Criminal History

 

Answer the following question:  Have you ever been convicted of a felony (including a conviction plea), are you addicted to the use of intoxicants or narcotics or have you ever falsified or altered documentation required for licensure?  _______YES       _______NO

 

I AFFIRM:

 

  1. I recognize that, if I am employed, the Board of Education may assign or reassign me to a specific position as the need requires.
  2. I have not been convicted of a felony in any state of the United States.
  3. I have not been dismissed from any previous employment for improper or unprofessional conduct, inefficient service, neglect of duty, incompetence, or insubordination.
  4. If my most recent employer was another Tennessee public school system and if my termination was voluntary; I certify that my resignation was, or will be submitted in writing at least thirty (30) days prior to the date stated, or, if within thirty days, the previous board has waived its right to such notice.  A copy of my letter of resignation or the said board action is attached or will be provided.
  5. I am a citizen of the United States.
  6. I do not have any contagious or communicable disease which may endanger the health of school children.
  7. I shall support the constitution of Tennessee and the United States.
  8. I understand that misrepresentation of any of the above statements may subject me to a fine, loss of an opportunity for employment, and loss of position if employed.

 

 

_________________                                      ___________________________________

          Date                                                                                   Signed

 

Tennessee Bureau of Investigation Background Check

Required by Law

$48.00 FEE (Reimbursed after 6-months of positive employment)

School Systems Name & Address of Initial Background Check (if applicable):

 

____________________________________

 

____________________________________

 

____________________________________

 

 

Stewart County Schools has implemented a Drug Free Workplace Policy in compliance with federal regulations.

 

 

It is the policy of the Stewart County Board of Education not to discriminate on the basis of sex, race, national origin, creed, age, marital status or disability in its educational programs, activities or employment policies.