G. APPLICANT’S CERTIFICATION AND AGREEMENT
I understand that The Cornerstone Christian School does not discriminate in its employment
practices against any person because of race, color, national or ethnic origin, gender, age, or
qualified disability.
I hereby certify 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 may prevent me from being hired, or if hired, may subject me to immediate dismissal
regardless of the time elapsed before discovery. 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 The Cornerstone Christian School to thoroughly interview the primary references
which 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 (voluntary or paid).
I authorize references and my former employers 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, 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 background check and
will give written permission to authorize the school to conduct a criminal records check. I also
understand that I must first receive training in sexual abuse prevention (as provided by the
school) before working with students. The school may refuse employment or volunteered
serviced 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 mode.
I understand that this is only an application for employment or a volunteer position and that no
employment contract or assignment of a position is being offered at this time.
I certify that I have carefully read and do understand the above statements.
____________________________________________________________________________
Signature of Applicant
Date
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