2018-2019 JA Capstone Volunteer Background Check Authorization/Consent Form

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

Name


A red asterisk (*) indicates required questions.


  1. Volunteer Digital Signature: First Name- Middle Name Initial (if applicable)- Last Name*


  1. Today's Date*


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


  1. Social Security Number*


  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) *