H. PERSONAL INFORMATON
The children we teach are entrusted to our care by their parents and therefore The Cornerstone
Christian School is under moral obligation to ask the following questions.
Are you presently being investigated or under a procedure to consider your discharge for
misconduct by your present employer? Yes____ No____
Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you
to leave a job or volunteer position on the grounds of any unlawful sexual behavior, or violation
of an employer’s sexual misconduct or harassment policy? Yes___ No____
Have you ever been charged in any civil or criminal (including Juvenile) proceedings with
improprieties regarding children? Yes____ No____
Have you ever entered a plea of guilty, a plea of “no contest” (nolo contendere) or has any court
ever deferred further proceedings without entering a finding of guilty and placed you on
probation or in a public service or education program such as alcohol, drug, anger management,
family violence or youthful offender for any crime other than a minor traffic offense?
Yes____ No____
Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?
Yes____ No____
Do you understand this is an application for employment or assignment to a voluntary position
and should not be construed as an offer or agreement employment or assigned volunteer
position? Yes____ No____
_____________________________________________________________________________
Applicant’s Signature
Date
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