Westgate/Westside Athletic Association
Volunteer Background Check Form
Please read all instructions before completing this form!
According to the Fair Credit Reporting Act you are to be provided with a copy of your rights according to the FCRA. Please click here for the
Summary of Consumer Rights According to the FCRA.
Email One Source with any special notes/comments regarding this applicant at:
Select NEXT to proceed to next screen.
Questions? Contact One Source at 402.933.9999 or 1.800.608.3645.
Your Email Address
Daytime Phone Number
Full Street Address
Social Security Number
Birth Date (DOB)
MMDDYYYY -or- M/D/YYYY
Driver's License #
For California, Minnesota, and Oklahoma residents only, would you like a copy of the report sent to you?
Total Check v3.0 ( County Criminal - Statewide If Available, Federal Criminal, Global Watch, National Sex Offender Registry, Nationwide Alert, Social Security Trace, )
County Criminal - Statewide If Available