Student Background Screening Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Academic Institution *Alamo CollegesUTSAIncarnate WordUniversity of HoustonUT EdinburgLonestar CollegeOtherOther Academic InstitutionName *FirstMiddleLastJr/Sr/III and nicknames usedEmail *Street AddressCity, State and ZipDate of BirthSocial Security / ID *Driver's License Number & Issue StatePhone NumberDo you currently have criminal charges pending against you?YesNoHave you ever been convicted of a crime? YesNoIf you have been convicted of a crime please provide details:You authorize TNG Security and any third-party consumer affiliate reporting agency, for educational screening purposes, at any time prior to or during your enrollment, if applicable and without giving you any further notice. You may be the subject of a background check, also known as a “consumer report” and/or an “investigative consumer background report,” which may include information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain, without limitation, all or some of the following types of information about you: social security number verification, address and alias history, personal references, professional references, employment history, educational/school history, licenses, certifications, motor vehicle records, driving records, criminal history, and civil court record history. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the applied-for position. You have the right to know whether a consumer report has been obtained about you; and you have the right to request a copy of any report obtained by Company, a copy of “Summary of Your Rights Under the FCRA,” and a complete and accurate written disclosure of the nature and scope of any investigative consumer report obtained by Company. An investigative consumer report is information on an individual's character, general reputation, personal characteristics, or mode of living is obtained through a personal interview with an information source. E-Sign to Continue:NameMultiple ItemsRegular 48 Hours – $10.00Rush 24 Hour – $15.00Super Rush – Same day – $23.00Coupon Apply Total$0.00Square *CardName on CardSignature Clear Signature Submit