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2022-23 CCCHG Affirmation of Good Moral Character


I, as a prospective or current member and/or volunteer, hereby affirm, under penalty of perjury, that I am of good moral character. I further affirm that I have not committed, nor been found guilty of, regardless of adjudication, or entered a plea of nolo contendere or guilty to, any offense (or attempt or conspiracy thereunder) prohibited under any of the following provisions of the Florida Statutes (See level 2 screening standard of 435.04) or under any similar statute of another jurisdiction for any of the offenses listed below:


Relating to

Section 393.135 sexual misconduct with certain developmentally disabled clients and reporting of such sexual misconduct :

Section 394.4593 sexual misconduct with certain mental health patients and reporting of such sexual misconduct

Section 415.111 adult abuse, neglect, or exploitation of aged persons or disabled adults or failure to report of such abuse

Section 741.28 criminal offenses that constitute domestic violence, whether committed in Florida or another jurisdiction

Section 782.04 murder

Section 782.07 manslaughter, aggravated manslaughter of an elderly person or disabled adult, or aggravated manslaughter of a child

Section 782.071 vehicular homicide

Section 782.09 killing an unborn quick child by injury to the mother

Chapter 784 assault, battery, and culpable negligence, if the offense was a felony

Section 784.011 assault, if the victim of offense was a minor

Section 784.03 battery, if the victim of offense was a minor

Section 787.01 kidnapping

Section 787.02 false imprisonment

Section 787.025 luring or enticing a child

Section 787.04(2) taking, enticing, or removing a child beyond the state limits with criminal intent pending custody proceeding

Section 787.04(3) carrying a child beyond the state lines with criminal intent to avoid producing a child at a custody hearing or delivering the child to the designated person

Section 790.115(1) exhibiting firearms or weapons within 1,000 feet of a school

Section 790.115(2) (b) possessing an electric weapon or device, destructive device, or other weapon on school property

Section 794.011 sexual battery

Former Section 794.041 prohibited acts of persons in familial or custodial authority

Section 794.05 unlawful sexual activity with certain minors

Chapter 796 prostitution

Section 798.02 lewd and lascivious behavior

Chapter 800 lewdness and indecent exposure

Section 806.01 arson

Section 810.02 burglary

Section 810.14 voyeurism, if the offense is a felony

Section 810.145 video voyeurism, if the offense is a felony

Chapter 812 theft and/or robbery and related crimes, if a felony offense

Section 817.563 fraudulent sale of controlled substances, if the offense was a felony

Section 825.102 abuse, aggravated abuse, or neglect of an elderly person or disabled adult

Section 825.1025 lewd or lascivious offenses committed upon or in the presence of an elderly person or disabled adult

Section 825.103 exploitation of disabled adults or elderly persons, if the offense was a felony

Section 826.04 incest

Section 827.03 child abuse, aggravated child abuse, or neglect of a child

Section 827.04 contributing to the delinquency or dependency of a child

Former Section 827.05 negligent treatment of children

Section 827.071 sexual performance by a child

Section 843.01 resisting arrest with violence

Section 843.025 depriving a law enforcement, correctional, or correctional probation officer means of protection or communication

Section 843.12 aiding in an escape

Section 843.13 aiding in the escape of juvenile inmates in correctional institution

Chapter 847 obscene literature

Section 874.05(1) encouraging or recruiting another to join a criminal gang

Chapter 893 drug abuse prevention and control only if the offense was a felony or if any other person involved in the offense was a minor

Section 916.1075 sexual misconduct with certain forensic clients and reporting of such sexual conduct

Section 944.35(3) inflicting cruel or inhuman treatment on an inmate resulting in great bodily harm

Section 944.40 escape

Section 944.46 harboring, concealing, or aiding an escaped prisoner

Section 944.47 introduction of contraband into a correctional facility

Section 985.701 sexual misconduct in juvenile justice programsSection 985.711 contraband introduced into detention facilities