Volunteer Background Check
Any volunteer who works with Girls or with money must be background checked. Background checks expire every three years.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Your Birthdate
*
-
Month
-
Day
Year
Date
Social Security Number (required)
*
Service Unit
Troop Number
Signature
Clear
Background checks are done through Asurint. More information can be found at asurint.com. Questions, comments, or concerns? Please email volunteering@girlscoutsneny.org.
Submit
Should be Empty: