Background Check Authorization

Thank you for your interest in volunteering or working with Skate Like a Girl and congrats on taking this next step. We appreciate you completing a background check to ensure we can deliver on our mission to create a more inclusive community through skateboarding.

**NOTE: All confidential information will not be shared**

Today's Date*

Date

Legal First Name*

Middle Name (Please list N/A if you do not have a middle name)*

Legal Last Name*

Any other names/nicknames/aliases you've used:

Your Cell Phone Number, including area code*

ex: 281-330-8004

Email*

Confirmation Emailexample@example.com

Shirt Size (in adult unisex sizing)

What position are you joining Skate Like a Girl as?*

StaffVolunteer

What state are you a resident of?*

WashingtonOregonCaliforniaI am outside of these 3 states

Have you lived in this state for more than 7 years?*

YesNo

Date of Birth*

Date

Driver License Number & State*

The information contained in this application is correct to the best of my knowledge.

I hereby authorize Skate Like a Girl and its designated agents and representatives of Skate Like a Girl to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunt purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to following areas: verification of social security number; current and previous residences; civil and criminal history records from criminal justice agency in any or all federal, state, county jurisdictions.

Data received from other sources and its designated agents and representatives shall maintain all information received from authorization in a confidential manner in order to protect the applicant, personal information, including, but not limited to, addresses, social security numbers, and dates of birth.

By signing below, I am agreeing to the Background Check Authorization*

I understand that I will get a follow up email from Proforma Screening Solutions to complete my background check, and I will complete the necessary online paperwork before I begin volunteering or working with Skate Like a Girl.*

YesNo