As a condition of this application process, I authorize George Washington Academy (GWA) to seek information from employers and colleagues regarding
mywork habits, performance record, ability to have positive work interactions, technical skills, and any other job-related information which will
enableGWA to evaluate my suitability for employment. By signing below, I will waive all future claims against former and current employers and GWA
forinformation obtained through the reference checking process.I understand that GWA is required to request this information. Pursuant to Utah State
Law 53A-15-1511 and 34-42-1, by signing this I authorize GeorgeWashington Academy to contact current and previous employers and authorize them to
disclose information regarding any employment action taken ordiscipline imposed against me for the physical abuse or sexual abuse of a child or
student. If an LEA (Local Education Agency) or other employer ingood faith discloses information that is within the scope of this release, the LEA or
other employer is immune from civil and/or criminal liabilitybased upon the applicable law.* Positions will be filled without regard to race, religion,
national origin, sex, or disability.
I HEREBY VERIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY MISSTATEMENT OR MISINFORMATIONIS
GROUNDS FOR DISMISSAL. IF HIRED, I HEREBY AGREE TO ABIDE BY THE POLICIES OF GWA. A CRIMINAL BACKGROUND CHECK WILL BE REQUIRED PRIOR TO BEINGEMPLOYED,
AND THAT I WILL BE RESPONSIBLE FOR THE CRIMINAL BACKGROUND CHECK FEE. I UNDERSTAND THAT IF I AM SELECTED FOR A POSITION MY EMPLOYMENT WILL BECONTNGENT
UPON COMPLETION OF A BACKGROUND CHECK WITH RESULTS ACCEPTABLE TO GEORGE WASHINGTON ACADEMY.
Note: It is important that you give complete and truthful answers to the following questions. If you answer “YES” to any of them, please
provide your explanations(s) on a separate sheet of paper. Include convictions resulting from a plea of nolo contendere (no contest), and information
about any expungement.
Omit: traffic fines of $100.00 or less.
We will consider the date, facts, and circumstances of each event you list. In most cases, you can still be considered for GWA employment. However, if
you fail to tell the truth or fail to list all relevant events or circumstances, this may be grounds for not hiring you, or grounds for dismissal after
you begin work.
I HEREBY VERIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY MISSTATEMENT OR MISINFORMATION
IS GROUNDS FOR DISMISSAL. IF HIRED, I HEREBY AGREE TO ABIDE BY THE POLICIES OF GWA. A CRIMINAL BACKGROUND CHECK WILL BE REQUIRED PRIOR TO BEING
EMPLOYED, AND THAT I WILL BE RESPONSIBLE FOR THE CRIMINAL BACKGROUND CHECK FEE. I UNDERSTAND THAT IF I AM SELECTED FOR A POSITION MY EMPLOYMENT WILL BE
CONTINGENT UPON COMPLETION OF A BACKGROUND CHECK WITH RESULTS ACCEPTABLE TO GEORGE WASHINGTON ACADEMY.
Employment with GWA is “At-Will.” Both the employee and George Washington Academy have the right to terminate the employment relationship
at any time for any reason or no reason at all, and is not intended to create nor is to be construed to constitute a contract between GWA and any of
its employees. Each employee acknowledges that he/she is an “At-Will” employee. This “At-Will” relationship may not be modified
by any oral or implied agreement. Any modification to the “At-Will” relationship must be in writing and signed by the President of the
Phone: 435-673-2232 | Fax: 435-673-0142
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