Technical Assistance for Tribal Criminal Background Checks

TA Request Form

This request form is for tribes and tribal agencies and/or organizations that are planning and/or in the process of applying for SB 1460 Authorization Pursuant to PC §11105.08, to receive authorization from the DOJ to access and receive Criminal Offender Record Information (CORI).

You will receive a confirmation email. Please allow 3-5 days to respond, we may need to do additional outreach to experts for input. Thank you for your patience and understanding.

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* 1. Are you in the process of completing the SB 1460 Application for Authorization Pursuant to PC §11105.08, to receive authorization from the DOJ to access and receive Criminal Offender Record Information (CORI)?

Yes

Other (please specify)

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* 2. Contact Information

Name

Role/Job Title

Organization

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. Date of TA Request

Date

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* 4. Please be as specific and concise as possible. Provide any background information on the issue for which TA is being requested.

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* 5. Describe the goals and outcomes you would like to achieve as a result of this TA.

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* 6. If you have any other questions or comments, please add them here.

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* 7. How did you hear about this free TA from the Tribal Indian Child Welfare Advocates Training Program?

Thank you for completing this request form. If you have any questions or concerns, please contact Christy Garcia at christyg@nijc.org.