2016-17 JA Fellows Volunteer Background Check Authorization/Consent Form

As a volunteer with Junior Achievement of South Florida, Inc. (JASF), I hereby authorize ChoicePoint Inc., on the behalf of JASF, to procure a background check.
Name: 


A red asterisk (*) indicates required questions.

  1. Volunteer Digital Signature*


  1. Today's Date*


  1. Social Security Number*


  1. Date of Birth (MM/DD/YY)*


  1. Driver's License Number*


  1. Contact Phone Number


  1. Street Address: (*For identification purposes only)


  1. City, State, Zip: (*For identification purposes only)


  1. Email Address: (*For identification purposes only)





Junior Achievement of South Florida