Celina ISD Criminal History Information Request- Confidential
All requested information must be complete.
Celina Primary School
Celina Elementary School
O'Dell Elementary School
Celina Junior High (6-8)
Celina High School
Name (First, M.I., Last)
Current Address (City, State, Zip code)
Social Security #
Driver's License #
Date of Birth
Personal E-mail Address
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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