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Previous Employment list below all present & past employment beginning with most recent
To Whom it May Concern:
I hereby authorize you or your designee to release employment-related information concerning me to North Iowa Juvenile Detention Service.
I also release any individual, partnership or corporation and their officers, agents and employees from any liability for any damage whatever for issuing such information.
A photostatic copy of this authorization is considered as valid as the original.
Refernces
Please be sure that all telephone numbers are accurate.
Military Service
I understand that prior to my beginning employment at the North Iowa Juvenile Detention Services, the Code of Iowa and Licensing Standards require clearance from the Child Abuse Registry and the Department of Public Safety and I, therefore, give permission for these confidential investigations. I fully understand that the form used for the Department of Public Safety record check requires my birth date _________________ and maiden name (if applicable) and any alias names I have used in the past or currently. ___________________________________ I understand that records which indicate abuse, neglect or exploitation of children or any crimes of violence will prevent me from being hired to work with juveniles in residence at the detention center or clients at the crisis or subacute center, or if discovered after being hired will constitute reason for termination.
The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.
Any offer of employment is contingent upon a physical examination which clearly finds you able to do the required work. Employment is also contingent upon clearance from the Iowa Division of Criminal Investigation and Iowa Department of Human Services Child and Dependent Adult Abuse Registry.
Just as you have the right to quit a job, this employer has the right to terminate your employment at any time, for any reason.
Thank you! We’ll be in touch.
