If you selected other above, please tell us how you learned about BRICK/SWPN

Are you currently related to any former or current BRICK Education Network staff members? Related includes husbands, wives, live-in partners, parents, children, siblings, in-laws, cousins, aunts, uncles, and others in the familial relationship. If you answer yes, include the name(s) of your relatives below.✱

Is all information included in this application truthful and accurate? *Note your answer to this question is to certify that the information given in this application is true in all respects, and that you agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. You are authorizing the use of any information in the application to verify your statement(s), and authorizing past employers, all references and any other person to answer all questions asked. You are releasing such persons from any liability or damages on account of having furnished such information.✱