JA Volunteer Background Check Form

It is required for all potential Junior Achievement volunteers to go through a Background Check or provide a Company Background Verification.

School chaperones/volunteers must be an approved volunteer with the school and do not have to submit background check information to Junior Achievement when volunteering with their child’s school. Please complete and submit the following form if you are volunteering independently.

The security, confidentiality and integrity of your personal information is important to us. We maintain organizational, physical, and technical security arrangements for the personal information we collect to guard your personal information.

CLICK HERE to read the JA’s full privacy policy.

Volunteer Name*
Volunteer First Name Last Name
Date of Birth*
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Social Security Number*
For identification purposes only
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Driver's License Number*
For identification purposes only
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Contact Number*
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Email*
Address*
Street Address Address Line 2 City State ZIP Code
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Place of Employment or University (if you are a student)*
Background Authorization Consent*
Junior Achievement of South Florida (hereinafter “JA”), when considering your request to volunteer, when making a decision whether to offer you the opportunity to volunteer, when deciding whether to continue with your volunteer responsibilities if you are already engaged with JA, and when making other volunteer decisions directly affecting you, may wish to obtain and use a “consumer report” from a “consumer reporting agency” about you. These terms are defined in the Fair Credit Reporting Act (FCRA), which applies to you. As an applicant for a volunteer opportunity or as a current volunteer with JA, you are a “consumer” with rights under FCRA. This completed authorization form authorizes JA to request a criminal background report.

A consumer reporting agency is a person or business which, for monetary fees, dues, or on a cooperative nonprofit basis, regularly assembles or evaluates consumer credit information or other information on consumers for the purpose of furnishing consumer reports to others, such as JA.

A consumer report is any written, oral, or other communication of any information by a consumer reporting agency bearing on a consumer’s credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or collected for the purpose of serving as a factor in establishing the consumer’s eligibility for volunteer or employment purposes.

If JA obtains a consumer report about you, and if JA considers any information in the consumer report when making a volunteer-related decision that directly and adversely affects you, you will be provided with a copy of the consumer report before the decision is made final by JA.

By signing below, I voluntarily authorize JA to obtain a consumer report about me from a consumer reporting agency and to consider this report when making decisions regarding any volunteer opportunities at JA. I understand that I have rights under the Fair Credit Reporting Act, including the rights discussed above.
I agree to the above terms
Signature*
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Signature*
Today's Date*
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