Caution: uncheck this box if you are on a public computer (e.g. Hotel, Coffee Shop)
indicates a required answer
DasCHE Criminal Background Check Consent Form
The safety of our children is always the main concern at DasCHE. Therefore, each and every adult who is a member of DasCHE will need to submit to a criminal background check. This includes all Co-op tutors, in-class helpers at Co-op, substitute tutors, study hall monitors, nursery workers, coaches, and all parents. Each and every adult who serves during our association and co-op activities needs to submit his/her own information.
Name on Driver's License (First Middle Last)
Please check which category best describes your involvement in DasCHE Scholastic Co-op:
If Guest Speaker, please specify the tutor and class you are speaking in.
If Other, please list the activity or committee with which you are planning to help.
Do you voluntarily consent to this background check?
Have you ever been convicted of any felony?
Have you ever been convicted of any misdemeanor?
Do you currently have any felony or misedemeanor charges pending against you?
If yes (to any of these), please explain:
Driver’s License #
Date of Birth ( mm / dd / yyyy )
By typing your full name and today's date in this box, you are indicating your consent to a criminal background check.