ATTESTATION OF GOOD MORAL CHARACTER
As an applicant for employment with Tampa Volleyball Camps. I affirm and attest under penalty of perjury that I meet the moral character requirements for employment, as required by the Florida Statutes and rules, in that:
I have not been arrested with disposition pending or found guilty of, regardless of adjudication, or entered a plea of nolo contender 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:
Section: 39.205 failure to report child abuse, abandonment, or neglect
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: 414.39 fraud, if the offense was a felony
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 to commit an offense listed in this subsection
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 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 the offense was a minor
Section: 784.021 aggravated assault
Section: 784.03 battery, if the victim of the offense was a minor
Section: 784.045 aggravated battery
Section: 784.075 battery on staff or a detention or commitment facility or on a juvenile probation officer
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: 787.06 human trafficking
Section: 787.07 human smuggling
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
Section: 794.08 relating to female genital mutilation
Chapter: 796 prostitution
Section: 798.02 lewd and lascivious behavior
Chapter: 800 lewdness and indecent exposure
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 relating to theft, robbery, and related crimes, if the offense was a felony
Section: 817.563 fraudulent sale of controlled substances, only 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: 831.311 unlawful sale, manufacture, alteration, delivery, uttering, or possession of counterfeit- resistant prescription blanks for controlled substances
Section: 836.10 written or electronic threats to kill, do bodily injury, or conduct a mass shooting or an act of terrorism
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: 859.01 poisoning food or water
Section: 873.01 prohibition on the purchase or sale of human organs and tissues
Section: 874.05 encouraging or recruiting another to join a criminal gang
Chapter: 893 drug abuse prevention and control, only if the offense was a felony or if any other person involved in the offense was a minor
Section: 916.1075 sexual misconduct with certain forensic clients and reporting of such sexual conduct Section: 944.35(3) inflicting cruel or inhuman treatment on an inmate resulting in great bodily harm Section: 944.40 escape
Section: 944.46 harboring, concealing, or aiding an escaped prisoner
Section: 944.47 introduction of contraband into a correctional facility
Section: 985.701 sexual misconduct in juvenile justice programs
Section: 985.711 contraband introduced into detention facilities
THE FOLLOWING APPLIES ONLY TO THOSE APPLICANTS FOR POSITIONS REQUIRED TO BE SCREENED UNDER SECTION 408.809, FLORIDA STATUTES:
In addition to the Chapter 435, F.S. listed offenses the following offenses are also applicable for any licensure or employment required in the applicable statutes.
Relating to:
Chapter: 408 felony offenses contained in Chapter 408
Section: 409.920 Medicaid provider fraud
Section: 409.9201 Medicaid fraud
Section: 741.28 domestic violence
Section: 777.04 attempts, solicitation, and conspiracy to commit an offense listed in this subsection
Section: 784.03 battery, if the victim is a vulnerable adult as defined in s. 415.102 or a patient or resident of a facility licensed under chapter 395, chapter 400, or chapter 429
Section: 817.034 fraudulent acts through mail, wire, radio, electromagnetic, photoelectronic, or photo optical systems
Section: 817.234 false and fraudulent insurance claims
Section: 817.481 obtaining goods by using a false or expired credit card or other credit device, if the offense was a felony
Section: 817.50 fraudulently obtaining goods or services from a health care provider
Section: 817.505 patient brokering
Section: 817.568 criminal use of personal identification information
Section: 817.60 obtaining a credit card through fraudulent means
Section: 817.61 fraudulent use of credit cards, if the offense was a felony
Section: 831.01 forgery
Section: 831.02 uttering forged instruments
Section: 831.07 forging bank bills, checks, drafts or promissory notes
Section: 831.09 uttering forged bank bills, checks, drafts, or promissory notes
Section: 831.30 fraud in obtaining medicinal drugs
Section: 831.31 the sale, manufacture, delivery, or possession with the intent to sell, manufacture, deliver any counterfeit controlled substance, if the offense was a felony
Section: 895.03 racketeering and collection of unlawful debts
Section: 896.101 the Florida Money Laundering Act
I also attest that I have not been designated as a sexual predator pursuant to s. 775.21; a career offender pursuant to s. 775.261; or a sexual offender pursuant to s. 943.0435, unless the requirement to register as a sexual offender has been removed pursuant to s. 943.04354.
I understand that I must acknowledge the existence of any applicable criminal record relating to the above lists of offenses including those under any similar statute of another jurisdiction, regardless of whether or not those records have been sealed or expunged.
I understand that, while employed or volunteering at in any position that requires background screening as a condition of employment, I must immediately notify my supervisor/employer of any arrest and any changes in my criminal record involving any of the above listed provisions of Florida Statutes or similar statutes of another jurisdiction whether a misdemeanor or felony. This notice must be made within one business day of such arrest or charge. Failure to do so could be grounds for termination.