District 7570 Youth Protection Background Submission Form

District 7570 Youth Protection Background Submission Form
When is a Background Check Needed

A volunteer is defined as any adults involved with Rotaract or Rotary Youth activities, who have a supervisory role or significant interaction with students. This includes Rotarians, parents, school officials, and volunteers.

STOP - With the exception of RYLA, a background check is not needed for adults who will have casual or occassional interaction with students such as club meetings, conference seminars, community events and/or fundraisers. As long as they are not alone with the student.

Continue - If you will be alone with a student - You will need a background check!

Inquiries as to the necessity of a background check should be made to the Youth Protection Officer, Mike Mondul, mondums@danvilleva.gov
Name*

First NameMiddle NameLast Name
Why do you need a background check*
How will you be volunteering at RYLA?
If you will be chaperoning for RYLA, you do not need to fill out the Youth Protection Background Check Form. Once all the chaperones have submitted their applications, the full list of chaperones will be sent to PeopleTrail to begin the process of Background Checks. At that time you receive an email and/or a text message advising you to log onto the PeopleTrail portal to submit your PII information.
Rotary Capacity*
Include what capacity you are requesting a background check
Email (volunteer needing background check)*
example@example.com
Mobile Cell Phone (to receive a text alert reminder for background submission)
Please enter a valid phone number.
Email of person submitting the form*
example@example.com
The Rotary Club of:*
PeopleTrail - Background Checks

The Rotary Club will be billed $9.50 by District 7570. The District Representative will enter the request to PeopleTrail. The volunteer will be sent an email from InstaScreen with a link to a secure website to submit further information. The volunteer should check email spam/junk folder daily for InstaScreen email. The link in the email will expire in 14 days.
Should be Empty:

District 7570 Youth Protection Background Submission Form

PeopleTrail - Background Checks