Youth Group Youth Leader
Background Check Consent

I understand that as a prospective volunteer or leader for the youth group, a background check is required. I hereby authorize the organization to obtain information regarding my criminal background history for the purpose of evaluating my eligibility.

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Personal Information

Full Name Other Names Used Date of Birth Current Address Phone Number Email Address

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Consent Statement

I hereby authorize the organization to conduct a background check as described above. I certify that all information provided is true and complete to the best of my knowledge.