Criminal Affidavit

To the Applicant:

Cooperative Educational Services (CES) assigns its Ancillary staff to school districts, charters and participating entities throughout the State of New Mexico. Your position as an Ancillary staff member involves contact with the student populations at these locations, including direct, unsupervised access to children with various forms of disability.

In order for CES to employ you in this capacity, you must provide the information requested below. This information is presented before your interview. Upon a successful interview, CES will conduct a social security and HB 128 2021 background checks. Final employment offer is contingent upon the results of the background checks.

Additionally, as a part of employment with CES, the district, charter, or participating entity you are assigned to will request completion of an additional fingerprint background check.

Any misrepresentation or omission of fact may be grounds for disqualification, termination or discharge, regardless of when the misrepresentation or omission is discovered.

Being charged with or convicted of a crime or any affirmative answer provided by you on this affidavit is NOT AN AUTOMATIC BAR to employment. CES will consider the nature of any conviction or alleged criminal conduct underlying the affirmative response, the date of the alleged criminal conduct in question, your intervening conduct, and the relationship between the offense or alleged conduct underlying the affirmative response and the position for which you are applying.

The crimes referred to in this document include but are not limited to:

1. Abandonment or abuse of a child
2. Sexual abuse of a minor
3. Incest of a minor
4. Sexual assault of a minor
5. Sexual exploitation of a minor
6. Sexual exploitation of a minor by prostitution
7. Contributing to the delinquency of a minor
8. Enticement of a child
9. Trafficking controlled substances
10. Distributing controlled substances to a minor
11. Delivery to a minor of drug paraphernalia
12. A dangerous crime against a child or children
13. Criminal sexual contact of a minor
14. Molestation of a child
15. Criminal sexual penetration
16. Criminal sexual conduct
17. Indecent exposure
18. Aggravated indecent exposure
19. Aggravated assault or a minor
20. Murder
21. Manslaughter
22. Kidnapping
23. Arson
24. Burglary
25. Robbery
26. Sale, delivery, display of Sexually oriented material to minors
27. Prostitution
28. Patronizing prostitutes
29. Promoting prostitution
30. Accepting earnings of a prostitute
31. D.U.I./D.W.I
32. Embezzlement
33. Fraud
34. Assault and/or Battery
35. Aggravated indecent oriented material to minors

Certification

SECTION 1

*If you check this box then skip to the signature section below.

SECTION 2