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:
College Student - ASU
College Student - CCC & TI
College Student at Another College or University
ASU Field Supervisor
CCC & TI Field Supervisor
If you selected "another college or university," please list the name of that institution.
If you are a volunteer, which school(s) do you wish to volunteer at? (Check all that apply)
Bethel Elementary School
Blowing Rock Elementary School
Cove Creek Elementary School
Green Valley Elementary School
Hardin Park Elementary School
Mabel Elementary School
Parkway Elementary School
Valle Crucis Elementary School
Watauga High School
If you are a college student, who is your instructor?
If you are a college student, what is your Student Number?
If you are a college student, please select the semester you would like to be considered for.
Maiden Name (If Applicable)
Social Security Number (Last 4 Digits ONLY)
Date of Birth
Previous Address #1
Previous Address #2
Previous Address #3
What other states have you lived in besides North Carolina?
Driver's License Number
State in which Driver's License was Issued
Issue Date of Driver's License
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This form was created inside of Watauga County Schools.