Page 3 of 3VOLUNTEER APPLICANT DISCLOSURE STATEMENT PURSUANT TO CHAPTER 43.43 RCWPlease answer YES or NO to each listed item.
_____ Yes _____ No.
If yes, explain:
3.
Have you ever been the subject of a complaint made to the Office of the Superintendent of Public
Instruction regarding whether you have committed an act of unprofessional conduct, as defined in WAC181-187, or whether you are a person of good moral character and personal fitness as defined in WAC181-79A-155? It is understood that this statement and record become the property ofthe Everett School District.
Allowed
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