View Properties

3. Disclosure Statement.pdf

 

Handle: Document-19147
Owner: Goodhart, Jennifer (User-4536, 13277:EVERETT)DS
Wednesday, December 10, 2008 03:58:13 PM PST
Thursday, June 22, 2017 08:06:53 AM PDT
Modified By:
Locked By:
  • Revised 12/08
Employment Disclosure StatementPursuant to Chapter 43.43 RCWPlease answer YES or NO to each listed item.
  • 1.
  • Have you ever been convicted of any crime? "Civil
adjudicative proceeding" means any judicial or administrative adjudicative proceeding that resultsin a finding of, or upholds an agency finding of, domestic violence, abuse, sexual abuse, neglect, orexploitation or financial exploitation of a child or vulnerable adult under Chapters 13.34, 26.44, or74.34 RCW, or rules adopted under Chapters 18.51 and 74.42 RCW.
  • ? Yes ? No.
  • It is understood that this statement and record become the property of
the Everett School District.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Disclosure Statement.pdf
No
4
55824
No
Appears In: Application forms
Preferred Version: 3. Disclosure Statement.pdf