Volunteer Background Check Application - Egg Harbor Township ...
Egg Harbor Township
Volunteer Coaches Background Checks
As per Egg Harbor Township Ordinance No. 46 of 2007, which is an Ordinance establishing Chapter 90
of
the Township code entitled "criminal Record checks for Employees and volunteers" involved with Tdwnship Non-Profit Youth Organizations to submit to a criminal history background check. ln 1999, the state Legislature of New Jersey made it legal to conduct background checks on volunteers. Asa volunteer coach you are responsible for the $21.44, includes tax that is charged to conduct your fingerprinting and background check. However, at the end of each season the Township of Egg Harbor will process payment to the various volunteer sport organizations S13.00 for each coach that they verify has completed the background check. Each organization has its own policy on re-imbursement.
lt is that you consult with the organization that you are volunteering for in order to determine what its policy isforthe reimbursementof this fee. Remember, the Township will only process the reimbursementto thevarious organizations atthe end ofeach season. All individuals must be checked, regardless of previous criminal background checks at an earlier time. THERE ARE NO EXCEPTIONS suBgested
lf you are ready to be fingerprinted a nd have a background check cond ucted, please complete the following steps.
1.
Goto ehtgov.org/recreation and click Volunteer Coaches then Background Check. Download and print the form (3 Pages). You can also call EHT Recreation at 272-8120 to secure a form by mail. Forms secured by these two methods will have all necessary EHT information on them. DO NOT USE FORMS FROM ANY OTHER METHOD.
2. 3. 4. 5.
Com plete and answer questions #9
thru #26 - All are self explanatory. Read all ofthe instructions listed on the lower portion ofthe form. you must read and understand each of these paragraphs, before you make your appointment to be fingerprinted. When you have completely read the instructions on the "volunteer applicant form" contact ldentigo - Morpho Trust USA for your fingerprinting session at 1-877-503-S981. You can make an appointment via the web at ww.bioapplica nt .comlnj,24 hours per day, 7 days
per week. For applicants who do not have web access, appointments can be made by contacting ldentigo - Morpho Trust USA at 1-877-503-5981 on a first call, first served basis Monday thru Friday, 8:00 AM to 5:00 PM
EST
and Saturday, 8:00 AM to 12 Noon
EST.
6.
The closest ldentigo - Morpho Trust USA location is: Centralsquare Shopping Centre, 199 New Road, Route 9, Suite #67, Linwood, New Jersey 08221.
7.
The cost of for the fingerprintlng and background checks for volunteers is 521.44. payment by credit card will be required at the time of scheduling your background check. The applicants
account will be charged at the time they schedule. Payment by money order at the site will be acce pted for a pplica nts sched uling via the ca ll centeronly. payment by money order must be indicated at the time of scheduling. NO OTHER FORM OF PAYMENT WtLL BE ACCEPTED AT THE FINGERPRINTING 5lTE. A fee of S11.00 is charBed to cover the cost of a scheduled appointment
for applicants who do not cancel by noon on the business day prior to your scheduled appointment. The S11.00 fee also applies to applicants who are turned away from the printint
sites due to their inability to present proper lD as defined in the Acceptable lD Requirements block on Morpho Trak Form No- NJAPS2, or who fail to present form No. NJAPS2. (Form you downloaded from EHT web-site or was mailed to you by the EHT Recreation Department. The VRo (Volunteer Review Organization) will respond to EHT Recreation in the form of a letter advising of the volunteer's eliglbility under the law- The volunteer group Presidentcan accessthe list ofcoaches
that have satlsfactorily completed the background check process' Approved Coaches List
to this background checl! you are agreeing that upon successful completion of the placed on background check your name wlll be added to a roster of approved coaches which will be ehtgov.org. By submitting
Appeal Process persons who have been denied based on a recommendation by the VRO may obtain a copy of their the criminal history record by completing the Criminal History Record Release Form and mailing it to New Jersey State Police, state Bureau of ldentification, volunteer Review operation. The form can be
obtained from the Recreation Department by ca lling 272-8L2O. The vRo will mail a copy ofthe disqualifiTing record to the aggrieved individual. The individual in turn can contact the EHT Recreation Department at 27 2-8720 to arrange an Appeal Meeting with an Appeals Board sanction by Ordinance No. 46 of 2007.
New Jersey Universal Fingerprint Form www.bi oaBpllqant,qeno/ni l1)Efufiating Agen"y Number (oRl #)
NJ9206{02
(2) Category
(3) Statute Number
YSB
{5A:3A-1
(4) Reason for FinserPrinting
(5) Document Type
(6) Payment Intormation
YOUTH SERVTNG ORGANIZATION VOLUNTEER
VB1
$21.44
",'ffiEffeUnique
(8) Miscellaneous
ldentiner)
(10) Mr
(9) First Name
ln)
/\ \.,
(1 1)
Last Name
(14) Date of Birth
('13) Social Secudiy Number (Optional)
DaytmeFhone Number
(17) Maiden orAlias Last Name
(
1
(15) Height
(16) Weight
(19) Country of Citizenship
8) Place of Birth (US State if US Citizen; Country for all others)
(20) Home Address
(22)'Hair Color
(21) Gender.(Select one)
[ .l I I I I
State
City
Address
zip
(24) Race (Select One) Asian/ Pagific ls!a.qd.g1 qlglq{9q nqiair lnglfl) _".. BIack American lndian /Alaska Native IW] \Mrite ( Includes Hispanic/ Spanish Origin) tu l Unknowri
(23) Eye Color
t
tAl [B]
Female Mate Both
trl
(25) Occupation / Poaition (with respect to Requirement)
(26) Employer / Organization Name (with respect to Requirement) Employer Address
State
City IS current (not Address Examples of
after 5t1
zip Photo, Name,
D and
Authorization Card
USCIS
after
Please READ This Form Carefullv:
@yoiragency/employertocomp!etethefingeryinfprocess.Youmusthavethkform(Blocks1throygh26)completed present this completed
pior to scheduling your fing6ryint appointment
via the website or call center. PLEASEENWEGI4LY' lJniversat FiiiQerprint Fom,lDG-NJAPP-020115-V2,atyour scheduled appointment.
lt is required.that'iou
Appointment Scheduling: Scheduling is available anlrtime at wwwbioapplicant.com/ni,Appointments may also be scheduled through our Call Cenler. English and Spanish speaking agents aiJavaitable at f -aZZ+OS-S9S1, Monday ttrrougn friOay, 8:00AM to 5:00PM EST and Saturday, B:OOAM to 12 Noon EST. at the time of scheduling- The,followirigforms of ogyme$.ap accepted:.Visa, Mastercard, American Express, Discover, and prepaid debit cards, or electronip debit (ACH) from a checking account. Accounts will be debited immediately.
,**@t11 ;oo,,"ant is iesponsibki for payment, payment is required
'
ffianceledorrescheduledviathewebsiteorthecaIlcenter@thebusinesSdaypriortothescheduIed plus tax ($10.69) will be incuned by applicants who do not appointmentfee of
$10.00 affointrient (Saturday Noon for Monday appointrnents). An ciiceTreschdOub their appointment prior to the deadline. MorphoTrust witl refund the remainde.r of the fee paid (state/federal search fees) to the original payment method.
Unable to be Finoerprinted:
@bIetobeFingerprinted,,forany.ofthefollowing-reasons:FaiIuretoappearfors-cheduj
does
information provided during the scheduling process. Applicants unable to be fingerprinted will incur a $10.00 plus tax ($10.69) appointment fee. MorphoTrust will refund the reniainder of the fee paid (state/federal search fees) to the original payment method
PCN and Receipts:
Upon the completion of fingerprinting you will be assigned a PCN number. The PCN will be recorded on this form and on your receipt. MorphoTrust will not provide duplicate receipts, PCN Numbdrs or any appointment/pinting information afterthe time of printing. Applicant lD Number
Payment Authorization:
PCN:
Scheduled Day & Date:
Scheduled Time:
Scheduled Site:
Agency lnformation:
You MUST retain a copy of this form and the receipt of printing for your personal records. APPLICANTS MUST NOT ALTER, SHARE, OR REUSE THIS FORM
Volunteer Coaches Background Checks
As per Egg Harbor Township Ordinance No. 46 of 2007, which is an Ordinance establishing Chapter 90
of
the Township code entitled "criminal Record checks for Employees and volunteers" involved with Tdwnship Non-Profit Youth Organizations to submit to a criminal history background check. ln 1999, the state Legislature of New Jersey made it legal to conduct background checks on volunteers. Asa volunteer coach you are responsible for the $21.44, includes tax that is charged to conduct your fingerprinting and background check. However, at the end of each season the Township of Egg Harbor will process payment to the various volunteer sport organizations S13.00 for each coach that they verify has completed the background check. Each organization has its own policy on re-imbursement.
lt is that you consult with the organization that you are volunteering for in order to determine what its policy isforthe reimbursementof this fee. Remember, the Township will only process the reimbursementto thevarious organizations atthe end ofeach season. All individuals must be checked, regardless of previous criminal background checks at an earlier time. THERE ARE NO EXCEPTIONS suBgested
lf you are ready to be fingerprinted a nd have a background check cond ucted, please complete the following steps.
1.
Goto ehtgov.org/recreation and click Volunteer Coaches then Background Check. Download and print the form (3 Pages). You can also call EHT Recreation at 272-8120 to secure a form by mail. Forms secured by these two methods will have all necessary EHT information on them. DO NOT USE FORMS FROM ANY OTHER METHOD.
2. 3. 4. 5.
Com plete and answer questions #9
thru #26 - All are self explanatory. Read all ofthe instructions listed on the lower portion ofthe form. you must read and understand each of these paragraphs, before you make your appointment to be fingerprinted. When you have completely read the instructions on the "volunteer applicant form" contact ldentigo - Morpho Trust USA for your fingerprinting session at 1-877-503-S981. You can make an appointment via the web at ww.bioapplica nt .comlnj,24 hours per day, 7 days
per week. For applicants who do not have web access, appointments can be made by contacting ldentigo - Morpho Trust USA at 1-877-503-5981 on a first call, first served basis Monday thru Friday, 8:00 AM to 5:00 PM
EST
and Saturday, 8:00 AM to 12 Noon
EST.
6.
The closest ldentigo - Morpho Trust USA location is: Centralsquare Shopping Centre, 199 New Road, Route 9, Suite #67, Linwood, New Jersey 08221.
7.
The cost of for the fingerprintlng and background checks for volunteers is 521.44. payment by credit card will be required at the time of scheduling your background check. The applicants
account will be charged at the time they schedule. Payment by money order at the site will be acce pted for a pplica nts sched uling via the ca ll centeronly. payment by money order must be indicated at the time of scheduling. NO OTHER FORM OF PAYMENT WtLL BE ACCEPTED AT THE FINGERPRINTING 5lTE. A fee of S11.00 is charBed to cover the cost of a scheduled appointment
for applicants who do not cancel by noon on the business day prior to your scheduled appointment. The S11.00 fee also applies to applicants who are turned away from the printint
sites due to their inability to present proper lD as defined in the Acceptable lD Requirements block on Morpho Trak Form No- NJAPS2, or who fail to present form No. NJAPS2. (Form you downloaded from EHT web-site or was mailed to you by the EHT Recreation Department. The VRo (Volunteer Review Organization) will respond to EHT Recreation in the form of a letter advising of the volunteer's eliglbility under the law- The volunteer group Presidentcan accessthe list ofcoaches
that have satlsfactorily completed the background check process' Approved Coaches List
to this background checl! you are agreeing that upon successful completion of the placed on background check your name wlll be added to a roster of approved coaches which will be ehtgov.org. By submitting
Appeal Process persons who have been denied based on a recommendation by the VRO may obtain a copy of their the criminal history record by completing the Criminal History Record Release Form and mailing it to New Jersey State Police, state Bureau of ldentification, volunteer Review operation. The form can be
obtained from the Recreation Department by ca lling 272-8L2O. The vRo will mail a copy ofthe disqualifiTing record to the aggrieved individual. The individual in turn can contact the EHT Recreation Department at 27 2-8720 to arrange an Appeal Meeting with an Appeals Board sanction by Ordinance No. 46 of 2007.
New Jersey Universal Fingerprint Form www.bi oaBpllqant,qeno/ni l1)Efufiating Agen"y Number (oRl #)
NJ9206{02
(2) Category
(3) Statute Number
YSB
{5A:3A-1
(4) Reason for FinserPrinting
(5) Document Type
(6) Payment Intormation
YOUTH SERVTNG ORGANIZATION VOLUNTEER
VB1
$21.44
",'ffiEffeUnique
(8) Miscellaneous
ldentiner)
(10) Mr
(9) First Name
ln)
/\ \.,
(1 1)
Last Name
(14) Date of Birth
('13) Social Secudiy Number (Optional)
DaytmeFhone Number
(17) Maiden orAlias Last Name
(
1
(15) Height
(16) Weight
(19) Country of Citizenship
8) Place of Birth (US State if US Citizen; Country for all others)
(20) Home Address
(22)'Hair Color
(21) Gender.(Select one)
[ .l I I I I
State
City
Address
zip
(24) Race (Select One) Asian/ Pagific ls!a.qd.g1 qlglq{9q nqiair lnglfl) _".. BIack American lndian /Alaska Native IW] \Mrite ( Includes Hispanic/ Spanish Origin) tu l Unknowri
(23) Eye Color
t
tAl [B]
Female Mate Both
trl
(25) Occupation / Poaition (with respect to Requirement)
(26) Employer / Organization Name (with respect to Requirement) Employer Address
State
City IS current (not Address Examples of
after 5t1
zip Photo, Name,
D and
Authorization Card
USCIS
after
Please READ This Form Carefullv:
@yoiragency/employertocomp!etethefingeryinfprocess.Youmusthavethkform(Blocks1throygh26)completed present this completed
pior to scheduling your fing6ryint appointment
via the website or call center. PLEASEENWEGI4LY' lJniversat FiiiQerprint Fom,lDG-NJAPP-020115-V2,atyour scheduled appointment.
lt is required.that'iou
Appointment Scheduling: Scheduling is available anlrtime at wwwbioapplicant.com/ni,Appointments may also be scheduled through our Call Cenler. English and Spanish speaking agents aiJavaitable at f -aZZ+OS-S9S1, Monday ttrrougn friOay, 8:00AM to 5:00PM EST and Saturday, B:OOAM to 12 Noon EST. at the time of scheduling- The,followirigforms of ogyme$.ap accepted:.Visa, Mastercard, American Express, Discover, and prepaid debit cards, or electronip debit (ACH) from a checking account. Accounts will be debited immediately.
,**@t11 ;oo,,"ant is iesponsibki for payment, payment is required
'
ffianceledorrescheduledviathewebsiteorthecaIlcenter@thebusinesSdaypriortothescheduIed plus tax ($10.69) will be incuned by applicants who do not appointmentfee of
$10.00 affointrient (Saturday Noon for Monday appointrnents). An ciiceTreschdOub their appointment prior to the deadline. MorphoTrust witl refund the remainde.r of the fee paid (state/federal search fees) to the original payment method.
Unable to be Finoerprinted:
@bIetobeFingerprinted,,forany.ofthefollowing-reasons:FaiIuretoappearfors-cheduj
does
information provided during the scheduling process. Applicants unable to be fingerprinted will incur a $10.00 plus tax ($10.69) appointment fee. MorphoTrust will refund the reniainder of the fee paid (state/federal search fees) to the original payment method
PCN and Receipts:
Upon the completion of fingerprinting you will be assigned a PCN number. The PCN will be recorded on this form and on your receipt. MorphoTrust will not provide duplicate receipts, PCN Numbdrs or any appointment/pinting information afterthe time of printing. Applicant lD Number
Payment Authorization:
PCN:
Scheduled Day & Date:
Scheduled Time:
Scheduled Site:
Agency lnformation:
You MUST retain a copy of this form and the receipt of printing for your personal records. APPLICANTS MUST NOT ALTER, SHARE, OR REUSE THIS FORM
