Consent Form

Volunteer Background Check Consent Form

Kalamazoo Valley Habitat for Humanity (KVHH) requires all volunteers to undergo an annual criminal and sex offender background check as part of our screening process.

All results will be kept confidential and an opportunity will be provided for you to challenge any negative results.

Your authorization is required to start this process. Please complete this form and then hit the Submit button. Failure to do so will result in elimination from consideration to join KVHH as a volunteer.

# = must be read and checked      * = required information

I understand a criminal and sex offender check is required in order to be a KVHH volunteer. I authorize KVHH to conduct a background check.
I understand KVHH has the right to revoke any current or future volunteer hours depending on negative results.

 Today's Date:   6/27/17
* First Name:   
* Full Middle Name:   
  If not applicable, enter 'none'.
* Last Name:   
* Maiden/Other Names:   
  If not applicable, enter 'none'.
* Date of Birth:   
* Address:   
* City:   
* State:   
* Zip Code:   
* Phone:   
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