Caution: uncheck this box if you are on a public computer (e.g. Hotel, Coffee Shop)
indicates a required answer
A background check is required of all instructors at Crown Homeschool Community. Please fill out the form for your background check submission.
Do you voluntarily consent to this background check?
Name on Driver's License:
Driver’s License #:
Name on Social Security Card:
Social Security #:
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:
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.