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Understanding and Voluntary Consent

By completing and submitting this form, I acknowledge that I have read and understood this release and authorization, including the provisions of the Fair Credit Reporting Act (FCRA). I voluntarily consent to the procurement of a background check and, where applicable, an E-Verify employment eligibility check. I understand that this information may be used by PPE Kids and/or its designated partners to determine eligibility for participation in child-facing programs or activities.

I understand that PPE Kids participates in the E-Verify program to confirm employment eligibility. For more information about your rights under E-Verify, please review the following notices:

I also understand that my refusal to provide this authorization may result in disqualification from volunteering, employment, or participation in activities offered through my organization’s partnership with PPE Kids.

Certification

By signing below, I certify that all information I have provided is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission may be grounds for denial or termination of participation, employment, or volunteer service.

How long have you lived at your current address?

How long have you lived at the address listed above (Previous Address #1) ?

How long have you lived at the address listed above (Previous Address #2)?

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Certification

By signing below, I certify that all information I have provided is complete, accurate, and truthful to the best of my knowledge.

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© 2025 Protect Prevent Empower (dba PPE Kids) · A 501(c)(3) nonprofit · EIN 93-4057061

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