My EISEF background check request

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My personal information

First name First_Name 

Last name Last_Name 

Date of Birth Date_Of_Birth 

Past names, aliases, nicknames Aliases 

States to search NameSearchStateValue 

Affirmation

I hereby state and affirm:

1. I am 18 years old or older.

2. I acknowledge that my EISEF background checks for previous years are no longer valid for the current 2025 EISEF season.

3. I acknowledge that I am volunteering for a position with direct access to minors. Therefore, I consent to a background check of criminal and sex offender records in any U.S. state or territory I have lived in for the past five years, including (but not limited to):

   1. National Sex Offender Public Website

4. I shall fully cooperate in the process, including ensuring the correct identity has been checked.

   1. On request, I shall confirm my identity with a government-issued photo ID that matches the information I have provided.

5. I acknowledge that, if I fail the background check, the Board may at its discretion order me to to cease volunteer work for EISEF.

   1. If I have been ordered to cease working for EISEF, I will avoid locations hosting EISEF functions, such as the Fair itself; and I will cease to claim that I am working for EISEF in any capacity.

6. I agree that I shall, at no time while volunteering for EISEF, have one-on-one contact in private with any minor children who are not my legal children. I shall at all times have at least one additional adult within my presence when in private with a minor child.

7. I shall, at no time under the auspices of any EISEF activity, ask a minor child to accompany me to a private location, take any minor child in my private car, or share contact information with a minor child.

Signature

Name:  Full_Name  Date:  Date_Signed

Page last modified on December 17, 2023, at 05:44 PM