Volunteer Background Check Authorization (Youth Sports)
Personal Information
Full Name
Date of Birth
Address
City
State
Zip
Phone Number
Email Address
Disclosure and Authorization
I authorize the organization to obtain background check reports in connection with my application to serve as a volunteer with youth sports. I understand that this information may be used in determining my eligibility.
Social Security Number
Have you ever been convicted of a crime?
No
Yes
If yes, please explain:
Signature
Date