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Background Check Request

Hello friendly Project Leader or Volunteer. Use this form to request a background check for yourself, a volunteer for or future employee of your project. The project fund will be charged for the cost of the background check, which ranges from $17-60.

CascadiaNow! is committed to privacy when it comes to volunteer, employee, and donor privacy. All informaton submitted via this form will be deleted once the background check has been submitted to Intellicorp, our background checking system.

Project Name *

Name of Project You Are Applying to Volunteer With/Work For

Project Supervisor/Leader Name *

Who requested that you take this background check?

Email *

Please provide either an email address where we can reach you or a project leader if we have any questions about this background check.

Type of Background Check *

Employee

Volunteer

Check Subject Name *

First Name

Last Name

Middle Name (Enter "N/A" if none)

Former Last Name

Check Subject Date of Birth *

(mm/dd/yyyy)

Check Subject SSN *

Check Subject Email *

Verify Email *

Check Subject Current Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Background Check Authorization

We are required by law to have a fully completed and signed background check authorization form confirming that the individual volunteer/future employee has agreed to the background check. Please upload the authorization form.

Upload Authorization Form *

Will the volunteer/employee be driving as a part of their official duties? *

Yes

Upload Volunteer/Future Employee Drivers License *

Upload Volunteer/Future Employee Proof of Automobile Insurance *