AWARE Volunteer Application

Disclosure of Criminal History
Have you been accused or convicted of any crimes? A crime is punishable by imprisonment. Do not list infractions punishable only by fines.
Name of offense, date of conviction, city/state of conviction
Have you ever been accused or convicted of a crime involving controlled substances?
Have you ever been accused or convicted of sexual abuse of a minor?
Have you been accused or convicted of any crime where a minor is a victim?

Consent for Background Check
Full Legal Name

First NameLast Name
Other names, maiden name, nicknames, etc.
It is necessary for AWARE, Inc. (Aiding Women in Abuse and Rape Emergencies, Inc.) to conduct a criminal and child protection background check on all potential volunteers as part of the screening process for volunteer work. By filling out the form below, you give your permission for AWARE, Inc. to receive this information from Unique Background, the applicable Police Department, the Alaska State Troopers, the District Attorney's Office, the Federal Bureau of Investigation and/or Courtview.
Please read the above paragraph and check yes to indicate your consent for a background check
Signature
Should be Empty:

Volunteer Application