Volunteer – Rise Above

Join the Team.

I am applying as a *

Birth Name *

First

Last

Company Name

Company Contact

Contact Phone

If Student, Name of College

Gender *

DOB *

Background Check

To ensure the safety of minors, all applicants 18 and older must complete this section before the application can be processed. Your cooperation and understating is greatly appreciated.

Drivers License # *

Social Security # *

Home Address *

Address Line 1

City

State

Zip Code

Cell Phone/Phone *

Have you ever been convicted of a misdemeanor? *

Convicted of a felony? *

If yes, please list charge and date of offense

Emergency Contact

Please provide the following contact information.

Name *

First

Last

Relationship *

Phone *

Sign & Date

I hereby authorize Rise Above, and/or the company of its choice to make an independent investigation of my background, criminal or police records including those maintained by the State of Washington, other public and private organizations and all public records for the purpose of confirming the information contained on my application which may be material for my qualifications for volunteering. I understand that any offer of volunteering is contingent on a satisfactory background investigation.

Signature *

Clear Signature

Date *