WPC \̊ g$ڛCs _i/σqiDzVMp٭,lSi-PqlVxTg@O|ήyPl~dq~@xr4U0DK'"/w&_Y \k Н m~=' QIZq֙S|/Q5,4̔':K9a[wb4Ƀ 7ٷ\):||-m|:FIlA~Gb/k|Ѩ=qÏ~i8_zYsuN/_l jK"ǃ ~A#Z٥`P]GO3٩"?A`r'OK&~yH!\IZY|i8UXXNU>4r 0. 0z 0B 00d 0 W 0g # UN %&M,(0NX^ Zwf4j~ m\  `&Times New Roman' REFERENCE /BACKGROUND CHECK DLander County District Office0jrickley .   h:Default ParaDefault Paragraph FontXXXH 4Body TextBody TextXXX<> .HeaderHeader !>44 <DL!><> .FooterFooter !>44 <DL!> & &'..       XXX XXXX X  _ @   -pL!X- XXLANDERCOUNTYSCHOOLDISTRICTXX  X  XXP.O.Box1300625WeaverAvenueBattleMountain,Nevada89820 2 PH:(775)6352886FAX:(775)6355347XX (2&$  >!..       XXX XXXX X  #|x(>$..       XXX XXXX XOKI C5300(PS)0(@ Z6Times New Roman Regular Xwk; pE;:i+00U  >!..       XXX XXXX X  _       pX  RE:   ̀   Ѐ  z    VXX APPLICANTSAUTHORIZATION ` Ѐ l ǀV      Vǀ݌̌VV  ǀV  e  VǀMysignaturebelowauthorizes LanderCountySchoolDistrict toconducta  backgroundinvestigationandauthorizesreleaseofinformationinconnection   withmyapplicationforemployment.Thisinvestigationmayincludesuch   informationascriminalorcivilconvictions,drivingrecords,previous   employersandeducationalinstitutions,personalreferences,professional   references,andotherappropriatesources.Iwaivemyrightofaccesstoany   suchinformation,andwithoutlimitationsherebyreleasetheschooldistrictand  thereferencesourcefromanyliabilityinconnectionwithitsreleaseoruse.  Thisreleaseincludesthesourcescitedaboveandspecificexamplesasfollows: ( thelocalSheriff,informationfromtheCentralCriminalRecordsExchangeof 4 eitherdateonallcriminalconvictionsofcertificationthatnodateoncriminal @ convictionsaremaintained,informationfromtheStateDepartmentofSocial L ServicesChildProtectiveServicesUnitandanyLocalitytowhichtheymay  X referforreleaseofinformationpertainingtoanyfindingsofchildabuseor , d neglectinvestigationsinvolvingme.e݌ 8!p ЌVV  ǀV     Vǀ ݌̌VV  ǀV  h   VǀԀh ݌ P# ЌVV  ǀV  n   VǀԀ \$ ________________________________________________________________n ݌ h% ЌVV  ApplicantsSignatureSS#DATE t& Ѐ '