is optional. It will be used to conduct background checks for employment purposes and for personnel and payroll processing and required reporting if I am employed.
I UNDERSTAND that any offer of employment may be conditioned on a criminal background check and execution of a written contract/agreement of employment. I further understand that employment in a classified position would be on an at will basis, terminable at will.
Educational Service Unit #1 does not discriminate based on gender, race, national origin, creed, age, marital status, sexual orientation, veteran status or disability. This position is subject to a veteran’s preference. Persons requiring accommodations to apply and/or be considered for positions with Educational Service Unit #1 are asked to make their request to the Administrator. Inquiries and grievances may be directed to the Administrator at Educational Service Unit #1, 211 Tenth Street, Wakefield, NE 68784-5014, (402) 287-2061.
ELECTRONIC SUBMISSION CONSTITUTES AGREEMENT AND SIGNATURE AN ORIGINAL SIGNATURE MAY BE REQUIRED UPON EMPLOYMENT
Complete application and supporting documentation provided will be retained for one year from the date of receipt.
All personally identifiable data items received by Educational Service Unit #1 as a part of the foregoing application will be considered confidential and maintained in a manner that will assure confidentiality. Personally identifiable data items, such as credentials, references, etc., shall not be released to another party or class of parties without your prior written permission.