(334) 245-9716 | email@example.com | Post Office Box 241713, Montgomery, AL 36124
In the interest of maintaining the safety and security of our youth, program partners, members, and community stakeholders, the 100 Black Men of Greater Montgomery, Inc. will complete a criminal background check on you in connection with your desire to be a member and/or serve as a volunteer or mentor.
The background check will reveal felony and misdemeanor criminal convictions, any pending criminal cases, and any history of incarceration as an adult. Arrests pending prosecution may also be reported. Records of juvenile convictions and detention that have been sealed by a court typically do not appear in these searches.
By completing and submitting this, you authorize the 100 Black Men of Greater Montgomery, Inc. to conduct a criminal background check. You understand the details that will be revealed through this process, and you agree to move forward in the criminal background check process.
The information requested below is collected solely to aid the 100 Black Men of Greater Montgomery, Inc. in running a background check in connection with your desire to serve as a volunteer and/or mentor. The organization is requesting that you provide this information to assist in conducting a thorough background check.
Your Full Name
Date of Birth
Drivers License State No.
Social Security No.
Please disclosure any pending or previous charges, cases, or convictions.
By checking the box below, I authorize this background check and certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information may result in my release from the volunteer/mentor opportunity.