Child Care Affidavit Of Good Moral Character Form

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CHILD CARE
ATTESTATION OF GOOD MORAL CHARACTER
______________________
State of Florida
County of
I, _________________________________________ who, as an applicant for employment with, an employee of, a volunteer for, or an applicant to
volunteer with ______________________________________, I affirm and attest under penalty of perjury that I meet the moral character requirements
for employment, as required by Chapter 435 Florida Statutes in that:
I have not been arrested with disposition pending or found guilty of, regardless of adjudication, or entered a plea of nolo contendere or guilty to, or have
been adjudicated delinquent and the record has not been sealed or expunged for, any offense prohibited under any of the following provisions of the
Florida Statutes or under any similar statute of another jurisdiction for any of the offenses listed below:
Relating to:
Section 393.135
sexual misconduct with certain developmentally disabled clients and reporting of such sexual misconduct
Section 394.4593
sexual misconduct with certain mental health patients and reporting of such sexual misconduct
Section 415.111
adult abuse, neglect, or exploitation of aged persons or disabled adults or failure to report of such abuse
Section 741.28
criminal offenses that constitute domestic violence, whether committed in Florida or another jurisdiction
Section 777.04
attempts, solicitation, and conspiracy
Section 782.04
murder
Section 782.07
manslaughter, aggravated manslaughter of an elderly person or disabled adult, or aggravated manslaughter of a child
Section 782.071
vehicular homicide
Section 782.09
killing an unborn quick child by injury to the mother
Chapter 784
assault, battery, and culpable negligence, if the offense was a felony
Section 784.011
assault, if the victim of offense was a minor
Section 784.03
battery, if the victim of offense was a minor
Section 787.01
kidnapping
Section 787.02
false imprisonment
Section 787.025
luring or enticing a child
Section 787.04(2)
taking, enticing, or removing a child beyond the state limits with criminal intent pending custody proceeding
Section 787.04(3)
carrying a child beyond the state lines with criminal intent to avoid producing a child at a custody hearing or delivering the
child to the designated person
Section 790.115(1)
exhibiting firearms or weapons within 1,000 feet of a school
Section 790.115(2) (b)
possessing an electric weapon or device, destructive device, or other weapon on school property
Section 794.011
sexual battery
Former Section 794.041
prohibited acts of persons in familial or custodial authority
Section 794.05
unlawful sexual activity with certain minors
Chapter 796
prostitution
Section 798.02
lewd and lascivious behavior
Chapter 800
lewdness and indecent exposure
Section 806.01
arson
Section 810.02
burglary
Section 810.14
voyeurism, if the offense is a felony
Section 810.145
video voyeurism, if the offense is a felony
Chapter 812
theft and/or robbery and related crimes, if a felony offense
Section 817.563
fraudulent sale of controlled substances, if the offense was a felony
Section 825.102
abuse, aggravated abuse, or neglect of an elderly person or disabled adult
Section 825.1025
lewd or lascivious offenses committed upon or in the presence of an elderly person or disabled adult
Section 825.103
exploitation of disabled adults or elderly persons, if the offense was a felony
Section 826.04
incest
Section 827.03
child abuse, aggravated child abuse, or neglect of a child
Section 827.04
contributing to the delinquency or dependency of a child
Former Section 827.05
negligent treatment of children
Section 827.071
sexual performance by a child
Section 843.01
resisting arrest with violence
Section 843.025
depriving a law enforcement, correctional, or correctional probation officer means of protection or communication
Section 843.12
aiding in an escape
Section 843.13
aiding in the escape of juvenile inmates in correctional institution
Chapter 847
obscene literature
Section 874.05(1)
encouraging or recruiting another to join a criminal gang
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CF-FSP 1649A Child Care Attestation of Good Moral Character, October 2017, 65C-22.001(7)(a)

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