Suitability Request Form
Fingerprint-based checks are conducted as authorized by 603 CMR 51.06 which also permits transferring of suitability determinations between public school districts.  If you were employed with the Burlington Public Schools and would like your suitability determination to be shared with another MA public school district, please complete the information below.
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First Name *
Last Name *
Former Name
If you had a different name while working in Burlington, your fingerprint results will be listed under that name
Date of Birth *
Your email address *
School District(s) Receiving Suitability Determination *
Name(s) of Individual(s) Receiving Determination *
Email Address(es) of Individual(s) Receiving Determination *
For mulitiple email addresses, please separate with a comma
Notes / Additional Information
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