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CPS Instructions

 

All CPS Applications must be completed electronically. Complete the form online and then print and sign in front of a Notary.

Part I: Purpose of Search

A. Release to Self: Please leave this section blank. The results should be sent directly to Fello for processing so the applicant can be cleared to work.

B. Release to an Agency/Individual Related to: “Other” should be checked, and Fello’s information should be populated following the required template.

Part II: Search Information

Populate the following fields:

  • Applicant’s Last Name, First Name, Middle Name, and Maiden Name (if applicable)
  • Applicant’s Social Security Number, Date of Birth, Sex, and Race
  • Applicant’s Current Address
  • Applicant’s Daytime Telephone Number and Email Address
  • Applicant’s Current Spouse’s Full Name and Date of Birth (if applicable)
  • Applicant’s Children’s Full Name and Date of Birth (if applicable)

Staff must check if they lived in Maryland in the past.

Staff must check if they worked or volunteered in Maryland in the past.

If either response is yes, staff must indicate the specific years they worked, volunteered, or lived in Maryland.

Provide prior addresses, including dates resided in the home, for the last 7 years.

Part III: Authorization (please read and review the application)

Please read and review the application carefully.

Pursuant to Code of Maryland Regulations § 07.02.07, pertaining to the confidentiality of Child Protective Services investigations and reports, the applicant authorizes the Maryland Department of Human Resources (DHR) to notify Fello (agency or individual listed in Part I) whether a local department of social services has identified the applicant as responsible for “indicated” child abuse or neglect in any record maintained by the Maryland Department of Human Resources, any local department of social services, and Child Protective Services.

STOP — REVIEW THAT ALL SECTIONS ARE COMPLETE.
PRINT THIS FORM BEFORE PROCEEDING.

Reminder, print the completed form then Sign, date the form, and print the legal name of the applicant to prospective field

Part IV: Signature

Part V: Certificate of Acknowledgment of Individual Before a Notary Public

Have the Notary complete this section.

Return the completed CPS application to SDSNewHirePackets@fello.org .

When the completed application is submitted by Fello directly to the CPS portal, background processing can take between 10 to 15 days.

Please reach out to SDSNewHirePackets@fello.org if an applicant’s background takes longer than expected.