Background Check Form
Volunteers 18 years and older MUST complete this form. Persons with a felony or felony/misdemeanor animal charge will NOT be permitted to volunteer with Burlington Animal Services.
First Name *
Middle Name (full name, no initials) *
Last Name *
Address (full address) *
Date of Birth *
MM
/
DD
/
YYYY
Social Security Number (full number is required) *
Submit
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