Field Trip Chaperone Background Check Form

Field Trip Chaperone Background Check Form — Form Fields

This education template includes 12 fields. Background check consent form for volunteer field trip chaperones. Free to customize and use on ZenBuild.

• Full Name (as on ID) (text, required)
• Date of Birth (text, required)
• Current Address (text, required)
• Email (email, required)
• Phone Number (text, required)
• Student Name and Grade (text, required)
• Driver License Number (text, required)
• State of Issue (dropdown selection, required) — options: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming
• Have You Been Convicted of a Felony (multiple choice, required) — options: Yes, No
• Have You Been Convicted of a Crime Against a Minor (multiple choice, required) — options: Yes, No
• I Consent to Background Check (multiple choice, required) — options: Yes
• Additional Information (if applicable) (long text, optional)