I. Applicant’s Certification and Agreement
I understand that New Life Christian School does not discriminate in its employment practices
against any person because of race, color, national or ethnic origin, gender, age, or disability.
I hereby certify that I have not knowingly withheld any information that might adversely affect my
chances for employment, and that the facts set forth in this application process are true and
complete to the best of my knowledge. I understand that falsification of any statement or a
significant omission of fact on the application, supporting documents, or interviews may prevent me
from being hired or, if hired, may subject me to immediate dismissal regardless of when or how it
was discovered. If I am released under these circumstances, I further understand and agree that I
will be paid and receive benefits only through the day of release.
I authorize New Life Christian School to thoroughly interview the primary references that I have
listed, any secondary references mentioned through interviews with primary references, or other
individuals who know me and have knowledge regarding my testimony and work record. I also
authorize the school to thoroughly investigate my work records and evaluations, my educational
preparation, and other matters related to my suitability for the position.
I authorize my former employers and any other references to disclose to the school any and all
employment records, performance reviews, letters, reports, and other information related to my life
and employment, without giving me prior notice of such disclosure. In addition, I hereby release the
school, my former employers, all other references, and all other parties from any and all claims,
demands, or liabilities arising out of or in any way related to such investigation or disclosure. I waive
the right to ever personally view any references given to the school.
Since I will be working with children, I understand that I must submit to a fingerprint check by the
FBI and possibly other federal and state authorities. I agree to fully cooperate in providing and
recording as many sets of my fingerprints as is necessary for such an investigation. I authorize the
school to conduct a criminal records check. I understand and agree that any offer of employment
that I may receive from the school is conditional until the school has received the background
information, including criminal background information. The school may refuse employment or
terminate conditional employment if the school deems any background information unfavorable or
that it could reflect adversely on the school or on me as a Christian role model.
I understand that this application for employment is valid for no more than 120 days. After that, I
must resubmit an application in order to be considered for positions at this school.
I understand that this is only an application for employment and that no employment or employment
contract is being offered at this time.
I understand that failure to complete any portion of this application or to sign this application will
result in rejection of my application.
I certify that I have carefully read and do understand the above statements.
Applicant signature Date
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