Children's Educational Theatre

Background Check Authorization Form To Be Completed by Volunteer. Please print all requested information to allow Children's Educational Theatre to perform a background check.
Please Read Carefully

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Fields highlighted in 'RED' are required
Last Name First Name Middle Name
Maiden name or other name(s) used in any and all other records or records of residence
           
Present Street Address How long?
   
City, State, Zip Code    
           
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Date of Birth Drivers License Number
           

By my signature below, I declare that I am an applicant for volunteer service with Children's Educational Theatre (CET) and have been advised that, as part of the application process, CET conducts a criminal history background check. I do hereby consent to CET's use of any information provided during the application process in performing the criminal history check. I have been informed that I have the right to review and challenge any negative information that would adversely affect a decision to offer volunteer service opportunities. In addition, I have been informed that I will have a reasonable opportunity to clear up any mistaken information reported within a reasonable time frame at the discretion of CET.
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Signature Signed Date

 

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