By providing your signature, you are agreeing to abide by the rules and regulations of the District Volunteer Program. One or more of the volunteer activities you have selected may require you to provide your United States social security number so we can perform a criminal background check. Your social security number will only be used for this purpose and we do not retain this information.
DPS Computerized Criminal History (CCH) Verification Form
I acknowledge that a Computerized Criminal History (CCH) will be performed by accessing the Texas Department of Public Safety Secure Website and will be based on Name and DOB identifiers I supply. (This is not a consent form.) Authority for this agency to access an individual's criminal history data may be found in Texas Government Code 411; Subchapter F.
Name-based information is not an exact search and only fingerprint record searches represent true identification to criminal history, therefore the organization conducting the criminal history check is not allowed to discuss with me any criminal history record information obtained using this method. The agency may request that I have a fingerprint search performed to clear any misidentification based on the result of the name and DOB search. Once this process is completed the information on my fingerprint criminal history record may be discussed with me.
District will contact you if fingerprinting is needed. In order to complete the process I must make an appointment with the Fingerprint Applicant Services of Texas (FAST) as instructed online at www.txdps.state.tx.us/Crime Records/Review of Personal Criminal History or by calling the DPS Program Vendor at 1-888-467-2080, fingerprinting services company.
(This copy must remain on file by your agency. Required for future DPS Audits)
Comal Independent School District
Agency Name
Heidi Freeman
Agency Representative Name
____________________________________________________________________
FOR DISTRICT USE:
Please:
Check and Initial Each Applicable Space
CCH Report Printed: YES NO ✓ HF initial
Purpose of CCH: Employment
Empl Vol/Contractor ✓ HF Initial
Date Printed: Initial
Destroyed Date: Initial
In connection with my application and desire to engage in volunteer activities, I have been advised and I hereby consent and authorize Comal ISD and its agent, at any time during or subsequent to my application process, to conduct a background check that may include a criminal record check and such additional verifications and reference checks as deemed necessary. I do hereby consent to Comal ISD’s use of any information provided on this form or during the application process in performing the non-employment related background check. I agree to release, indemnify and hold harmless Comal ISD and any agency used by Comal ISD with regard to any information provided by the agency. I have been informed that I will have a reasonable opportunity to clear up any mistaken information provided by the agency within a reasonable time frame established within the sole discretion of Comal ISD. I acknowledge that facsimile, copy or electronic version of this form shall be as valid as the original.
All volunteers of the Comal Independent School District can be volunteers without regard to national origin, race, sex, or creed. Information generated from this form is handled in a confidential manner.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS CONSENT FORM IS TRUE, CORRECT AND COMPLETE. IF ANY INFORMATION PROVES TO BE INCORRECT OR INCOMPLETE, I UNDERSTAND THAT THIS WILL BE GROUNDS FOR DENYING OR TERMINATING MY ABILITY TO PROVIDE VOLUNTEER SERVICES FOR COMAL ISD.