When, Position: Other name s used which may appear on educational and prior employment records: Does NMSD employ any relative of yours? Relationship: Do you possess a valid Driver s License? This space may also be used to continue answers to items on the preceding pages.
Use additional sheets if necessary. I understand that knowingly making a false statement or omission in this application may be sufficient cause for rejection of this application or dismissal after employment. Signature: : New Mexico School for the Deaf prohibits discrimination in employment or provision of services on the basis of race, religion, age, color, national origin, sex, sexual orientation, gender identity, disability or serious medical condition.
We ask that you provide the information on this form to help us evaluate your suitability to perform in this capacity. Pursuant to New Mexico Statutes, all applicants for employment are expected to provide us with this information. This insert is part of the application itself and any misrepresentation or omission of fact may be grounds for disqualification from further consideration or for termination of employment regardless of when the misrepresentation or omission is discovered.
I, being an applicant for, or having been offered, a position with the New Mexico School for the Deaf, and being duly sworn according to law, certify that this document is true, accurate, and full disclosure of my personal and professional background history. The conviction of a crime or any affirmative answer provided by you on this insert is NOT an automatic bar to employment.
The New Mexico School for the Deaf will consider the nature of any conviction or alleged conduct underlying the affirmative response, the date of the alleged conduct in question, your intervening conduct, and the relationship between the offense or alleged conduct underlying the affirmative response and the position for which you are applying. OR I certify that the statements see NOTE at bottom of Section II I attach to this form give a true, accurate, and full account of any offenses described in this document that I may have committed or been charged with in this state or any other jurisdiction.
