By completing this application, I attest that the below
information supplied to Palos Verdes Peninsula Summer Schools in the course of
my application for employment is true and I have not misstated, misrepresented
nor falsified any such information.
I hereby authorize representatives of Palos Verdes Peninsula
Summer Schools to contact references on the information I have provided and to conduct
checks (criminal, credit, personal, business, education, among others) in the
course of determining my suitability for employment. I understand that any false information provided
on this information form is grounds for non-consideration of candidacy or termination
of employment.