Kim Ellison-Relative Disclosure Form

AID 1817224 · View on Simbli

Agenda Item

b. PERSONNEL RECOMMENDATION FROM EXECUTIVE SESSION

Summary: Presented by: Mrs. Tasha Davis Mills, Chief of Human Resources, Division of Human Resources
Request: It is requested that the Board of Education approve the hiring recommendation of Ms. Kim Ellison to the position of Executive Assistant at the Central Office, Area 3 Superintendent, in the Division of Schools & Leadership.

Relative Disclosure:
In accordance with BOE Policy, GAGD-Section G, Mandatory Disclosure by the Superintendent, Ms. Kim Ellison is a candidate recommended for Executive Assistant, is the stepchild of a School Board Member and a substitute employee for McNair Middle School.
Contact: Mrs. Tasha Davis Mills, Chief of Human Resources, Division of Human Resources
Effective: Upon Board Approval
                                   DIVISION OF HUMAN RESOURCES
                                       EMPLOYMENT SERVICES
                             RELATIVE DISCLOSURE FORM
DeKalb County Schools Board Policy

GAGD Exhibit I-Nepotism

All District employees are required to disclose, on an annual basis, whether they are a relative of any
other current District employee, including the Superintendent or current member of the Board of
Education. Additionally, employees are required to disclose, in writing, to the District if they are
employed by a vendor approved to do business with the District. Failure to disclose this information may
result in disciplinary action, up to and including, termination.

RELATIVE DISCLOSURE INFORMATION FORM

I, Kim Monique Ellison
   _______________________________ hereby certify that I am a current employee of the DeKalb

County School District, currently assigned to work at _________________________,
                                                      544/McNair Middle          in the position of

Registrar
____________________________ under the supervision of the DeKalb County School District.


Please select one:

   
   ✔ I further verify that I am a relative, as defined in Board Policy GAGD, with the following individuals
      also employed by the school District.

Name                                                Relationship                   School/Department

Deirdre Pierce                           Stepmother                          School Board Member

Blaine Ford                              daughter                            544/McNair Middle




                         ****Please complete an additional form if necessary****

    I verify that I am not a relative, as defined in Board Policy GAGD, with any individual(s) also
     employed by the school District.


           Kim Ellison
Signature: ____________________________________________________                   04/15/2025
                                                                            Date _____________________

                       ******
Social Security Number_____________________________

1701 MOUNTAIN INDUSTRIAL BOULEVARD, STONE MOUNTAIN, GA 30083  MAIN: (678) 676-0005  FAX: (678) 676-0187