Criminal History Information Request

Criminal History Information Request

Confidential
The Frankston Independent School District is required by Texas Education Code Chapter 22, Subchapter C to review the criminal history of applicants, employees, independent contractors, student teachers, and certain volunteers. The information requested below is necessary to obtain criminal history record information.
Name*

First NameLast Name
Social Security Number*
Date of Birth*

MonthDayYear
Date
Driver's License*
State and Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Sex*

MaleFemale
Ethnicity*

BlackWhite/Other
Phone Number*

Area CodePhone Number
Email*
example@example.com
I understand that the information I am providing about age, sex, and ethnicity will not be used to determine eligibility for employment but will be used solely for the purpose of obtaining criminal history record information.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: