5-RFP 23-004KB-07 Background Check Form.pdf

This is a Background Check Form for the Fort Bend Independent School District (FBISD) in Texas related to a Fine Arts Consultants and Clinicians supplemental services contract. The form is designed to collect vendor and contract worker information for background check clearance purposes. The project sponsor is James Drew from the Fine Arts Department, with a project start date of June 11, 2026, and an end date of January 21, 2028. Vendors must complete Section 2 of the form to indicate whether they will have direct contact with students, defined as contact resulting from activities providing substantial opportunity for verbal or physical interaction with students not supervised by a certified educator or district employee. Vendors may be exempt from background checks if they qualify as a National Child Protection Act (NCPA) qualified entity that provides care, treatment, education, training, instruction, supervision, or recreation services to children, elderly individuals, or individuals with disabilities.

Section 3 of the form requires vendors to provide detailed information for up to five contract workers, including first name, middle name, last name, date of birth, driver's license number, and driver's license state abbreviation. The form includes space for HR clearance documentation, including the clearance date and number of exceptions noted during the HR review process. An authorized representative of the vendor must sign the form to certify the accuracy of the information provided. This background check form serves as a mandatory compliance document for FBISD to ensure the safety and security of students and other vulnerable populations that may interact with vendor personnel during the contract period.