Co-op Additional Adult Information Form

Please enter your legal name, as shown on your driver's license:

Please enter your phone number:

Please enter your email address:

Please list the states lived in for the past 10 years:

What is the name of the TEACH member you are assisting or subbing in for during Co-op?

READ THIS - CHILD PROTECTION TRAINING

PLEASE take a few moments, click the above link and read through the Child Protection Training. Whether you teach a class or assist, this is required reading each school year. 

You do not need to print the certificate at the end.

Please type your legal FIRST and LAST NAME below once you have read through the Child Protection Training document.

READ THIS - TEACH Guidelines for Co-op Classes

PLEASE click on the link above to read the Guidelines for TEACH Co-op. 

Please type your legal FIRST and LAST NAME below once you have reviewed the TEACH Guidelines for Co-op Classes document.

Typing my name in the field below indicates I understand that, as part of the class registration process, TEACH Texarkana may conduct a criminal background check to help ensure a safe learning environment. By registering, I provide my explicit consent for this check and acknowledge that any information obtained will be kept confidential and used only for eligibility and safety purposes.

Typing my name in the field below indicates I understand that, as part of the class registration process, TEACH Texarkana will check all adults in multiple states’ sex offender database once a year. In the event your name appears, we will consult you privately.