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STATE OF CONNECTICUT Educational Employer Verification (in accordance with Public Act 1667) Directions for School District/Entity Considering Applicant for Employment: Each local or regional board
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How to fill out educational employer disclosure form

01
Obtain a copy of the educational employer disclosure form from the appropriate source (such as your employer or educational institution).
02
Carefully read all instructions and information provided on the form.
03
Fill out all required fields on the form accurately and honestly.
04
Provide any necessary supporting documentation or information as indicated on the form.
05
Review the completed form to ensure all information is correct and legible.
06
Submit the form to the designated individual or department according to the instructions provided.

Who needs educational employer disclosure form?

01
Employees or job applicants who are required to disclose their educational background to their employer.
02
Employers or educational institutions who need to collect information about an individual's educational history for record-keeping or verification purposes.
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Educational employer disclosure form is a document that discloses any financial interests or relationships between an educational institution and its employers.
All employees of an educational institution who have financial interests or relationships that may create a conflict of interest are required to file the form.
The form typically requires the employee to disclose any financial interests, including ownership of stock, patents, or royalties, as well as any consulting or speaking fees received.
The purpose of the form is to ensure transparency and prevent conflicts of interest that may compromise the integrity of the educational institution.
Employees must report any financial interests or relationships that may create a conflict of interest, such as ownership of stock, patents, or consulting fees.
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