1. Certification of Truthfulness

I certify that all statements on this Application for Employment are made completely, truthfully and without evasion, and further understand and agree that such statements may be investigated and if found to be false will be sufficient reason for not being employed, or if employed may result in my dismissal.

2. Authorization for Employment Information

I authorize the references I have listed, and any prior or current employer of mine, to give you any and all information concerning my previous employment, including any disciplinary information, and any pertinent information that may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing information to you. Also, I hereby waive written notice to me that employment information is being provided by any person or organization.

3. Authorization for Criminal Investigation Information

I authorize the law enforcement agencies to release to you any criminal history information regarding criminal convictions or pending felony charges.

I agree that any legal recourse taken against the Clare-Gladwin Regional Education Service District, as a result of my employment, must be initiated within a six-month period from the date of termination. Otherwise, I forfeit my right to bring suit against the Clare-Gladwin Regional Education Service District.

The Clare-Gladwin Regional Education Service District is an Equal Opportunity Employer and provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, age, color, creed, religion, national origin, marital status, height, weight, disability status, sex, sexual orientation, gender identity or expression, genetics, protected veteran status, or any other characteristic protected by Federal, State or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

By signing and dating below to submit my application for employment with CGRESD, I am agreeing to the conditions outlined above.