Volunteer Background Check Authorization Form
I authorize ____________________________ and Trusted Employees, to conduct a criminal
background investigation as part of its volunteer screening and/or selection process. This
information in part or in whole will be provided to the school in the form of a report provided by
I authorize and consent, without reservation to the retrieval of information that may include but is
not limited to organizations, federal, state, or county level agencies, insurance sources, driving
and criminal history.
I certify that all of the statements and answers set forth on the application form are true and
complete to the best of my knowledge. I understand that following my volunteer term should any
statements or answers be found to be false or information has been omitted, such false
statements or omissions will be just cause for termination of my volunteer term.
I further acknowledge that the facsimile (FAX) or photocopy of the document sh