Online Criminal History Form

    I, , understand it will be necessary for Brazos
    Bend Guardianship Services (BBGS) to conduct a background check regarding my criminal
    history, personal references, and employment.
    I authorize BBGS to obtain any needed information regarding my legal/criminal history,
    character references, and employment from any state or federal agency, my employer, and
    personal references for the purposes of participating in a volunteering program. Further, I
    provide permission for BBGS to conduct the same investigation of my background in previous
    states in which I have resided.

    Please input your email address:

    Please Sign Below:

    Please Print Your Name Below:

    Please list any other cities, states, and dates of residency during the past 10 years.