Transcript THE BUCK STOPS HERE - Georgia Professional Standards

THE BUCK STOPS WITH YOU
I CAN ONLY TELL
YOU WHAT IS TRUE
FOR TODAY
SOCIAL SECURITY NUMBERS
WATCH FOR
OUT- OF-STATE NUMBERS
CHALLENGES POSED BY OUT- OFSTATE APPLICANTS
NON-TRADITIONAL STUDENTS
-vsTRADITIONAL STUDENTS
REVIEW MILITARY DISCHARGE PAPERS
(DD214)
GAPS
IN
EMPLOYMENT
CONTACT LAST
KNOWN
PLACES OF EMPLOYMENT
RICH MAN
POOR MAN
DOCTOR
LAWYER
INDIAN CHIEF
CONSENT AGREEMENTS
SHOULD ALLOW FOR INFORMATION
TO BE RETRIEVED FROM BOTH
STATE AND FEDERAL DATA BASES
Georgia Bureau of Investigation
Georgia Crime Information Center
Consent Form
I hereby authorize Georgia Professional Standards Commission to receive any Georgia criminal history record information pertaining to me which may be in the
files of any state or local criminal justice agency in Georgia.
________________________________________________________________________
Full Name (print)
________________________________________________________________________
Address
______
______
________
__________ ______________________
Sex
Race
Date of Birth
Social Security Number
________________________________________________
Signature
__________________
Date
------------------------------------------------------------------------------------------------------------------------------Special employment provisions (check if applicable):



Employment with mentally disabled (Purpose code ‘M’)
Employment with elder care (Purpose code ‘N’)
Employment with children (Purpose code ‘W’)
One of the following must be checked:
This authorization is valid for 90/180 (circle one) days from date of signature.
I, ____________________________________________ give consent to the above named to perform periodic criminal history background checks for the duration of
my employment with this company.
PURPOSE CODE
W
vs.
PURPOSE CODE
E
CRIMES OF
MORAL TURPITUDE
CAN FELONS TEACH IN GEORGIA?
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
GA930090Z
TCN 00000000000000000-0000000000
THE FBI IDENTIFIED YOUR TEN- PRINT SUBMISSION WHICH CONTAINED
THE FOLLOWING DESCRIPTORS:
NAME
DATE ARRESTED/FINGERPRINTED 2007/01/19
SEX
RACE
STATE ID
GA0000000L
OTHER BIRTH
DATES
ALIAS NAMES(S)
NONE
BIRTH DATE
HEIGHT
WEIGHT
EYES
HAIR
BIRTH PLACE
SCARS-MARKS-TATTOOS
SOCIAL
SECURITY
MISC NUMBERS
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
GA000000Z
ICN IFCS0000000000000000
BECAUSE ADDITIONS OR DELETIONS MAY BE MADE AT ANY TIME, A NEW COPY
SHOULD BE REQUESTED WHEN NEEDED FOR SUBSEQUENT USE.
THIS RECORD IS SUBJECT TO THE
FOLLOWING USE AND DISSEMINATION RESTRICTIONS
UNDER PROVISIONS SET FORTH IN TITLE 28, CODE OF FEDERAL REGULATIONS (CFR),
SECTION 50.12, BOTH GOVERNMENTAL AND NONGOVERNMENTAL ENTITIES AUTHORIZED TO
SUBMIT FINGERPRINTS AND RECEIVE FBI IDENTIFICATION RECORDS MUST NOTIFY THE
INDIVIDUALS FINGERPRINTED THAT THE FINGERPRINTS WILL BE USED TO CHECK THE CRIMINAL
HISTORY RECORDS OF THE FBI. IDENTIFICATION RECORDS OBTAINED FROM THE FBI MAY USED
SOLELY FOR THE PURPOSE REQUESTED AND MAY NOT BE DISSEMINATED OUTSIDE THE RECEIVING
DEPARTMENT, RELAATED AGENCY OR OTHER AUTHORIZED ENTITY. IF THE INFORMATION ON THE
RECORD IS USED TO DISQUALIFY AN APPLICANT, THE OFFICIAL MAKING THE DETERMINATION OF
SUITABILITY FOR LICENSING OR EMPLOYMENT SHALL PROVIDE THE APPLICANT THE
OPPORTUNITY TO COMPLETE, OR CHALLENGE THE ACCURACY OF, THE INFORMATION CONTAINED
IN THE FBI IDENTIFICATION RECORD. THE DECIDING OFFICIAL SHOULD NOT DENY THE LICENSE
OR EMPLOYMENT BASED ON THE INFORMATION IN THE RECORD UNTIL THE APPLICANT HAS BEEN
AFFORDED A RESONABLE TIME TO CORRECT OR COMPLETE THE INFORMATION, OR HAS DECLINED
TO DO SO. AN INDIVIDUAL SHOULD BE PRESUMED NOT GUILTY OF ANY CHARGE/ARREST FOR
WHICH THERE IS NO FINAL DISPOSITION STATE ON THE RECORD OR
OTHERWISE DETERMINED. IF THE APPLICANT WISHES TO CORRECT THE RECORD AS IT APPEARS IN
THE FBI’S CJIS DIVISION RECORDS SYSTEM, THE APPLICANT SHOULD BE ADVISED THE
PROCEDURES TO CHANGE, CORRECT OR UPDATE THE RECORD ARE SET FORTH IN TITLE 28, CFR,
SECTION 16.34.
- FBI IDENTIFICATION RECORD WHEN EXPLANTION OF A CHARGE OF DISPOSITION IS NEEDED, COMMUNICATE DIRECTLY WITH THE
AGENCY THAT FURNISHED THE DATA TO THE FBI.
NAME
DOE, JANE
SEX
RACE
FBI NO.
000000HB3
BIRTH DATE
HEIGHT
WEIGHT
DATE REQUESTED
2007/01/26
EYES
HAIR
BIRTH PLACE
FINGERPRINT CLASS
PATTERN CLASS
END OF PART 1 - PART 2 TO FOLLOW
CITIZENSHIP
UNITED STATES DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF INVESTIGATION
CRIMINAL JUSTICE INFORMATION SERVICES DIVISION
CLARKSBURG, WV 26306
GA930090Z
ICN IFCS0000000000000000
- FBI IDENTIFICATION RECORD - FBI NO-000000HB3
1.-ARRESTED OR RECEIVED 1997/12/04 SID- SC00000000
AGENCY-SHERIFF’S OFFICE GREENVILLE (SC0000000)
AGENCY CASE - 000000
CHARGE 1- FRAUDULENT CHECK Ff000000
COURT-SHERIFF’S OFFICE GREENVILLE (SC0230000)
CHARGE- FRAUDULENT CHECK
SENTENCEVERDICT - CONVICTED ADDITIONAL DATE - PAID $45.
ALL ARREST ENTIRES CONTAINED IN THIS FBI RECORD ARE BASED ON FINGERPRINT
COMPARISONS AND PERTAIN TO THE SAME INDIVIDUAL.
THE USE OF THIS RECORD IS REGULATED BY LAW. IT IS PROVIDED FOR OFFICIAL USE ONLY AND
MAYBE USED ONLY FOR THE PURPOSE REQUESTED.
FIRST OFFENDER
TREATMENT
PRE-TRIAL DIVERSION PROGRAMS
DUI
DRIVING WITH A SUSPENDED
LICENSE
MARIJUANA LESS THAN AN OUNCE
DISORDERLY CONDUCT
PROSTITUTION
(BUYER BEWARE)
DISMISSAL OF CHARGES
SEALED AND EXPUNGED RECORDS
HOW OFTEN SHOULD
BACKGROUND CHECKS
BE RUN?
SCHOOL SYSTEM’S RESPONSE TO
APPLICANTS OR EDUCATORS
ANSWERING “YES” TO PERSONAL
AFFIRMATION QUESTIONS
PSC
REPORTING
Reporting to a school system does not fulfill
the requirement of reporting to a
licensing agency.