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.
Please be sure that all telephone numbers are accurate.
I acknowledge I have not knowingly withheld any facts or circumstances that would if disclosed affect my application status. I understand that any material omission, misrepresentation, or false information given in my application, resume, interview for future background checks may result in me not being considered for employment; and if not discovered by North Iowa Juvenile Detention Services/North Iowa Regional Services until after my becoming employed may result in immediate termination.
I understand as required by the State of Iowa code and State of Iowa licensing if a conditional offer of employment is made, I must complete a background disclosure form, a DCI criminal background check, a child and adult abuse records check, driving records check, a job-related physical, and a tuberculosis (TB) test. These must be completed before a final offer of employment will be made. If I refuse to complete or participate in any of the above requirements, I will not be eligible for employment at or with NIJDS or NIRS.
I authorize North Iowa Juvenile Detention Services/North Iowa Regional Services (NIJDS/NIRS) to communicate with the persons listed as references and contact current/former employers. I authorize any current/former employers, educational institutions, or government agencies to give any authorized information to North Iowa Juvenile Detention Services/North Iowa Regional Services which they have on my present or previous employment.
I understand in accordance with Federal and State laws all individuals who are hired must as a condition of employment produce documentation verifying their identity and legal authorization to work in the United States. I understand that employment at North Iowa Juvenile Detention Services/North Iowa Regional Services is at will and employment can be terminated at any time.
Applications will be kept on file for six months. After that applicants interested in working at North Iowa Juvenile Detention Services/North Iowa Regional Services will need to reapply.
Thank you! We’ll be in touch.
