Employment Application for Beadles Activities Staff

This employer does not discriminate in its hiring decisions or in any other employment decision on the basis of race, color, sex, religion, citizenship, national origin, veteran status, age or upon a physical or mental disability which is unrelated to the applicant's/employee's ability to perform the essential functions of the position.

If you answer YES to any of the questions below, explain in the space after the question. The explanation for a YES answer should include, but not be limited to:

1. State and/or jurisdiction
2. Nature of complaint
3. Disposition of complaint; e.g., "dismissed insufficient evidence"
4. Date of disposition
5. Copies of any correspondence received by applicant with regard to the complaint 

I certify that the information provided on this application is true and complete and I understand that false information or omission of facts may disqualify me from employment and may cause termination if discovered at a later date.

Employment at this employer shall not be considered if the below signed individual has been convicted of one of the following crimes as stated by Oklahoma Statute, Section 1-1950.1 (F) (1) Title 63 (A through P of the list in this section):

1. Assault, battery or assault and battery with a dangerous weapon,
2. Aggravated assault and battery,
3. Murder or attempted murder,
4. Manslaughter except involuntary manslaughter,
5. Rape, incest or sodomy,
6. Indecent exposure and Indecent exhibition,
7. Pandering,
8. Child abuse,
9. Abuse, neglect or financial exploitation of any person entrusted to his care or possession,
10. Burglary in the first or second degree,
11. Robbery in the first or second degree,
12. Robbery or attempted robbery with a dangerous weapon, or imitation firearm,
13. Arson in the first or second degree,
14. Unlawful possession or distribution, or intent to distribute unlawfully, Schedule I through V drugs as defined by the Uniform Controlled Dangerous Substance Act,
15. Grand larceny, or
16. Petit larceny or shoplifting within the past seven (7) years.

It is further understood that if I am hired, it will be as a temporary employee until my criminal background check is received by the employer.

If I have no criminal record in accordance with state law, I may be considered for employment, subject to training requirements and other requirements of the job for which I am applying with this employer.

I hereby certify that I have no previous convictions as listed in the Oklahoma Statute, Section 1-1950.1 (F) (1) Title 63 (A through P of the list in this section). I hereby give the Oklahoma State Department of Health and the Oklahoma State Bureau of Investigations authority to proceed with criminal record history checks as required by law.