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Volunteer Background Check Authorization Form

    In order to apply to be a volunteer of NorthPark Community Credit Union, you must first read the Background Check Disclosure. Please read carefully before signing the authorization.

    I have read and understand the foregoing Disclosure, and authorize NorthPark Community Credit Union to obtain and rely upon consumer reports or investigative consumer reports in considering me for volunteering and, if I am elected, in considering me for subsequent volunteer assignment, reassignment, retention, or discipline.

    By my signature below, I authorize NorthPark Community Credit Union to obtain any such reports and to share the information received with any person involved in the employment decision about me.

  • I do/do not authorize you to contact my current employer for Employment and Reference Verifications (This will authorize immediate inquiries to the Human Resources Department and to any listed supervisors or references in the Employment/Reference Section of your application.)

    OK I do/do not authorize you to contact my current employer for Employment and Reference Verifications (This will authorize immediate inquiries to the Human Resources Department and to any listed supervisors or references in the Employment/Reference Section of your application.) is required
    OK I also agree that this Disclosure and Authorization in original, faxed, photocopied, or electronic (including electronically signed) form will be valid for any consumer reports or investigative consumer reports that may be requested about me by or on behalf of NorthPark Community Credit Union. is required
  • Date of Authorization

    OK Date of Authorization is required
  • OK Name is required
  • OK is required