Background Check Consent Form - Kalamazoo Valley Habitat for Humanity

Kalamazoo Valley Habitat for Humanity (KVHH) has adopted a safety policy requiring all volunteers, employees, and applicants to our homeownership program to submit a criminal/sex offender background check and possibly a credit check as part of the overall screening process. This information is considered to ensure a positive and safe environment for all activities.

Your authorization is required to start this process. All results will be kept confidential and will be shared with you upon request by the appropriate department manager. You will have an opportunity to challenge any negative results or findings.

Please fill out and submit the form below.

Failure to sign and/or return this statement will result in your elimination from consideration to join the KVHH organization as a volunteer, employee or home buyer partnr, whichever condition applies. Your efforts to join us in ensuring safety are greatly appreciated.

I understand that a criminal and sex offender background check is required in order to serve as a volunteer, employee and or home buyer partner. I therefore authorize the appropriate department to conduct a background check and possible credit check.

Volunteer Background Check Consent Form

Today's Date

First Name *

Full Middle Name *

If not applicable, enter "none."

Last Name *

Maiden/Other Names *

Date of Birth *

Address *

City *

State

Zip

Phone

Email Address

Volunteer Affiliation

I understand KVHH has the right to revoke any current or future volunteer hours depending on negative results.

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.

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