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Background Check Request Form
Please complete this form to request a Praesidium background screening application
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Middle Name (enter "NMN" for no middle name)
*
Your answer
I acknowledge that I will not be able to participate as a volunteer/chaperone until the background check is successfully completed and the fee has been remitted to CRCS
*
Check here to indicate compliance with above
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LEAVE BLANK (For CRCS Admin Notes)
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A copy of your responses will be emailed to the address you provided.
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