Background Check Form
I, the undersigned applicant/employee/volunteer, hereby expressly authorize the Watauga County Board of Education, its agents and employees, to make any investigation of my personal or employment history, expressly including, but not limited to federal and/or state criminal, law enforcement or traffic records. I further authorize any former employer, person, firm, corporation, administrative body or governmental agency to give to the Watauga County Board of Education, its agents or employees, any information they may have regarding me. In consideration of the review of my employment application by the Watauga County Board of Education, its agents or employees, I hereby release the Watauga County Board of Education, its agents or employees and any and all providers of information to whom this release is sent, from any liability as a result of furnishing or receiving this information.

PLEASE NOTE: FOR VOLUNTEERS AND COLLEGE INTERNS, IT MAY TAKE AT LEAST 7-10 BUSINESS DAYS FOR THE BACKGROUND CHECK REQUEST TO BE PROCESSED.

Choose one of the following: *
If you selected "another college or university," please list the name of that institution.
Your answer
If you are a volunteer, which school(s) do you wish to volunteer at? (Check all that apply)
If you are a college student, who is your instructor?
Your answer
If you are a college student, what is your Student Number?
Your answer
If you are a college student, please select the semester you would like to be considered for.
Last Name *
Your answer
First Name *
Your answer
Middle Name *
Your answer
Maiden Name (If Applicable)
Your answer
Social Security Number (Last 4 Digits ONLY) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race *
Required
Current Address *
Your answer
Previous Address #1
Your answer
Previous Address #2
Your answer
Previous Address #3
Your answer
What other states have you lived in besides North Carolina?
Your answer
Driver's License Number *
Your answer
State in which Driver's License was Issued *
Your answer
Issue Date of Driver's License *
Your answer
Submit
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