Camp Counselor Background Check Authorization

As part of the application process for volunteering/employment as a camp counselor with our nonprofit organization, we require your consent to conduct a background check.

Personal Information

Full Name Date of Birth Current Address City State Zip Code Phone Email

Authorization

I authorize the nonprofit organization to obtain information regarding my background, including records from any law enforcement or other agencies, as necessary for participation as a camp counselor. I release all persons and organizations from liability for providing such information.

Signature Date