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Background Check Consent Waiver

It is the policy of EVE to secure criminal conviction history along with Michigan and National Sex Offender Registry for volunteer positions so that we can ensure the safety of the people we serve.

EVE is sensitive to the fact that some individuals are victimized by the legal system therefore, charges found on a criminal history report will not automatically disqualify you as a potential volunteer.

All volunteer applicants are considered without regard to race, religion, gender, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.

Basic Information

Email *

Verify Email *

Name *

First Name

Last Name

Date of Birth *

(mm/dd/yyyy)

Sex *

Reason for background check? *

Ex: volunteer, intern, group volunteer, etc.

Previous Last Name(s) *

Put N/A if this does not apply to you.

Signatures

By typing your name below you hereby authorize EVE to obtain information pertaining to any charges and/or convictions you may have had for federal and state criminal violations. *

Signature

By typing your name below you agree that if you have lived or resided outside the State of Michigan during the past ten (10) years that you have never been convicted of a felony or identified as a perpetrator. *

Signature

By typing your name below you agree to provide EVE with information regarding any felony conviction you have received outside the State of Michigan. *

Signature

Authorization

I authorize EVE to carry out these checks and understand that any criminal conviction, may be cause for not being accepted as a volunteer.

I certify that the answers provided are true and complete to the best of my knowledge.

I understand that false or misleading information provided may result in the application not being considered.

I also authorize EVE to verify the information on this application and hereby waive any right I may have with regard to the release of this information to EVE.

Signature *