H. 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 s ignificant omission of fact on t he
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
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 al l
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 m ore than 120 day s. After that, I must
resubmit an application in order to be considered for positions at this school.
I understand that this is only an appl ication for employment and that no e mployment 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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