I AFFIRM AND DECLARE THAT ALL INFORMATION GIVEN BY ME ON THIS FORM IS TRUE, AND CORRECT, AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATION OF FACTS, BY OMMISION OR ADDITION MAY RESULT IN THE DENIAL OF EMPLOYMENT.
NOTE: THIS SCHOOL DISTRICT DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, AGE, RELIGION, MARITAL STATUS, SEX, DISABILITY, EDUCATIONAL PROGRAMS OR ACTIVITIES.