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.
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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.
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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.
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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.