PERSONNEL
403.6E07 - DRUG AND ALCOHOL TESTING PROGRAM PRE-EMPLOYMENT DRUG TEST ACKNOWLEDGMENT FORM
I, ______________________________________________ have been informed of the requirement to submit to a drug test prior to being employed by the school district to perform a safety-sensitive function. I consent to submit to the drug and alcohol testing program as required by the Drug and Alcohol Testing Program policy, its supporting documents and the law.
I understand that the results of my drug test will be shared with the school district. I also understand that if I have a positive drug test result, I will not be considered further for employment with the school district.
I further understand that the drug and alcohol testing records and information about me is confidential, and may be released at my request or in accordance with the law.
(Signature of Applicant)
(Date)
NOTE: This consent form gives the school district the ability to conduct the pre-employment drug test as well as receive the results. In addition to completing this form the applicant must complete the Drug/Alcohol Test Notification form.
Approved: 7/1/99
Revised: 1/19/09
Reviewed: 10/29/2020