Whitman County Library - Disclosure Form
Under Washington Law, Whitman County Library is required to obtain a written disclosure from all applicants for employment or for volunteer positions which will or may involve unsupervised access to children under sixteen years of age, or developmentally disabled persons or vulnerable adults. You must complete this disclosure form in order for your application to be considered. In addition, under Washington Law, Whitman County Library may make a background inquiry with the Washington State Patrol or other agencies if you are offered and after you accept the position. The background inquiry covers civil adjudications, convictions and disciplinary
board final decisions based on certain crimes. Successful completion of this background inquiry is a condition of employment with WCL.
Information obtained from both the disclosure statement and from the background inquiry may not necessary prevent employment. The information will be a consideration in determining the applicant’s suitability and competence to perform the job and, on this basis, may result in a denial of employment. If you are chosen for the position and a background inquiry is made with the Washington State Patrol as a condition of employment, WCL will notify you of the background inquiry’s response within ten days after human resources
receive the response. A copy of the response will also be made available to the applicant upon request.
Answer Yes or No to the listed question.
I attest under penalty of perjury that the information I have provided is true and accurate to the best of my knowledge.
I hereby authorize Whitman County Library to conduct a background inquiry on me. I understand that any offer of employment is contingent on the successful outcome of this background check.
I hereby authorize Whitman County Library or its representatives to use my name or photograph for the purpose of producing printed materials or for use on the library’s website. These materials include but are not limited to, brochures, reports, official library website use, presentations,
promotional videos, etc.
Pursuant to this understanding, I authorize Whitman County Library to use my name or photograph for any lawful purpose, in its sole
discretion, as it deems appropriate.