CPP Background Check

Child Protection Policy Background Check

The following information will be provided to Clear Investigative Advantage to conduct a criminal and sex offender background check. This form will require some duplicate information already submitted in the previous application form.

* Indicates required field

First Name *

Middle Name *

Last Name *

Suffix *

Alias (First Name) *

Maiden Name (Ladies) *

Name(s) from Previous Marriages *

Social Security Number *

Date of Birth *

Driver's License Number *

State of Issue *

Gender *

Male Female

Street Address *

City *

State *

Zip *

I certify the information I entered on this form is complete and accurate to the best of my knowledge. I further certify that I have no criminal record involving Class A Misdemeanors or Felony convictions. *

I do

Date *

Submit