Education and Experience Details
Have you ever been arrested (yes, no), substantiated referral to a child protective service agency (yes, no), or been convicted for a felony (yes, no)? If yes to any of these please describe.
I certify that this information contains no willful misrepresentation or falsification and that the information given by me is true and complete to the best of my knowledge and belief. I understand that if employed, misleading or falsified statements on this application shall be considered cause for dismissal. La Puerta is hereby authorized to make an investigation of my personal employment and educational history. I hereby authorize La Puerta to contact the persons listed as references, and I understand that La Puerta may contact others and at any time seek verification of any and all information contained herein. I release La Puerta from liability that may arise as a result of others providing such information.