Van Alstyne ISD
Volunteer Approval Form

This form must be completed before volunteering in any capacity at a VAISD campus or activity.

Pursuant to Texas Education Code Section 22.083-22.086 Texas public school districts may obtain
criminal history records on any volunteers. Be informed and understand that this school district shall
obtain criminal history record information.

You may be disqualified from volunteering with this school district if you have been convicted of a felony
or any offense involving moral turpitude or for not disclosing any conviction.

This criminal history record search may include local, state and national law enforcement agency
records and you hereby expressly release any law enforcement agency, record holder or individual from
any and all liability for releasing any and all information these agencies or individuals may provide. If
there is a need for further clarification of your identity, you agree to provide additional information
including but not limited to, photographs and fingerprints.

If requested, you will be provided the name, address, and telephone number of the reporting agency as
well as the nature and substance of the criminal record information and the source. The review and
confirmation must be obtained from the providing agency.

You must complete and successfully submit this form before you can be considered for volunteering. If
you do not have or choose not to provide a valid U.S. issued Social Security number then do not
continue
this application. We can only process applications that include a Social Security number.
Van Alstyne ISD does not retain social security numbers once your background check has been completed.

  I have read the above notice and agree to all statements within it. I understand
the information I am providing about age, sex, and ethnicity will be used solely
for the purpose of obtaining criminal history information.


Last Name    First Name  Middle Name

Social Security #:  Drivers License #:   State

Date of Birth:     Sex:           Ethnicity:
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