Background Information to Volunteer in Charlotte NFP

Please complete this form if you would like to volunteer directly with our students and/or become a member of our University staff. There is a $25 non-refundable fee that must be submitted with the Background Information Form.

As per the laws of the state of North Carolina we are required to complete a background check of all volunteer persons working youth.
Full Name*

Please enter your first, middle and surname.
Other Names Used – Maiden Names – Dates Used
Current Address*
City, State Zip*
Phone
Email
Previous Addresses

Please list any previous addresses used in the last 7 years along with the dates of residence.
Address One
Address Two
Address Three
Address Four
Other Information
Date of Birth*

MM

DD

YYYY
Driver's License #*
State Issued*
May we contact your current employer?
- Yes
- No
Have you ever been convicted of a crime?*
- Yes
- No
If so, Please explain…
Captcha
Agreement*
- I agree to the Terms of this Contract

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Background Information Form

As per the laws of the state of North Carolina we are required to complete a background check of all volunteer persons working youth.

Previous Addresses

Other Information

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