Affidavit Form Of Good Moral Character

 

AFFIDAVIT   O F   G OOD   M ORAL   C HARACTER

 

 

STATE   O F   _ ________________________________  

 

COUNTY   O F   _ ______________________________  

 

Before   m e   t his   d ay   p ersonally   a ppeared___________________________________   w ho,   b eing   d uly   s worn,   d eposes   a nd   s ays:  

 

As   a n   a pplicant   f or   e mployment   i n   a   p osition   o f   t rust   w ith:   THE   F IRST   A CADEMY  

 

I   h ereby   a ttest   t o   m eeting   t he   r equirements   f or   e mployment,   t hat   I   a m   o f   g ood   m oral   c haracter,   t hat   I   h ave   n ot   b een   f ound  

guilty  of,  regardless  of  adjudication,  or  having  entered  a  plea  of  nolo  contendere  of  guilty  to,  any  felony,  prohibited  under  

any   of   the   following   provisions   of   the   Florida   Statues   or   under   similar   statutes   of   other   jurisdictions,   or   having   had   a  

finding   of   delinquency   or   entered   a   pleas   of   nolo   contendere   or   plea   amounting   to   an   admission   of   guilt   to   a   petition  

alleging  delinquency  pursuant  to  Part  II,  Chapter  39,  Florida  Statutes,  or  similar  statutes  of  other  jurisdictions,  for  any  of  

the   following   acts,   regardless   of   adjudication   or   disposition   and   regardless   of   whether   or   not   those   records   have   been  

sealed   o r   e xpunged.  

 

Sec.  

782.04  

murder  

Sec.  

787.03  

moving   c hildren   f rom   t he      

 

 

782.07  

manslaughter  

 

 

state   o r   c oncealing   c hildren    

 

782.071  

vehicular   h omicide  

 

 

 

contrary   t o   c ourt   o rder  

782.09  

killing   o f   a n   u nborn  

 

794.011  

sexual   b attery  

 

 

child   b y   i njury   t o   t he  

 

794.041  

prohibited   a cts   o r   p ersons    

 

 

mother  

 

 

 

in   f amilial   o r   c ustodial  

784.011  

assault,   i f   t he   v ictim   o f   t he  

 

 

 

authority  

 

 

offense   w as   a   m inor  

Chap.  

796  

prostitution  

 

784.021  

aggravated   a ssault  

Sec.    

798.02  

lewd   a nd   l ascivious    

784.03  

battery,   i f   t he   v ictim  

 

 

behavior  

 

 

of   t he   o ffense   w as   a   m inor  

Chap.  

800  

lewdness   a nd   i ndecent  

 

 

 

784.045  

aggravated   b attery  

 

 

exposure  

 

787.01  

kidnapping  

Sec.  

806.01  

arson  

 

787.02  

false   i mprisonment  

 

812.13  

robbery  

Sec.  

826.04  

incest  

Chap.  

893  

drug   a buse   p revention   a nd  

 

827.03  

aggravated   c hild   a buse  

 

 

control   i f   t he   o ffense   w as   a  

 

827.04  

child   a buse  

 

 

felony   o r   i f   a ny   o ther   p erson  

 

827.05  

negligent   t reatment   o f  

 

 

involved   i n   t he   o ffense   w as  

 

 

children  

 

 

a   m inor  

 

827.071  

sexual   p erformance  

Sec.  

817.563  

fraudulent   s ale   o f  

 

 

by   a   c hild  

 

 

controlled   s ubstances   o nly  

 

827.09  

abuse,   n eglect   o r   e xploitation  

 

 

if   t he   o ffense   w as   a   f elony  

 

 

of   a ged   o r   d isabled   a dults  

Chap.  

847  

obscene   l iterature  

 

 

 

I further attest that I have not been judicially determined to have committed abuse against a child as defined in Section 39.01(2)

and (7), Florida Statutes, or to have a confirmed report of abuse as defined in Chapter 415, Florida Statutes, or to have committed

an act which constitutes domestic violence as defined in Section 741.30, Florida Statutes.

 

Please   s ign   t he   a ppropriate   s tatement   i n   t he   p resence   o f   a   n otary   p ublic  

 

OR  

Under   the   penalties   of   perjury,   I   declare   that   I  

To   t he   b est   o f   m y   k nowledge   a nd   b elief,   m y   r ecord   m ay  

.  

have  read  the  foregoing,  and  the  facts  alleged  are  

contain   o ne   o f   t he   f oregoing   d isqualifying   a cts   o r   o ffenses

true   to   the   best   of   my   knowledge   and   belief.     I  

 

further   attest   that   I   have   not   been   charged   with  

 

any   o f   t he   a bove   l isted   a cts.

 

 

 

Affiant’s   S ignature  

 

Affiant’s   S ignature  

 

Sworn   t o   a nd   s ubscribed   b efore   m e   t his   _ _______   d ay   o f   _ _________________,   2 0________.  

 

 

 

 

____________________________________________________________  

Notary   P ublic  

 

Commission   E xpires  

 

The   a ffiant   i s   p ersonally   k nown   t o   m e   o r   h as   p resented   t he   f ollowing   f or   i dentification   p urposes.  

 

 

___________________________Driver’s   L icense   N umber   i ssued   i n   t he   S tate   o f_________________