Form 2982-2025

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The document is a Personal History Statement form from the Texas Department of Family and Protective Services, designed to collect personal, educational, employment, and background information from individuals applying for child care licenses. It includes sections on education, employment history, previous licenses, health status, child abuse/neglect investigations, criminal charges/convictions, and requires a signature certifying the accuracy of the provided information.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your personal information, including your name, Social Security number, mailing address, and date of birth. Ensure accuracy as this information is crucial for identification.
Proceed to the education section. Indicate the highest year completed in elementary or high school and provide details about any college or vocational training. Don’t forget to specify if you graduated or received a GED.
In the employment section, list all positions held in the last ten years, starting with your most recent job. Include details such as dates employed and duties related to child-care services.
Complete the previous licenses and registrations section by answering questions regarding any past registrations or licenses with relevant agencies.
For child care operations in homes, list all individuals aged 14 and older living in your home. Provide their names, ages, and relationships.
Finally, review all sections for completeness and accuracy before signing and dating the form at the end.

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Versions	Form popularity	Fillable & printable
2010	4.8 Satisfied (275 Votes)

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