5:30PM - 7:30 PM
Date of Birth
Street Address Line 1
Street Address Line 2
District of Columbia
Where do you attend church?
Where are you employed or attending school?
Does your employer participate in a Matching Gift fund?
Emergency Contact Information
Who should we call in case of an emergency?
The following section features our current programming, Please check the area(s) you have interest. (*) Indicates background check requirement
Admin - Mailers, Data entry, Office Support
Hunt & Fish* - Weekends/seasonal
Meal Preparation - Mon., Tues., or Thurs evenings
Automotive* - Weekend availability
Life Skills Course
Christmas shopping (Shopperone)*
Festival of Lights
Special Events Committee
Occupational (Mechanics, Plumbing, HVAC, Carpentry)
Areas of Interests
Middle School Students
High School Students
This area is for you to let us know your skill set (i.e., best grade for you to tutor, preferences to work with boys or girls, et
Volunteer Background Check
Disclosure Regarding Volunteer Background Report
Franktown Open Hearts ("COMPANY") may obtain from Verified Volunteers, 113 South College Avenue, Fort Collins, CO 80524, (855) 326-1860. www.verifiedvolunteers.com, a consumer report and/or an investigative consumer report ("REPORT") that contains background information about you in connection with volunteerism. Verified Volunteers may obtain further reports throughout your volunteerism so as to update your report without providing further disclosure or obtaining additional consent. The REPORT may contain information about your character, general reputation, personal characteristics and mode of living. The REPORT may include, but is not limited to , credit reports and credit history information; criminal and other public records and history; public court records; motor vehicle and driving records; and Social Security verification and address history, subject to any limitations imposed by applicable federal and state law. This information may be obtained from public record and private sources, including credit bureaus, government agencies and judicial records, and other sources. If an investigative consumer REPORT is obtained, in addition to the description above, the nature and scope of any such REPORT will be for personal references.
Enter your initials to grant permission:
Authorization to Obtain Volunteer Background Report
I have read the Disclosure regarding Volunteer Background Report provided by Franktown Open Hearts ("COMPANY") and this Authorization to Obtain Volunteer Background Report. By my initials below, I hereby consent to the preparation by Verified Volunteers, a consumer reporting agency located at 113 South College Avenue, Fort Collins, CO, 80524, (855) 326-1860, www.verifiedvolunteers.com, of background reports regarding me and the release of such reports to the COMPANY and its designated representatives, to assist the COMPANY in making a volunteer decision involving me at any time after receipt of this authorization and throughout my volunteerism, to the extent permitted by law. To this end, I hereby authorize, without reservation, any state or federal law enforcement agency or court, educational institution, motor vehicle record agency, credit bureau or other information service bureau or data repository, tofurnish any and all information regardin me o Verified Volunteers and/or the COMPANY itself, and authorize Verified volunteers to provide such information to the COMPANY. I agree that a facsimile ("fax"), electronic or photographic copy of this Authorization shall be as valid as the original. I acknowledge receipt of a copy of the Comsumer Financial Protection Bureau's "A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT".
Enter your initials to grant permission:
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In Saturday’s Automotive class, Kendyl and Dariu
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