Background Check Authorization

Habitat for Humanity of Wisconsin River Area upholds the highest standards of respect for the human rights of all people and supports a safe, ethical environment. We ask that volunteers authorize us to conduct a background check by completing this form as to ensure the safety of customers, staff, clients and other volunteers. Furthermore, all volunteers are required to complete a waiver of liability. If you have any questions or concerns about the purpose or use of these forms, please contact us via email or phone (608) 448-2888. Thank you.

Your Contact Information

First Name *

Last Name *

Email *

Date of Birth *

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Type Your Name Here To Accept The Waiver * The field Type Your Name Here To Accept The Waiver is required.

Parent/guardian, type your name here The maximum length for the field Parent/guardian, type your name here is 500 characters.

Date Submitted * The date field Date Submitted is required.

I authorize HFHWRA to conduct a background report * The field I authorize HFHWRA to conduct a background report is required.

Other Names Known By The maximum length for the field Other Names Known By is 500 characters.

Documents

Attached you will find the volunteer liability waiver and the full disclosure regarding background reports which includes your rights under the Fair Credit Reporting Act.

Policy - Background Screening - Authorization to obtain background report.pdf

2021 Volunteer e-Waiver.pdf