Contracted Services Vendor ; On-Campus

Overview

Any employees of vendors providing contracted services on campus where contact with scholars may occur (lawn maintenance, SLP, OT/PT, etc.) are required to complete this employment application and pass a background check. Please direct any questions to Dr. Trevor Ivey (Chief of Staff) at .

• Who referred you to this position? Enter their first and last name here.
• Whats your citizenship / employment eligibility?*
• Have you ever been convicted of a felony?*
• References:
  Please enter names and contact information:*
• How many hours are you able to give weekly?

I, the undersigned applicant, do hereby certify that the information provided by me for the purpose of employment is true and complete to the best of my knowledge. I understand the results of this verification process will be used to determine employment eligibility under Liberty STEAM Charter School9s employment policies. I further understand that any false, misleading or incomplete answers or statements or implications made by me in connection with my application, or other required documents, or the failure to disclose any relevant information, shall result in the denial of employment or justification for discharge if discovered at a later date.

The following questions are entirely optional. To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more.