Maryland State Department of Education



2200275-733425Maryland State Department of EducationDivision of Educator EffectivenessNonpublic School Approval Branch200 West Baltimore StreetBaltimore, Maryland 21201(410) 767-0409Certification Of Compliance With Family Law Article, Title 5, Subtitle 5, Part VI, Criminal Background Investigations For Employees Of Facilities And Other Individuals That Care For Or Supervise ChildrenAll nonpublic school employees and employers (owner, operator, proprietor, or legal authority) who have frequent contact with, or access to, students enrolled in a school must have a criminal background investigation. This requirement also pertains to bona fide church organizations which register to operate a school under exemption from education regulations.I hereby affirm that FORMTEXT Name of Legal Authority is in compliance with Family Law Article, Title 5, Subtitle 5, Part VI, Criminal Background Investigations for Employees of Facilities and Other Individuals That Care For or Supervise Children. I further affirm that all employees of FORMTEXT Name of School or Educational Program located at FORMTEXT Address (including city, zip code and county) who were initially employed on or after October 1, 1986, and who have frequent contact with, or access to, students at the above-referenced school, have complied/will comply with the criminal background investigation as required by state law. CERTIFICATION OF COMPLIANCE: This form must be signed by the Chief Officer of the legal authority responsible for governing and operating the school.I hereby certify that the information provided herein is true and correct. (Print Name) (Title) (Signature) (Date) ................
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