Pre-Employment Affidavit for Applicant For purposes of this affidavit: Adjudication and conviction refer to a conviction, plea of guilty or no contest (nolo contendre), probation, suspension, or deferred adjudication. Charge refers to a formal criminal charge as documented by a primary charging instrument (a complaint, information, or indictment) under the Texas Code of Criminal Procedure. Inappropriate relationship refers to the crime of improper relationship between educator and student in Texas Penal Code section 21.12, and any other inappropriate relationship as determined by the State Board for Educator Certification. Declaration of Applicant The following affidavit is offered to satisfy the requirement of Texas Education Code section 21.009 for a pre-employment affidavit, in accordance with Texas Civil Practices and Remedies Code section 132.001. An applicant who is offered employment will be asked to complete a notarized affidavit attesting to the same. I declare under penalty of perjury that the foregoing is true and correct. I understand that the date of birth I am providing will not be used to determine eligibility for employment but will be used solely for the purpose of this pre-employment affidavit.

The Pasadena Independent School District is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, sex, religion, age or disability, in employment matters as required by Title VI and Title VII of the Civil Rights Acts of 1964, as amended, Title IX of the Education Amendments of 1972, the First Amendment of the United States Constitution, the Age Discrimination in Employment Act, Section 504 of the Rehabilitation Act of 1973, as ammended and Title II of the Americans with Disablities Act. For information about Title IX rights, contact the Title IX Coordinator, Executive Director of Human Resources, 1515 Cherrybrook Lane, Pasadena, Texas, 77502; 713-740-0247. For information about section 504/ADA rights, contact the section 504/ADA Coordinator, Instructional Specialist for Dyslexia, Intervention, and 504. 1515 Cherrybrook Lane, Pasadena, Texas, 77502; 713-740-0067.