Volunteer Criminal History Record Check
In order to determine the suitability for volunteering and/or mentoring  in a school setting, I authorize the North East Independent School District, pursuant to Texas Education Code Section 22.083, to obtain any criminal history record information. I understand that this may include a search of local, state and/or federal law enforcement agency records, and hereby expressly release any and all information these agencies may provide.

If there is a need for clarification of my identity, I agree to provide additional information, including but not limited to photographs and fingerprints. "

* required
* First Name:    
  Middle Initial:  
* Last Name:    
Nick Name:
* Street Number:  
* Street Name:  
* City:    *  Zip: (12345)     
Phone:    (1234567)  
* Date of Birth: (mm/dd/yyyy)    
* Ethnicity:  
* Gender:  
* D/L Number:  
* D/L State:  
E-Mail Address:  
Confirm E-Mail Address:  
* I will volunteer at: (Select up to four campuses by holding down the "Ctrl" key and clicking on the selections.)    
  (Click here to read)


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