....It is the policy of the Municipal Authority of the Borough of wEST vIEW (also known as the wEST vIEW Water Authority) to prevent nepotism, in actuality or in appearance, to the fullest extent possible under the law. Nepotism will be considered the hiring of employees based upon or influenced by family relationships or living arrangements. For the purpose of this policy, a relative is defined as individuals who are related by blood, marriage or adoption including, but not limited to, the following relationships: spouse, child, step-children, parent, step-parent, grandparent, grandchild, brother, sister, half-brother, half-sister, aunt, uncle, niece, nephew, parent-in-law, daughter-in-law, son-in-law, brother-in-law, sister-in-law or other adult with whom the applicant cohabits. .... Unless approved by the Board, the employment of individuals at the Municipal Authority of West View who are family members of existing employees is prohibited. Exceptions to this policy may be permitted on an infrequent basis for reasons related to exigent operational needs of the Authority, provided that it can be reasonably demonstrated that an operational emergency exists or is imminent; or, in those special circumstances where there is apparent or probable shortage of alternative qualified and available personnel resources in the geographic proximity of the Authority. .... According to the Authority's Nepotism Policy #2468, this Disclosure Statement is necessary to document the names of relative(s) known to the applicant to be employed by the Municipal Authority of the Borough of wEST vIEW. Please check the appropriate statement: I am ______ I am NOT ______ related to a current/past employee of the Municipal Authority of the Borough of wEST vIEW. If yes, please list: NAMES RELATIONSHIP DATE(S) of EMPLOYMENT ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ ________________________ ________________________ __________________________ I verify that the information that I have provided on this Disclosure Statement is complete and true. I understand that any incomplete or false information will be grounds for termination of employment. SIGNED __________________________________________ DATE ___________________ PRINT NAME____________________________________________