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I, _______________________________________ , have been informed of the requirement to submit to a drug test prior to being employed by the Nevada Community School District to perform a safety‚Äźsensitive 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 District. I also understand that if I have a positive drug test result, I will not be considered further for employment with the 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 ________________________________