HCDE CASE for Kids

Division / Position

	Criminal History Record and National Sex Offender Inquiry

We appreciate your interest in volunteering for Harris County Dept. of Education’s CASE for Kids division. We offer a variety of activities you may choose from as you consider volunteering to support our out-of-school time programs. Simply complete and submit a volunteer application, and upon approval, you will receive instructions on next steps.

Harris County Department of Education is required by Texas Education Code Chapter 22, Subchapter C to review criminal history of applicants, employees, independent contractors, student teachers, and certain volunteers, including AmeriCorps members. The Department will also conduct a national sex offender inquiry, state of residence and state of service checks, and a fingerprint-based FBI check as per the Serve America Act (45 CFR §2540.200 - §2540.207). The information requested below is necessary to comply with the above.

It is very important that the information you enter on the application matches your government issued identification document including your full legal name.

Further, you must provide a valid email address so you can be notified as to the status of your application and you can receive future communication from us. If you are unable to provide a personal email address, you may use our general CASE For Kids email address: casevolunteerinfo@hcde-texas.org.

All information collected on the application will remain confidential and will not be shared outside the volunteer program.

If you have any questions about the application, please request to speak with the CASE for Kids Assistant Director.

Thank you

HCDE- CASE for Kids

Assistant Director

Ms. T. Finely

Personal Information

Legal First Name

Address Line 1

Legal Middle Name

I don't have a middle name

Address Line 2 / Apt # / Building #

Legal Last Name

City

Maiden Name

State/Province/Region

Gender

Postal/Zip Code

Date Of Birth

Phone Number Phone number is required

Affiliation

Preferred Language (for future communications)

Please note: An email will be sent to the email address entered to inform you of the status of your application. If you do not have access to email, please enter casevolunteerinfo@hcde-texas.org. and a district administrator will call you regarding the status.

Please select the schools at which you wish to volunteer

Please select the functions from the list below. (select all that apply)

Please select the organization(s) on behalf of which you are volunteering (if not applicable, select "None")

Please read the disclaimer below and provide your signature

By providing your signature, you are agreeing to abide by the rules and regulations of the Harris County Department of Education. 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.

Name

Signature

By signing your name you agree to all the above statements. Use the mouse or touch screen to sign.

Closing Page

Your volunteer application has been successfully submitted and will be reviewed per Harris County Deptartment of Education policy. In the near future, you will be notified as to your volunteer status. If you have any questions, please request to speak with a volunteer representative via email. (tfinely@hcde-texas.org)

Thank you

CASE For Kids- HCDE

Assistant Director

Ms. T. Finely