Celina ISD Criminal History Information Request- Confidential
All requested information must be complete.
Today's Date
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School
Name (First, M.I., Last)
Your answer
Current Address (City, State, Zip code)
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Social Security #
Your answer
Driver's License #
Your answer
Date of Birth
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DD
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YYYY
Personal E-mail Address
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Phone Number
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I understand that the information I am providing will only be used for the purpose of obtaining criminal history record information. By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
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