Rockwall Independent School District
Consent to Perform Criminal Background Check 2023-2024 School Year
CONFIDENTIAL
The Rockwall Independent School District is authorized by State law to obtain criminal history record information on individuals applying for positions in the District (Texas Education Code § 22.083).  The information requested below is necessary to obtain criminal history record information.  If you would rather print out a form, fill it out and send it in to the office, please email rockwallswimoffice@gmail.com for a form.

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FirstName *
MiddleName
LastName *
Maiden Name if Applicable
AddressStreet
AddressCity
AddressZip
SSN *
Driver's License #
DOB *
MM
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DD
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YYYY
Gender
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Phone Number
List 2 Most Recent Addresses
Email *
I have been informed that as a part of this process, the District conducts a background check including but not limited to a criminal history background check.
I hereby consent to the District’s use of any information secured in performing the background check including but not limited to a criminal history background check, employment or education verifications, personal reference check, and/or driving record check.
I have been informed by the District that I have the right to review and challenge any negative information received that might adversely impact the District’s decision. I have also been advised that the District will give me a reasonable opportunity to clear up any mistaken information reported.
I understand that the information I am providing about Date of Birth and Gender will be used solely for the purpose of obtaining criminal history record information. 
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