Criminal History Information Request

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The Gilmer 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 volunteers. This information requester below is necessary to obtain criminal history record information.

First Name *

Middle

Mailing Address *

Date of Birth *

YYYY

Driver's License Number *

Email Address

Sex

Male

Female

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Ethnicity *

American Indian or Alaska Native

Asian

Black

Hispanic

Native Hawaiian or Pacific Islander

White

Other

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 records information.

I understand

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Digital Signature *

Date *

YYYY

Option 1

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Submit

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