THIS APPLICATION IS NOT COMPLETE WITHOUT A SIGNATURE BELOW
Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that any individual submit or take a lie detector or similar test. Any employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100.
By submitting my electronic signature below I acknowledge receipt of this notice:
I hereby declare or affirm under penalty of perjury, that I (have or have not) been charged with or convicted of or plead guilty or nolo contendere (no contest) to any felony. If have, please provide specific and complete information (use attachment if necessary).
Have you ever been charged with or convicted of or plead guilty or nolo contendere (no contest) to a misdemeanor involving: a minor, moral turpitude, sex offense, abusive behavior, fraud, kidnapping, false imprisonment, false statements or omissions, wrongfully taking of property, bribery, perjury, forgery, extortion, or a conspiracy to commit any of these offenses?
Has any regulatory agency, licensing board, government agency or court entered an order that:
- Found you to have engaged in inappropriate behavior, made a false statement or omission or been dishonest, unfair or unethical?
- Found you to have been involved in a violation of their regulations or statutes?
- Entered an order against you in connection with any activity?
- Denied, suspended, or revoked your registration, license, certification, or otherwise prevented you from associating with an academic institution or students or restricted your activities?
Have you ever been notified that you are the subject of any complaint, proceeding, or investigation that could result in a "yes" answer to the previous question?
Have you ever voluntarily resigned, been discharged or permitted to resign after allegations were made that accused you of violating any statutes, regulations, rules, or standards of conduct, inappropriate behavior, or dishonest, unfair or unethical conduct?
I understand that I shall be required to provide documentation establishing my legal authorization for employment within the first three days of my employment. The School is an Equal Opportunity Employer, and shall treat all employees and all applicants for employment equally and fairly based upon job related qualifications and in accordance with all applicable local, state, and federal laws. If extended an offer of employment, the offer will be contingent upon background checks that are satisfactory to the school.
I hereby affirm that the information given by me in this application is true and complete to the best of my knowledge and belief. This affirmation refers to employment history, degree(s)earned, and courses taken. I understand that my misrepresentation, falsification, or omission will be sufficient cause for denial of employment or discharge from employment. TheCharles E. Smith Jewish Day School has my permission to contact all past and present employers and reference I have named in this application. I authorize my references to speak freelyregarding my qualifications and hereby release individuals providing reference from any legal action or liability based upon the content of the responses given.
Voluntary Applicant Data Survey
In an effort to comply with requirements regarding government record-keeping, reporting and other legal obligations, we ask that you complete the voluntary applicant data survey. Please be advised that this survey is not part of your official application for employment. Completion of information is voluntary, confidential and will not adversely affect your consideration for employment.
Please check one of the descriptions below corresponding to the ethnic group with which you identify.