**I agree to be nominated and certify that I am the
parent or guardian of (student) of the student(s) listed above who will be
attending Old Mill Elementary School during the 2023-2024 school year. I am neither
an employee of nor a *relative of an
employee of Old Mill Elementary School, nor the Bullitt County Public Schools district
administrative office(s). Additionally, I am not a Board of Education member,
nor a Board member’s spouse. I do not have a business interest with the
district nor Old Mill Elementary School.
If elected, I agree to serve on the Old Mill Elementary School SBDM
Council. Pursuant to KRS 160.380, I
understand that I will need to submit to a national and state fingerprinted
criminal background check within thirty days of taking office and attending the
required training within thirty days of election.
*Relative
is defined, pursuant to KRS 160.380 (1)(b), as father, mother, brother, sister,
husband, wife, son, daughter, aunt, uncle, son-in-law and daughter-in-law.