Step 2: GRuB background-check: Child/Adult Abuse Disclosure Statement
Garden-Raised Bounty conducts Child/Adult Abuse Record Searches for prospective employees and volunteers who may have unsupervised access to children under sixteen years of age or vulnerable adults participating in our programs. A signed disclosure statement is required from each applicant before a search is conducted. We will notify applicants of the state patrol’s response within ten days after receipt.

[NOTE: if you have not completed the volunteer application in Step 1 {https://www.goodgrub.org/volunteer}, please do so before completing this form.]

Please indicate if you have been:
Email address *
Full name
Your answer
convicted of any crime against children or other persons; *
convicted of crimes relating to financial exploitation if the victim was a vulnerable adult; *
convicted of crimes related to drugs as defined in RCW 43.43.830; *
found in any dependency action under RCW 13.34.040 to have sexually assaulted or exploited any minor or to have physically abused any minor; *
found by a court in a domestic relations proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor; *
found in any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person or to have abused or financially exploited any vulnerable adult; *
found by a court in a protection proceeding under chapter 74.34 RCW, to have abused or financially exploited a vulnerable adult. *
I swear under penalty of perjury that the above is true.
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