New Board Committee Community Representatives - Required Background Checks

Sumter, SC

Part Time

Mid Level

All board members, including individuals being considered for appointment as a committee community representative, are required under the SC Charter Schools Act of 1996 to successfully complete a background check. Complete this short application to collect demographic information to begin this process. Please direct any questions to Dr. Trevor Ivey (Chief of Staff) at 803-316-7849.

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First Name*

Last Name*

Email Address*

Phone*

Address

Have you ever been convicted of a felony?*

If “Yes”, you have been convicted of a felony, please explain the circumstances around the conviction:*

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 School’s
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.”* YesNo

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.

Gender

Race/Ethnicity

Human Check*

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