Are you volunteering as a member of the community without students enrolled in CISD? *
If you are community volunteer please state purpose of visiting campus(es).
(Guest speaker, delivering items, etc.)
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Are you volunteering as a parent or family member? *
Please select the campus(es) where your student(s) attend, or where you plan to volunteer. *
Required
List all students in your family attending Crandall ISD. *
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Previous Address
If you have lived at your current address less than five years, please list a previous address.
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Apt. No.
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City
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State
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Zip Code
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Texas Driver's License or State ID Number *
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Other Driver's License/ID
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Social Security Number
xxx-xx-xxxx
Your answer
Electronic Signature- your typed name serves as your signature. *
Your answer
DPS Computerized Criminal History (CCH) Verification
I, (Name of applicant), acknowledge that a Computerized Criminal History (CCH) 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. (This is not a consent form.) Authority for this agency to access an individual's criminal history data may be found in Texas Government Code 411: Subchapter F. Name based information is not an exact search and only fingerprint record searches represent true identification to criminal history, therefore the organization conducting the criminal history check is not allowed to discuss with me any criminal history record information obtained using the name and DOB method. 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. Once this process is completed the information on my fingerprint criminal history record may be discussed with me. In order to complete the process I must make an appointment with the Fingerprint Applicant Services of Texas (FAST) as instructed online at www.txdps.state.tx.us/Crime Records/Review of Personal Criminal History or by calling the DPS Program vendor at 1-888-467-2080, 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. *
Name of Applicant
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This copy must remain on file by your agency. Required for future DPS audits.
Signature of Applicant *
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By checking her you acknowledge signing this document *
Required
Date *
MM
/
DD
/
YYYY
FOR OFFICE USE ONLY
Crandall ISD Agency Representative Name
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Crandall ISD Signature of Agency Representative
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Date
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CCH Report Printed
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Purpose of CCH
Your answer
Clear selection
Initial
Your answer
Retain in your files
Submit
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