RELEASE FORM

 

 

THE UNIVERSITY OF TENNESSEE

 

AUTHORIZATION TO RELEASE INVESTIGATIVE

AND CRIMINAL BACKGROUND RECORDS

 

 

I hereby authorize the Tennessee Board of Education and the Tennessee Department of Education to perform a criminal history records check on me through a qualified Tennessee licensed private investigation company. 

 

I hereby authorize the Tennessee Bureau of Investigation to conduct a criminal history records check on me.

 

I further authorize the Tennessee Bureau of Investigation to release to the University of Tennessee the results of any criminal history records check.

 

I understand that if I am a student, the results of such investigations and/or background checks may affect my acceptance into teacher training programs at The University of Tennessee.

 

 

_______________________________________                         ________________________  

Name                                                                                                                Date

 

_______________________________________                            ________________________

Signature                                                                                                  UTC ID