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PLEASE PRINT DATE: Name: (Last) (First) APPLICANT DISCLOSURE STATEMENT (Reference RCW 28A.400, RCW 3.43) Please complete the following questions and sign the declaration. Any falsification or deliberate
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How to fill out applicant disclosure statement

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How to fill out an Applicant Disclosure Statement:

01
Start by carefully reading the instructions: Before filling out the Applicant Disclosure Statement, it is important to thoroughly read and understand the instructions provided. This will ensure that you provide all the necessary information and complete the form correctly.
02
Personal Information: Begin by providing your personal information in the designated sections of the form. This typically includes your full name, address, contact information, and social security number. Make sure to double-check the accuracy of the information before moving on.
03
Employment History: List your past and current employment history in the appropriate sections of the form. Include the names of the companies you have worked for, your job titles, dates of employment, and a brief description of your responsibilities. Be honest and accurate while providing this information.
04
Educational Background: Provide details about your educational background, including the names of the institutions you attended, degrees or certifications obtained, and relevant dates. If applicable, mention any honors or awards received during your academic journey.
05
Criminal History: In this section, disclose any criminal convictions or charges you have faced. Be transparent and provide all necessary details requested, including the type of offense, the date of conviction or charge, and any subsequent penalties or actions taken.
06
Financial History: If required, you may need to disclose your financial history, such as bankruptcy filings or outstanding debts. Follow the guidelines provided and provide accurate information about your financial background.
07
References and Recommendations: Some Applicant Disclosure Statements may require you to provide references or recommendations from previous employers, educators, or other individuals who can vouch for your character and qualifications. Ensure you provide accurate contact information for these individuals.
08
Sign and Date: Once you have completed all the sections of the Applicant Disclosure Statement, sign and date the form. By signing, you acknowledge that the provided information is true and accurate to the best of your knowledge.

Who needs an Applicant Disclosure Statement?

01
Job Applicants: Individuals applying for employment may be required to fill out an Applicant Disclosure Statement as part of the hiring process. This helps employers gather essential information about an applicant's background, qualifications, and potential risks associated with hiring them.
02
Background Check Companies: Companies that conduct background checks on behalf of employers often require applicants to provide an Applicant Disclosure Statement. This allows them to verify the accuracy of the information provided and ensure compliance with legal requirements.
03
Licensing and Certification Applications: When applying for various licenses or certifications, applicants may also be required to fill out an Applicant Disclosure Statement. This helps regulatory bodies or professional organizations assess an individual's suitability and character before granting them the license or certification.
04
Government Agencies: Certain government agencies or programs may require individuals to complete an Applicant Disclosure Statement when applying for specific benefits, clearances, or positions that involve public trust. This ensures transparency and helps evaluate an applicant's eligibility.
Note: The need for an Applicant Disclosure Statement may vary depending on the nature of the application or the specific requirements of the requesting entity. It is important to review the guidelines and instructions provided by the relevant party to determine if an Applicant Disclosure Statement is necessary.
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The applicant disclosure statement is a document where individuals disclose any relevant information about themselves that may affect their application or candidacy for a certain position or opportunity.
Individuals who are applying for a job, position, license, grant, or any other opportunity that requires disclosure of relevant information.
Applicants can fill out the disclosure statement by providing truthful and complete information about themselves and any relevant details that the application requires.
The purpose of the disclosure statement is to ensure transparency and honesty in the application process, as well as to provide decision-makers with important information about the applicant.
Applicants must report information such as their personal details, educational background, work experience, criminal history (if applicable), financial interests, and any potential conflicts of interest.
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