• Paid Staff Application

  • Are You Over The Age of 18?*
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  • Conviction Statement

  • Have you ever been convicted of a felony or do you have felony charges pending against you?*
  • Have you ever been convicted of a misdemeanor or are charges pending against you?*
  • Have you ever had a substantiated child abuse, child sexual abuse or child neglect case against you?*
  • Is there a petition pending naming you in juvenile, civil or criminal court concerning child abuse, child sexual abuse, or child neglect?*
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  • Applicants Statement: By submitting this form I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained herein and the references listed herein to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the some to you. I relase Salisbury Horizons, The Salisbury School & partners from all liability for any damages. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the employer.

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