DOCUMENT

POL - Background Check Contractor Self-Certification Form 2005

  • YEAR CREATED: 2005
  • ENTITY TYPE: K-12
  • TYPE OF DOCUMENT: POL - Policies/Procedures
The document is a Contractor/Vendor Self-Certification Form from the Purchasing Department of the School Board of Pasco County, Florida. The form is to be filled out by contractors or vendors who wish to work with the school board. The form requires the company name, contact information, and project details. The main purpose of the form is to certify that all employees of the company have been verified through the Florida Department of Law Enforcement's Sexual Offender/Predator Database and the National Sex Offender Registry. The company representative must confirm that none of their employees are listed as sexual offenders or predators. It is emphasized that any employee who is a convicted sexual offender/predator is prohibited from accessing school grounds when students are present or having direct contact with students or access to school funds. The form warns that failure to report all applicable employees or allowing convicted offenders/predators to represent the company/agency on school campuses will result in the immediate cancellation of all contracts and agreements with the company/agency. The form includes spaces for the signature of the company representative, their title, printed name, and the date. It also includes spaces for the employee's name, street address, city, state, zip code, phone number, date of birth, driver's license number, trade, and verification dates from the FDLE and NSOPR. The last section of the form is for the use of the District School Board only.
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