Applicant Information: .

First Name:
Middle Initial:
Last Name:
E-mail Address:
Social Security Number:	(NO dashes)
	You are being asked to provide your Social Security Number as part of the employment process with #DISTRICT#. In accordance with the Privacy Act of 1974, 5 U.S.C. § 552a, disclosure of your Social Security Number is optional except for purposes of receiving wages; however, failure to provide it may result in processing delays if we have multiple applicants with the same or similar names. In accordance with the United States Federal Tax Code and Regulations, 26 U.S.C. § 6011, 26 C.F.R. § 31.6011(b)-(2), once employees receive offers of employment, all employees shall show proof of employment eligibility and proof of identity to #DISTRICT#, the employer, for purpose of receiving wages and withholding income taxes. See also Tax Reform Act of 1976, 42 U.S.C. § 405 (c)(2)(C)(i). Should you elect to disclose your Social Security Number for reasons other than receiving wages and withholding taxes, #DISTRICT# would utilize your Social Security Number for the following reasons: (1) Submission to the Federal Bureau of Investigation and the state Department of Public Safety for purposes of performing mandatory criminal background checks; and (2) submission to the state Department of Education for purposes of determining your professional or other licensure status. Should #DISTRICT# require your Social Security Number for any other purpose not listed above, we will obtain your consent before utilizing your Social Security Number.
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Password:
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