Permission for Background Check

Permission for Background Check

Girl Scouts of Central Indiana
Girl Scouts of Central Indiana values the inherent worth and dignity of every person, fosters tolerance, sensitivity and mutual respect, and nurtures diversity. In order to hire a candidate a background check must be completed. Applicants are considered without regard to age, race, color, religion, sex, national origin, marital or veteran status, medical condition or disability. All information below is required from all applicants to facilitate a background check.
Full Legal Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth*

MonthDayYear
Social Security number*
Driver's License number and State*
Expiration Date*

MonthDayYear
Email*
Signature*

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