PCS:  INTERN Background Clearance Form Logo
  • Student Intern Background Clearance

  • Welcome Interns to Pinellas County Schools! Please review the following instructions for the fingerprint/ background screening process. This must be completed prior to starting your observation hours practicum and/or final internships. To meet your course deadlines, the process may take up to 3 weeks to complete.

  • Pinellas County Schools is hiring.   

    Please complete the following questions to tell us more about you and your interests.  This information will be shared with our Talent Acquisition team and assists our supervisor with appropriate school placement. 

  • Please read and complete the next steps. 

    Step 1:  Prior to your fingerprinting appointment, payment must be made through the following link:

    Intern-Fingerprinting/Intern Badge Payment

     

    Step 2: Complete the following information required for a background clearance.  This will include providing all charges and arrests, including any charges that have been sealed or expunged.   

     

    Step 3: After submiting your form and payment, check your email regularly for a respondance email with your next steps to register with FieldPrint with the included fingerprinting code.  You will also receive directions to set up your fingerprinting and badge picture appointment.  The email will be sent to you within two business days of HR receiving payment to the email you have provided on this form. 

    • Arrive on time for your appointment at the Largo Administrative Office.   Your FieldPrint registration must be completed prior to the appointment.  If this has not been completed, you will need to complete prior to printing at the district office.
    • Bring the appropriate government issued picture identification (such as driver's license, Florida ID card, or passport)

    Step 4: You will receive your PCS Intern badge in the U.S.mail upon background clearance. Once you receive your badge, you may begin your internship hours at the assigned school(s). Communication will be made with district supervisors on clearance.

     Identification badge always be worn during internship(s) classroom visits.

    Please allow at least (7) working days after fingerprinting for your intern badge to be mailed to the address you provided.

    You will be notified by the Office of Professional Standards if there is a concern with your background screening.

     

     

  • Pinellas County Schools: Student Intern Security Check

    This form must be completed, submitted and Fingerprints must be cleared prior to starting internship.
  •  - -
  • Read and Review this information: 

    All individuals desiring instructional intern placement with our district are required to complete a criminal history document and have a cleared background screening.

    Pinellas County Schools reserves the right to refuse placement assignments to individuals convicted of offenses pursuant to FSS 112.011.

    The next question, Have you ever- must be answered.   Read the statement below prior to answering the question. 

    Have you ever been arrested, received a summons or a notice to appear for court, received a criminal traffic citation, been charged, pled nolo contendere or no contest to a charge, paid a fine, had adjudication withheld, entered a pre-trial intervention or diversion program, pled guilty, been found guilty of charges, been convicted, or served time in jail or prison, had charges dismissed, nolle prose, not prosecuted, dismissed dropped or no filed?

    If yes, please list charges in the provided section. Adult charges/citations from age 18 to present will be reported first.  Juvenile records or charges that have been sealed/expunged will be listed second.   Follow the directions provided. 

    If no, you will click on Next to sign and submit. 

  • PROVIDE DETAILS ON  CHARGES THAT ARE NON-JUVENILE AND NOT SEALED OR EXPUNGED.  

     

  • DATE OF CHARGE   Pick a Date   
    POLICY AGENCY NAME W/ CITY AND STATE
    SPECIFIC CHARGE:   
    CHARGE TYPE:   
    PROVIDE RESULT:            

  • DATE OF CHARGE   Pick a Date   
    POLICY AGENCY NAME W/ CITY AND STATE
    SPECIFIC CHARGE:   
    CHARGE TYPE:   
    PROVIDE RESULT:            

  • DATE OF CHARGE   Pick a Date   
    POLICY AGENCY NAME W/ CITY AND STATE
    SPECIFIC CHARGE:   
    CHARGE TYPE:   
    PROVIDE RESULT:            

  • JUVENILE, SEALED OR EXPUNGED RECORDS MUST BE REPORTED BELOW, PURSUANT TO § 943.0585, F.S. AND § 943.059, F.S.

    Even if an attorney or a judge told you that you never had to disclose this record, you are required to do so. However, the existence of such records will not be disclosed or made part of your personnel file. 

    Utilize this section for any charges under the age of 18 and/or sealed/expunged.

  • DATE OF CHARGE   Pick a Date  
    POLICY AGENCY NAME W/ CITY AND STATE
    SPECIFIC CHARGE:   
    CHARGE TYPE:   
    PROVIDE RESULT:            

  • DATE OF CHARGE   Pick a Date   
    POLICY AGENCY NAME W/ CITY AND STATE
    SPECIFIC CHARGE:   
    CHARGE TYPE:   
    PROVIDE RESULT:            

  • DATE OF CHARGE   Pick a Date   
    POLICY AGENCY NAME W/ CITY AND STATE
    SPECIFIC CHARGE:   
    CHARGE TYPE:   
    PROVIDE RESULT:            

  • I authorize the Pinellas County School Board to verify my intern placement application including this Criminal History Summary. I have read and understand that the above information will be evaluated to determine my eligibility for placement that was offered to me to be consistent with the safe and efficient operation of the school system and the health, welfare and safety of its students, staff, volunteers and visitors. 

  • FALSIFICATION OR OMISSION ON AN OFFICIAL PUBLIC DOCUMENT IS A CRIMINAL OFFENSE AND CAN BE PROSECUTED, AND MAY CONSTITUTE GROUNDS FOR DISQUALIFICATION FROM BEING A VOLUNTEER AND/OR INTERN. 

    By signing below, I understand that all involvement with students shall be under staff supervision and is restricted to the school day, on the school grounds, or a school-sponsored activity. My signature below certifies that I have reviewed the criminal offense statement and responded truthfully.

  • Clear
  •  / /
  •  
  • Should be Empty: