This form must be submitted by all individuals applying for a position within the Bloomsburg Area School District.  Applicants must fill out a separate form for their current employer AND any previous employer with which they had direct contact with children (e.g., school districts, day cares, etc.).  Applicants should fill out the top section of page one and also Section 1 which is on pages one and two of the form.  Applicants who do not have any applicable employment must still complete Section 1, but should check "No applicable employment" in the box at the top of the first page.

 

PLEASE NOTE:  Applicants should submit the Sexual Misconduct/Abuse Disclosure Release to the Bloomsburg Area School District with their application materials.  They should NOT send the form directly to their current and/or previous employer(s).  This form(s) must be submitted to the district office before an individual can begin their employment with the Bloomsburg Area School District.