OnRamp To Independence may obtain a consumer report (background check) about you for volunteer screening purposes. This notice is provided in accordance with the Fair Credit Reporting Act, 15 U.S.C. § 1681 et seq. A background report may include criminal history, sex offender registry status, and other publicly available records. You have the right to request a copy of any report obtained. If OnRamp takes adverse action based on the report, you will be notified and given an opportunity to dispute the findings.
List all addresses from the past 7 years. Attach additional sheets if needed.
| Street Address | City | State | ZIP | Dates (From – To) |
|---|---|---|---|---|
The background check conducted by OnRamp To Independence may include, but is not limited to:
Background checks are conducted by a third-party consumer reporting agency (CRA) selected by OnRamp To Independence. Results are maintained confidentially and used solely to evaluate volunteer fitness for direct-contact roles with youth and young adults.
I hereby authorize OnRamp To Independence and its designated consumer reporting agency to conduct a background screening as described above.
I certify that all information provided in this form and in any associated application materials is true, accurate, and complete. I understand that providing false or misleading information may result in immediate disqualification or removal from a volunteer role.
I understand that: