Volunteer Background Check Request Fields marked with an asterisk (*) are required. Request First Name * Last Name * M.I. Alias Names (Include Maiden/Prior Married Names) Date of Birth * Waiver I hereby give permission for Star Food Bank to conduct a background check concerning myself. Signature * Type your full name to sign this waiver electronically. Date * I give permission for Star Food Bank to conduct a background check concerning myself. I intend my typed name to serve as my electronic signature and consent to signing electronically. General Information Please watch for an email from Checkr.com and complete the information requested as soon as possible. This request is being made for the purpose of volunteering with Star Food Bank. This report will be used for no other purpose in accordance with Federal and State Law. Additional information is available upon request. Star Food Bank (formerly known as Star Outreach - Neighbors Helping Neighbors) P. O. Box 345 • Star, Idaho 83669 (208) 779-0046 volunteer@starfoodbank.org Submissions are processed through FormSubmit and emailed to Star Food Bank. Submit Request
