Broward County Public Schools Safe and Secure ... - Get Involved

Broward County Public Schools
Safe and Secure:
Risk Management in
School Volunteer Programs
2006/2007
Provided by:
Volunteer Services Department
754-321-2040
volunteer@browardschools.com
www.getinvolvedineducation.com/volunteer_services.html

Contents
Safe and Secure:
Risk Management in
School Volunteer Programs
2006/2007
Volunteer Screening and Placement ......................................................................... 1
Standards for All Volunteers ...................................................................................... 2
Volunteer Clearance Levels ..................................................................................... 3
Volunteer Clearance Levels Chart.............................................................................. 4
Types of Volunteers/Campus Visitors Screening Quick Reference ............................. 5
STAR System Volunteer Application Process............................................................. 6
STAR System Application Processing Flowchart ........................................................ 7
Non-STAR System Schools’ Volunteer Application Process ....................................... 8
Non-STAR System Application Processing Flowchart................................................. 9
Charter Schools’ Volunteer Application Process ....................................................... 10
Charter Schools’ Application Processing Flowchart .................................................. 11
Security Check Request Form – School Volunteer ................................................... 12
Security Clearance Form ......................................................................................... 13
i

Volunteer Screening and Placement
Broward County Public Schools is implementing a District wide safety and security program
called STAR System (Security Tracking And Response). Since parent, community and business
volunteers play an important role in our schools, managing the participation of these community
members is integral to this new system.
In addition to the STAR System, a multifaceted approach to protecting students is effective for
volunteer involvement. To help all schools fully understand the risk management aspects of
volunteer involvement, the following references are enclosed:
Standards for All Volunteers
• Volunteer and school safety responsibilities
• Volunteer Injury Procedure
• Volunteers and Pre-school Children
Level 1 and Level 2 Clearance Procedures for Volunteers
Types of Volunteers & Screening Quick Reference
The procedure that will be used for volunteer applications, screening and recordkeeping will be
determined by the school’s ability to access the STAR System. Procedures for the following
access levels are enclosed.
STAR System Schools
These are schools with the STAR System installed on the Dell computer located in the
front office. They have complete access to both the security and volunteer features of
the STAR System.
Non- STAR System Schools
These are the 19 school sites that are not currently able to access STAR due to physical
plant limitations (electricity and network capabilities).
Charter Schools
These are schools outside of the Broward Schools’ network and will not have access to
the STAR system nor the Volunteer Screening Database housed on Broward Schools’
Intranet.
1

Standards for All Volunteers
To ensure student safety, both volunteers and schools have important and inter-related
responsibilities.
Volunteer Responsibilities:
• Completing an annual volunteer application
• Wearing a name badge/label
• Logging in and out of school
• Attending a volunteer orientation
• Assisting in a supervised, observable setting only
• Following all school & District guidelines and administrators’ instructions
School Responsibilities:
• Training staff members to utilize volunteers effectively and to be observant of their
activities
• Checking volunteers’ background either at Level 1 or Level 2 clearance, depending on
their role
A Volunteer Shall Not:
• Establish instructional objectives
• Make decisions regarding relevancy of curriculum activities or materials
• Grade subjective assignments or tests
• Supervise a class in the absence of school staff (Statutory Authority 230.03(2), 230.22,
230.23005 F.S)
• Dispense medication, prescription or over-the-counter
• Make contact with student(s), or their families, outside of the school location or schoolsponsored
activities. Volunteers should not telephone or visit students or parents, even
at the invitation of the family
• Have access to confidential student information
(Under Florida statue 228.093, students have a right to confidentiality with regard to:
academic work completed, family background information, standardized test scores,
attendance records, health data, grades, interest inventory reports, teacher or
counselor ratings and observations, and reports of serious or recurrent behavior
patterns.)
Here are other standard policies for school volunteer programs.
Volunteer Injuries
If a volunteer is injured while providing volunteer services to the District, he/she is entitled to
medical care in accordance with Florida’s Worker Compensation Statutes. An injured
volunteer should immediately notify the supervisor or principal and complete a First Report
of Injury form. In the event emergency care is needed, 911 should be contacted. All other
medical services must be coordinated through the Broward Schools’ Risk Management
Department. Please also notify Volunteer Services by faxing a copy of the First Report of
Injury form to 754-321-2049.
Pre-School Children Accompanying Volunteers
Volunteers should never bring pre-school children or children not registered in the school
when they volunteer. These children distract from the educational process and they have
not provided the required health screening documents.
2

Volunteer Clearance Levels
Broward Schools use a two level system for background checks. The features and requirements
for each level are explained on the following page.
Overnight or extended day chaperones, volunteer coaches, mentors and clinic volunteers are
required to have Level 2 clearance. For other volunteer settings or roles the Jessica Lunsford
Act requires Level 2 clearance in specific situations/settings.
To determine the required clearance level, three questions about the volunteer activity must be
answered:
1. Will there be unsupervised contact with students?
2. Is there a contract between BCPS (District or school level) and the person or group?
3. Will BCPS money be handled?
If the answer is yes to any of these questions, then Level 2 clearance is required. For further
clarification, contact Ms. Jaime Gentile at Security Clearance or Dr. Joe Melita, Special
Investigative Unit.
Note: Volunteers who have been Level 2 screened (fingerprinted) since January 2006 and who
continue to volunteer will not have to be fingerprinted for the following 3 years. These volunteers
must complete an annual on-line volunteer application.
3

Volunteer Clearance Levels
Which type
of
volunteer?
What
databases
are
checked?
What are
the steps?
How long
for results?
Where are
the results
posted?
Level 1 Clearance
(There is no charge for screening of volunteers)
For All Schools
• All general, supervised volunteers
For STAR & Non-STAR Schools
• Broward Clerk of Courts
• Broward Schools’ Deny Entry list
• Sexual predators & offender’s databases
For Charter Schools
• School is solely responsible for checking volunteers with
the Florida Department of Law Enforcement’s Sexual
Offenders & Predators database
For STAR Schools
• Automatic Level 1 screening
For Non-STAR Schools
• School enters volunteer data in Volunteer Screening
System, posted on the Intranet at
http://web/casdl/volunteer/vol_login.asp
For Charter Schools (sexual predator check only)
• School checks database at
www3.fdle.state.fl.us/sexual_predators
For STAR Schools
• 1-2 days
For Non-Star Schools
• At least 1 month
For STAR Schools
• The system will list volunteer as Approved, Pending (not yet
cleared), or Inactive (not approved)
For Non-STAR Schools
• Results are posted in the Volunteer Screening System site
at http://web/casdl/volunteer/vol_login.asp
Level 2 Clearance (FBI Fingerprinting)
(There is no charge for fingerprinting volunteers)
For All Schools
• Overnight and/or extended day field trip chaperones
• Volunteer coaches
• Mentors
• Clinic volunteers
For All Schools
• Level 1 clearance
• Federal Bureau of Investigation (FBI)
• Florida Department of Law Enforcement (FDLE)
(ONLY fingerprints taken by Broward County Public Schools are
acceptable. Fingerprints from other agencies are not acceptable.)
For All Schools
• Volunteer completes the annual application form, on-line or
on paper depending on school’s system
• School completes the Security Check Request Form signed
by the principal
• Volunteer brings form and ID to the Security Clearance Office
in the KC Wright Building (754-321-2374)
(Volunteers who were Level 2 cleared after January 2006 will only
need to be Level 1 checked annually until January 2008.)
For All Schools
• 2-3 days after fingerprinting
For All STAR & Non-STAR Schools
• Results are ONLY posted on the Security Clearance
Fingerprint Database available in CAB’s BCPS Resources.
For Charter Schools
• Charters may contact Security Clearance
4

Types of Volunteers/Campus Visitors
Screening Quick Reference
Broward’s volunteer screening and placement procedures are based on the type of student
contact and available staff supervision in specific volunteer roles. Please review the following:
Type Role/Function Screening & Placement
School
Volunteers
Parents, business partners, community residents who
serve in a supervised setting, normally in the
classroom, office, or media center. Includes: daytime
field trip chaperones, and career day speakers.
• Annual volunteer application
• District volunteer guidelines apply
• Level 1 background check
Mentors
Business
Partner
Volunteers
Classroom
Speakers
Volunteer
Coaches
High School
Student
Community
Service Hours
District Staff
Postal/Poll
Workers
Behavioral
Health
Agencies
Other
Campus
Guests
Court-Ordered
Community
Service
Adults who act in a long-term relationship with
specific selected student(s), often in an unsupervised
setting.
May serve as a volunteer or mentor. They also are
involved with field trips to job sites, internships, and
other work-based learning activities.
Furnishes students with added information that
enhances the curriculum. For speakers on The
Holocaust, Human Sexuality, HIV/AIDS and
Substance Abuse contact Volunteer Services.
Assists athletics instructors by contributing additional
direction and expertise to students.
Students from area high schools may serve as
volunteers. However, the school’s expectations must
be clearly described and direct supervision should be
provided.
Professionals from other agencies have periodic
access to our school campuses.
Mail is delivered, campuses are used as voting sites,
and district staff are sent to perform their duties.
Mental health professionals who provide services to
individual students or student groups
Includes military and college recruiters, guest
classroom speakers, fundraisers, community
organizations, college recruiters, transportation to
private facilities, organizations contracted by the
PTA, one-time consultants, and unannounced visits
by grandparents and/or relatives.
Attorneys or convicted persons may request courtordered
service hours as part of fulfilling sentencing
requirements.
• Annual mentor application
• District mentor guidelines apply
• Mentor training and placement
provided by Youth Mentoring Programs
Call 754-321-1972 for information.
• Level 2 background check
• In school activities: all requirements for
a volunteer or mentor apply
• Out of school activities: follow
requirements for field trips, either
daytime, overnight, or extended day
• Supervised setting
• Level 1 clearance
• District review of sensitive topics
• Annual volunteer application
• District volunteer guidelines apply
• Level 2 background check (fingerprints
are taken every 3 years)
• Annual Volunteer application
• District volunteer guidelines apply
• Level 1 background check
• On site supervision is required
• Pre-service orientation is advised
• ID is checked
• Record visitor’s presence on campus
• Escort to location
• ID is checked
• Verify authorization at:
www.broward.k12.fl.us/studentsupport
sednet/html/mhdatabase.html
• Record visitor’s presence on campus
Unless a contract exists with SBBC, this
category should be considered campus
visitors.
• ID is checked
• Record visitor’s presence on campus
• Escort to location
• Do Not Place
• Refer requests to Volunteer Services
754-321-2040
5

STAR System Schools’
Volunteer Application Process
All volunteers must complete Broward County Public School’s new on-line
volunteer/mentor application. However, to assist schools with the transition into a new school
year, volunteer information entered into the Electronic Volunteer System last year has been
transferred into the STAR System. This will allow volunteers returning to your school to start the
year without completing the on-line application immediately.
Returning Volunteers
Volunteers returning for the school year 2006-2007 will be required to provide a driver’s license
and social security number to front office personnel during the first visit to the school. This is
necessary to activate their volunteer record. Subsequent visits will not require this information
to be presented. All returning volunteers will have until January 1, 2007 to complete the on-line
volunteer application. Please encourage everyone to do so as soon as possible.
Note: Social security numbers were used as the identification number in the Volunteer Screening System
during 2004-2006. The identification number in the STAR System is a person’s driver’s license number,
state issued ID number, or passport number. The disclosure of the social security number is optional on
the new on-line application.
New Volunteers in 2006-2007
Before being allowed to volunteer in school activities, all volunteers new to the school must
complete the on-line application.
On-line Volunteer/Mentor Application
The Broward County Public Schools volunteer/mentor application is on-line at the Community
Involvement Department’s Web site, located at: www.getinvolvedineducation.com.
Volunteer Screening
When a person completes the on-line application, background information will be automatically
checked against the Broward County Clerk of Courts database, Broward County Public
Schools ‘Deny Entry’ database, and various state sexual predators and offenders databases
(48 states currently). This check will take approximately 1-2 days and will complete the Level 1
clearance.
Support for Schools
The Volunteer Services Department will present STAR System training workshops for staff
liaisons for volunteers during August, September and October 2006. These workshops will
address volunteer program management functions, including how to track volunteer time and
attendance via the STAR System. The STAR System workshops do not replace the training
provided for the front desk users of the STAR System. Contact the Special Investigative Unit
(754-321-0736) for the training schedule for front office users of the STAR System.
6

STAR System
Application Processing Flowchart
Volunteer completes
on-line application at
www.getinvolvedineducaton.com.
STAR System automatically
checks volunteer’s
background.
Does the volunteer have a
criminal background?
YES
NO
Volunteer Approval Status:
PENDING
=
Not allowed to help students
Volunteer Approval Status:
APPROVED
=
Allowed to volunteer
w/ level 1 clearance
Special Investigation
Unit (SIU) will determine final
approval status of volunteer.
‘First Choice School’ contacts
volunteer to set up first visit.
Reminds vol. to bring an official picture ID.
Is volunteer cleared?
YES
Volunteer’s STAR System
badge is activated by verifying
driver’s license information.
NO
Volunteer’s status:
Inactive
=
CANNOT Volunteer
Print STAR System badge
with volunteer’s photo.
Volunteer is
oriented to role in school
and is assigned to work in a
SUPERVISED SETTING
ONLY.
* Printed photos are final.
* New volunteers who have completed an on-line application and have been approved will be listed on the roster of their
‘first choice school’.
* For subsequent visits, volunteer badge is swiped by bar code reader. Volunteer’s time and attendance is recorded by
STAR System
7

Non-STAR System Schools’
Volunteer Application Process
Volunteer Procedures for 2006 – 2007
The same procedures and forms used last year will continue to be used at your site. The
steps for processing volunteer applications and screening at Non-Star System schools are
diagrammed on the following page.
2006-2007 Requirements and Updates
Volunteers at your school will complete a paper volunteer application.
Do not promote the on-line volunteer/mentor application to your school community.
The on-line volunteer/mentor application works only in conjunction with the STAR System,
which your school presently cannot use.
Electronic Volunteer Screening System
The District will continue to check volunteers helping at your school using the Electronic
Screening System located on Broward Schools' Intranet. As an added precaution, all school
volunteers will be screened for local criminal convictions. During 2006-2007, only 19 schools
will be using the Electronic Volunteer Screening System as most locations (230+ schools) will
be using the STAR System for automatic volunteer clearance. Access to the Volunteer
Screening System is limited to staff members named by the principal. If authorized users need
to be updated, contact Volunteer Services.
Schools will not have to re-type all data for returning volunteers. A renewal feature similar to
that used last year will be utilized. Complete entry instructions for 2006-2007will be sent to
your school. Only new volunteers will need to be manually entered into the system.
The two-part NCR volunteer application supplied by Volunteer Services has all information
required for data entry on the front side of the application and in the same order as the data
entry screen.
Volunteers will still use the paper attendance form to sign in and out of your school.
Exempt Records (Security Background Information Question 4)
The records of certain volunteers are exempt from all public information statutes. Volunteers
will be asked to state on the volunteer application if their records are exempt. These
volunteers include: active or former law enforcement employees, firefighters, Department of
Children & Family Services employees, US attorneys and assistant US attorneys, state
attorneys and assistant state attorneys, prosecutors, judges, or government employees with
duties involving human resources, labor relations, code enforcement, revenue collection, or
water management. The spouses and children of exempt volunteers are also considered to be
exempt.
8

Non-STAR System
Application Processing Flowchart
Volunteer submits
completed application form
to school.
Coordinator reviews application for completion,
(DOB, lic#, signature &
criminal background questions.)
Does the volunteer
self-admit criminal history?
YES
NO
Self-admitted criminal
history
=
Not allowed to volunteer
Principal/designee reviews and
signs volunteer application.
Notify principal.
Principal does not sign application.
Volunteer is not assigned.
Volunteer is
oriented to role in school
and is assigned to work in a
SUPERVISED SETTING ONLY.
Send application to:
Security Clearance Dept.
KC Wright Building
*Do not send to Volunteer services
School staff enters volunteer
data into Electronic Security
Screening System (ESSS).
A backgound check will be
conducted by Security Clearance.
Allow four weeks
for notification.
Staff checks ESSS to monitor for the
final clearance
status of volunteer.
Is volunteer cleared?
NO
YES
Volunteer Approval Status:
NOT APPROVED
=
CANNOT Volunteer
Volunteer Approval Status:
APPROVED
=
Allowed to volunteer
w/ level 1 clearance
* The front page of all volunteer applications (white copy) must be submitted to Volunteer Services, after volunteers are approved.
9

Charter Schools’
Volunteer Application Process
Volunteer Procedures for 2006-2007
The same procedures and forms used last year will continue to be used at your site. Some
additional points to remember are:
• Volunteers at your school will complete a paper volunteer application.
• Do not promote the on-line volunteer/mentor application to your school community.
The on-line volunteer/mentor application works only in conjunction with the STAR System
that your site will not be able to access.
• Your school is responsible for checking all volunteers against the Florida Sexual Predators
database. This Web site can be accessed at www3fdle.state.fl.us/sexual_predators.
• Volunteers will continue to sign in and out of your school using the paper volunteer
attendance form.
10

Charter Schools’
Application Processing Flowchart
Volunteer submits
completed application form
to school.
Coordinator reviews application for completion,
(DOB, lic#, signature &
criminal background questions.)
Does the volunteer
self-admit criminal history?
YES
NO
Self-admitted criminal
history
=
Not allowed to volunteer
Volunteer is checked against Florida’s
Sexual Predators Database.
www3.fdle.state.fl.us/sexual_predators
Notify principal.
Principal does not sign application.
Volunteer is not assigned.
Principal/designee reviews and
signs volunteer application.
Send application to:
Security Clearance Dept.
KC Wright Building
*Do not send to Volunteer services
Volunteer is
oriented to role in school
and is assigned to work in a
SUPERVISED SETTING
ONLY.
A backgound check will be
conducted by Security Clearance.
Allow four weeks
for notification.
11

The School Board of Broward County, Florida
SECURITY CHECK REQUEST FORM - SCHOOL VOLUNTEER
DATE:
TO:
FROM:
Security Clearance Department
School Contact Name
School Name/Level
Telephone Number
Location Number
RE:
LEVEL 2 BACKGROUND SECURITY CHECK/ VOLUNTEER
This school volunteer applicant is applying to serve in the role of:
Overnight or Extended Day Field Trip Chaperone
School Clinic Volunteer
Volunteer Coach
A valid Driver’s License or official Government ID is required to be processed/fingerprinted.
Please process a Level 2 background security check, at no charge, to the volunteer named below.
Please print or type
Legal Name:
Last First MI
SSN Number:
D.O.B:
Principal’s Name:
Principal’s Signature:
Date:
Volunteer Information:
Before arriving at the fingerprinting location, please complete an annual volunteer application.
Your school will be able to tell you if this should be done via the Internet or on a paper version
submitted to the school. At the fingerprint location, you will be asked for a security background
questionnaire and current official government identification. Acceptable identification includes
drivers license, official state identification cards. Bring the information to the location shown
below.
Location:
KC Wright Administration Building Hours of Operation: (Strictly Enforced)
Security Clearance Office – First Floor Monday – Friday 8:30 AM – 4:00 PM
600 SE 3 rd Avenue, Fort Lauderdale 33301 No appointments necessary
However, expect delays.
Security Clearance Department Only
Date Fingerprinted:
Site:
Signature: Lap Top #:
2/2006
12

IMPORTANT – READ BEFORE COMPLETING THIS FORM
The School Board of Broward County will receive information on all records, including juvenile, that have
been sealed, expunged, or where adjudication was withheld. To omit a response or to be untruthful in
your response, regardless of any previous information received from an attorney, a judge, or any
third party will be considered falsification and is a cause for dismissal from employment or
consideration for employment.
THIS FORM MUST BE TURNED IN WITH YOUR APPLICATION FOR EMPLOYMENT.
NAME
Last First Middle Initial Maiden
SS#
ADDRESS
Street APT# City State Zip
EMAIL ADDRESS
PHONE
CELL
FINGERPRINTING INFORMATION
BIRTH DATE:
STATE, COUNTRY OF BIRTH:
RACE: ❑ Asian/Pacific Islander ❑ Black ❑ Caucasian ❑ Hispanic/Latino
❑ Native American (American Indian, Eskimo, Alaskan Native) ❑Other
GENDER: ❑ Male ❑ Female HAIR: ❑ Black ❑ Blonde ❑ Brown ❑ Gray ❑ Red ❑ Bald
EYES: ❑ Blue ❑ Brown ❑ Green ❑ Hazel ❑ Black ❑ Gray HEIGHT: WEIGHT:
At the time of employment your fingerprints will be researched by local, state and federal law enforcement
agencies. Sealed or expunged records must be revealed to the School Board of Broward County
pursuant to F.S. 943.058. Your employment with the Broward County School District is temporary and
probationary pending successful processing of your fingerprints. The following questions must be
answered truthfully. A "Yes" answer to any of the following questions does not automatically keep you
from being hired. Your omission or falsification of any criminal history, or any disclosure required
by this form, is a cause for dismissal from employment or consideration for employment.
Yes ❑ No ❑ 1. Have you ever been convicted of an offense (misdemeanor or felony) other than a
minor traffic violation? (Driving under the Influence [DUI] and Driving while
Intoxicated [DWI] convictions are not minor and must be reported.)
Yes ❑ No ❑ 2. Have you ever been found guilty of a criminal offense?
Yes ❑ No ❑ 3. Have you ever entered a nolo contendre or no contest plea in a criminal proceeding?
Yes ❑ No ❑ 4. Have you ever had a criminal record sealed?
Yes ❑ No ❑ 5. Have you ever had a criminal record expunged?
Yes ❑ No ❑ 6. Have you ever participated in any type of pre-trial intervention/diversion program,
including but not limited to community service or probation, that resulted in the
charges being reduced/dismissed or not prosecuted?
Yes ❑ No ❑ 7. Have you ever had adjudication withheld in a criminal offense?
Yes ❑ No ❑ 8. Are there criminal charges currently pending against you?
Yes ❑ No ❑ 9. Have you ever been imprisoned or jailed in a criminal proceeding?
Yes ❑ No ❑ 10. Have you ever been placed on probation in a criminal proceeding?
Yes ❑ No ❑ 11. Have you ever paid a fine in a criminal proceeding?
Yes ❑ No ❑ 12. Have you ever failed to appear in court or forfeited bond in a criminal proceeding?
If you answered “Yes” to any question above, you must fully explain on reverse side of the form.
EXAMPLES OF CRIMINAL OFFENSES: Assault/battery, auto theft, disorderly conduct, domestic violence, DUI/DWI, fraud
(welfare/food stamps) loitering, prostitution/solicitation, robbery, shoplifting, theft (grand/ petty), trespassing, worthless checks.
NOTE: This is not a complete list and is intended to provide examples only. You must list all convictions including juvenile
incidents and those in which adjudication was withheld and/or records were sealed/expunged.
Over
13

Yes ❑
Yes ❑
Yes ❑
Yes ❑
Yes ❑
No ❑ 13. Have you ever had a teaching certificate revoked or suspended? If yes, in what state
and when?
No ❑ 14. Have you ever had sanctions placed on your teaching certificate for any reason?
No ❑ 15. Have you ever been denied a teaching certificate anywhere?
No ❑ 16. Is disciplinary action currently pending anywhere against your teaching certificate?
No ❑ 17. Have you ever been dismissed or asked to resign from employment?
If you answered “Yes” to any question above, you must fully explain below.
If you answered "Yes” to 14-16, you must give the name of the State where your teaching certificate was
revoked, suspended, sanctioned, denied or where action is currently pending against you.
INCIDENT #1 (Request 2nd sheet if more than one incident)
If Arrested, Where?:
Arresting Agency:
Offense:
Please provide detailed explanation:
Date of Arrest:
Final Disposition:
By signing this document I certify that I have carefully read and fully understand each question and that
all information contained herein is true and accurate. My signature further certifies that there is no
falsification of any information, omission of any information requested or any misrepresentation of
information requested. I also understand that my fingerprints will be submitted to the Federal Bureau of
Investigation for a complete criminal history background check.
By my signature, I authorize the Broward County School Board to conduct any investigation necessary to
verify all information identified on this form. My signature on this document provides for the release of
any sealed or expunged records in my name by any court. Included in this grant of authority is my
permission to contact any and all former employers and other persons acquainted with me or in
possession of information concerning me to supply such information to the Security Clearance Office. All
monies received as part of the fingerprinting process are non-refundable.
By my signature, I certify that I know, understand, and agree that any false statement or omission
of information requested is a cause for dismissal from employment or consideration for
employment.
Signature of Applicant
Date
OFFICE USE ONLY:
Job Location:
Job Title:
Rev. 3/97; 8/97; 10/97; 2/98; 1/00; 7/02; 3/04; 11/04; 5/05
Instructional Staff: Forms: Security BG Check (Rev.)
14

ADDITIONAL CRIMINAL RECORD INFORMATION
Name Soc Sec No.
INCIDENCE #2
If Arrested, Where?:
Date of Arrest:
Arresting Agency:
Date of Arrest:
Offense:
Final Disposition:
Please provide detailed explanation:
INCIDENCE #3
If Arrested, Where?:
Date of Arrest:
Arresting Agency:
Date of Arrest:
Offense:
Final Disposition:
Please provide detailed explanation:
15

The School Board of Broward County, Florida
Benjamin J. Williams, Chair
Beverly A. Gallagher, Vice Chair
Carole L. Andrews
Robin Bartleman
Darla L. Carter
Maureen S. Dinnen
Stephanie Arma Kraft, Esq.
Robert D. Parks, Ed.D.
Marty Rubinstein
Dr. Frank Till, Superintendent of Schools
www.browardschools.com
The School Board of Broward County, Florida, prohibits any policy or
procedure that results in discrimination on the basis of age, color,
disability, gender, national origin, marital status,
race, religion or sexual orientation.
Individuals with disabilities requesting accommodations under the
Americans with Disabilities Act (ADA) may call
Equal Educational Opportunities (EEO) at 754-321-2150 or
Teletype Machine, TTY 754-321-2158