NOTICE TO APPLICANT
As a part of the application process, the Wayne County Children Services Board conducts background checks on all candidates for employment prior to a final offer of employment. As a result, if through the hiring process you are considered a candidate for a position with the Wayne County Children Services Board you will be subject to a background check before a final offer of em-ployment may be extended. Further, pursuant to Ohio Revised Code Section 5153.11, Criminal Records Check, the Children Services Board is prohibited from employing a person responsible for the care, custody, or control of a child if the applicant has been previously convicted or plead guilty to a violation of any of the following statutes: Section 2903.01, 2903.02, 2903.03, 2903.04, 2903.11, 2903.12, 2903.13, 2903.16, 2903.21, 2903.34, 2905.01, 2905.02, 2905.05, 2907.02, 2907.03,2907.04, 2907.05, 2907.06, 2907.07, 2907.08, 2907.09, 2907.21, 2907.22, 2907.23, 2907.25, 2907.31, 2907.32, 2907.321, 2907.322, 2907.323, 2909.02, 2909.03, 2911.01, 2911.02, 2911.11, 2911.12, 2919.12, 2919.22, 2919.24, 2919.25, 2923.12, 2923.13, 2923.161, 2925.02, 2925.03, 2925.04, 2925.05, 2925.06, or 3716.11 of the Revised Code, a violation of section 2905.04 of the Revised Code as it existed prior to July 1, 1996, a violation of section 2919.23 of the Revised Code that would have been a vio-lation of section 2905.04 of the Revised Code as it existed prior to July 1, 1996, had the violation occurred prior to that date, a violation of section 2925.11 of the Revised Code that is not a minor drug possession offense, or felonious sexual penetration in violation of former section 2907.12 of the Revised Code; or a violation of a former Ohio statute which is substantially equivalent to those violations listed above; or a violation of United States law that is substantially equivalent to those violations listed above.
CERTIFICATION
I certify that all information contained in this application is true, complete and correct to the best of my knowledge, and I understand that any material omission, misrepresentation or falsification of this information is grounds for dismissal from, or refusal of, employment. I hereby authorize investigation of all statements contained in this application and give permission to contact all or any of my previous employers, references, and/or schools for information, and hold harmless all persons giving information regarding this application. I also give my consent to contact the State Motor Vehicle Department for a Moving Vehicle Violation Report.