Background Affidavit


Students with prior criminal background histories may find it more difficult to be successfully employed as Medical Assistants and Early Childhood Education Employees.  Students with criminal histories are strongly encouraged to consider their background before enrolling into these programs. In some cases, externship sites may deny students placement for externship to complete their program at the college.  Failure to complete externship, leads to the inability to graduate.  

Accordingly, we ask all persons interested in Medical Assistant/Early Childhood Education to disclose their complete history of criminal convictions including misdemeanors and felonies as well as to complete and sign the Affidavit below so that College for Technical Education may provide the best assistance possible:

I, , am applying for admissions into the College for Technical Education for the program.

My past criminal history includes the following convictions and approximate dates (if none, write none):

I attest that the above represents a complete history of my past criminal convictions.

 

Leave this empty:

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Signature Certificate
Document name: Background Affidavit
lock iconUnique Document ID: e5f5b273330c0cd09a76a5ea7d2c13b89d70bcfb
Timestamp Audit
April 27, 2020 10:07 am EDTBackground Affidavit Uploaded by Brenda Evans - [email protected] IP 71.143.223.187
May 1, 2020 9:35 am EDTCTE Enrollment - [email protected] added by Brenda Evans - [email protected] as a CC'd Recipient Ip: 71.143.223.187