The essence of ensuring safety and maintaining a standard of integrity within educational environments is embodied in the meticulous checks conducted by institutions like the San Marcos Consolidated Independent School District (CISD). The district's Criminal History Record Release form serves as a pivotal tool in this endeavor, particularly for those aspiring to engage with the educational community as student teachers, interns, or observers. Embedded within the legislative framework of the Texas Education Code, this form facilitates the lawful acquisition of criminal history records, a necessary step mandated for individuals before they integrate into the district's educational framework. It meticulously gathers vital data, including personal identification details and consent signatures, to authorize and carry out these background checks through law enforcement agencies. This measure underscores the district's commitment to promote a secure and conducive learning environment, ensuring that those who influence and shape young minds meet the requisite standards of conduct and integrity. Moreover, the form delves into the specifics of the process, guiding applicants through the necessary steps, including the potential need for fingerprint verification to resolve any uncertainties stemming from name-based checks, thereby ensuring accuracy in the screening process. Displayed prominently in the Human Resources Office, the form underscores the procedural and ethical rigor integral to the educational sector's operations, ensuring all stakeholders are aware of and comply with these critical safety protocols.
Question | Answer |
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Form Name | San Marcos Tx Cisd Background Check Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | L1, marcos consolidated independent criminal create, san marcos consolidated criminal, CISD |
501 South LBJ Drive |
P.O. Box 1087 |
San Marcos, Texas |
CRIMINAL HISTORY RECORD RELEASE
FOR SAN MARCOS CONSOLIDATED INDEPENDENT SCHOOL DISTRICT
STUDENT TEACHERS / INTERNS / OBSERVERS
The San Marcos Consolidated Independent School District may obtain criminal history record information on individuals that intend to serve as student teachers, interns, or observers with the District [Texas Education Code Subchapter C. Criminal History Records Section 22.083 (2).]
The information below is needed to request a criminal history check by law enforcement agencies. This form will be filed in the Human Resources Office.
_______________________________________________________________
I have read and understand the above information and do hereby authorize the San Marcos Consolidated Independent School District complete access to any and all criminal history record information pertaining to me on file with your agency and do hereby unequivocally grant permission to your agency to release all of said criminal history to the San Marcos Consolidated Independent School District.
Full Name________________________________________________________
(PLEASE PRINT) |
Last |
First |
Middle |
Social Security No.______________________ |
Date of Birth___________ |
Driver’s License Number___________________ State Issued ____________
Sex: Male_________ |
Female_________ |
Race_________________ |
________________________________________________________________
Signature |
Phone Number |
Email address |
_______________ |
___________________ |
__________________ |
Date |
Campus Requested |
College or University |
DPS Computerized Criminal History (CCH) Verification
(AGENCY COPY)
I, x |
, have been notified that a Computerized Criminal |
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APPLICANT or EMPLOYEE NAME (PLEASE PRINT)
History (CCH) verification check will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on name and DOB identifiers I supply.
Because the name‐based information is not an exact search and only fingerprint record searches represent true identification to criminal history, the organization conducting the criminal history check for background screening is not allowed to discuss any criminal history record information obtained using the name and DOB method. Therefore, the agency may request that I have a fingerprint search performed to clear any misidentification based on the result of the name and DOB search.
For the fingerprinting process I will be required to submit a full and complete set of my fingerprints for analysis through the Texas Department of Public Safety AFIS (Automated Fingerprint Identification System). I have been made aware that in order to complete this process I must make an appointment with L1 Enrollment Services, submit a full and complete set of my fingerprints, request a copy be sent to the agency listed below, and pay a fee of $24.95 to the fingerprinting services company, L1 Enrollment Services.
Once this process is completed and the agency receives the data from DPS, the information on my fingerprint criminal history record may be discussed with me.
(This copy must remain on file by your agency. Required for future DPS Audits)
x
Signature of Applicant or Employee
x
Date
San Marcos CISD
Agency Name (Please Print)
Rosie Mendez
Agency Representative Name (Please Print)
Signature of Agency Representative
Date
Please:
Check and Initial each Applicable Space
CCH Report Printed: |
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Purpose of CCH: |
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Hire |
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Date Printed: |
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Destroyed Date: |
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Retain in your files |
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REV. 02/2011