pre-employment affidavit

Required

The following affidavit is offered to satisfy the requirement of Texas Education Code section 21.009 for a pre-employment affidavit. For purposes of this affidavit:

  • Adjudication and conviction refer to a conviction, plea of guilty or no contest (nolo contendre), probation, suspension, or deferred adjudication.
  • Charge refers to a formal criminal charge as documented by a primary charging instrument (a complaint, information, or indictment) under the Texas Code of Criminal Procedure.
  • Inappropriate relationship refers to the crime of improper relationship between educator and student in Texas Penal Code section 21.12, and any other inappropriate relationship as determined by the State Board for Educator Certification.
I declare the following:required
DECLARATION OF APPLICANT
The following affidavit is offered to satisfy the requirement of Texas Education Code section 21.009 for a pre-employment affidavit, in accordance with Texas Civil Practices and Remedies Code section 132.001.
 
I declare under penalty of perjury that the foregoing is true and correct.
Legal Namerequired
First Name
Middle (optional)
Last Name
Street, City, State, Zip
Must contain a date in M/D/YYYY format
This form will be processed separately and will not be shared with the hiring manager. 

Approved by the Texas Commissioner of Education May 2020.