Background Check Authorization Form for Animal Rescue

Background Check Authorization Form for Animal Rescue

Please fill out your details and provide consent to proceed with background checks.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Driver’s License Number
Driver’s License State
By signing below, I authorize The House of Hope Animal Sanctuary and Rescue to conduct a criminal and reference background check as part of my application process. I understand that this information will be used solely for volunteer or adoption eligibility purposes.
Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: