Volunteer Background Check
Any volunteer who works with Girls or with money must be background checked. Background checks expire every three years.
Name
First Name
Last Name
Email
example@example.com
Which of the following best describes your gender identity? This question is voluntary and is only used for background check purposes.
Man
Woman
Non binary
Type option 4
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Social Security Number (required)
*
Service Unit
Troop Number
Signature
Background checks are done through Asurint. More information can be found at asurint.com. Questions, comments, or concerns? Please email customercare@girlscoutsneny.org
Submit
Should be Empty: