LPS Criminal History Check Authorization

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

LPS Criminal History Check Authorization

This application is being used to help provide a safe and secure environment for Leadership Prep School students and staff. This information is kept strictly confidential and will be used exclusively for the purpose of obtaining criminal history record information.

Sign in to Google to save your progress. Learn more

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Date of Birth *

MM

/

DD

/

YYYY

Next

Clear form

Never submit passwords through Google Forms.

This form was created inside of Leadership Prep School. Report Abuse