Background Check

Background Check Consent/Release Form    Please email a copy of your valid Drivers License to parksandrec@godfreyil.org

 

By signing you authorize and give consent for the Village of Godfrey, Illinois State Police, and/or another third party administrator to obtain personal information that directly pertains to the qualifications and responsibilities of the position which I have been conditionally offered. I authorize this information to be obtained either in writing or via telephone in connection with my volunteer services and or employment with the Village of Godfrey.

Full Name
Last, First, Middle Initial
Applicants Address
Number, Street, City, State, Zip Code
E-Mail Address
Birthdate
RadDatePicker
RadDatePicker
Open the calendar popup.
Race
Sex
Signature Authorizing Background check.
Today's Date
RadDatePicker
RadDatePicker
Open the calendar popup.
If an Asst. Coach who are you assisting for?
Verification

Required Fields