I am a current or prospective:(Required)
Have you ever been convicted of a crime?(Required)
PLEASE READ CAREFULLY(Required)
I hereby authorize the submitting of my fingerprints through an authorized agency to the Georgia Bureau of Investigation (GBI) and Federal Bureau of Investigation (FBI) for the purpose of accessing and reviewing state and national criminal history records that may pertain to me. I further understand the following:

Personal Information

Enter your FULL LEGAL NAME as it appears on your state issued ID or drivers license(Required)
Address(Required)
Enter Your Date of Birth(Required)
Email(Required)

By checking the "I AGREE" box, I authorize the dissemination of any state or national criminal history record that may pertain to me, to the requesting authorized agency. I have read and understood the foregoing and the information provided is true and accurate to the best of my knowledge and belief.(Required)
This field is for validation purposes and should be left unchanged.