E-Sign Act Disclosure
If you do not consent to proceed electronically contact One Source at 1.800.608.3645, and reference Client ID 4401V. You may now exit this page.
Camp For All Foundation
Please read all instructions before completing this form!
The following information may be required by law enforcement agencies, local, state or federal governmental agencies or similar public bodies for positive identification purposes when checking public records. I understand that this information is confidential and will only be used for background screening purposes.
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.
California applicants only, Click
to view the California Law Notice
New Jersey applicants only, Click
to view the New Jersey Law Notice
New York applicants only, Click
to view the New York Correction Law Article
Washington applicants only, Click
to view the Washington State Summary of Rights
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. Thank you!
Enter full LEGAL first name. Do NOT enter nicknames or abbreviations.
Enter middle name or initial. Do NOT enter nicknames.
Enter full legal last name. Do NOT enter nicknames or abbreviations.
AKA First Name
Enter aka first name. Do NOT enter nicknames.
AKA Middle Name
Enter aka middle name. Do NOT enter nicknames.
AKA Last Name
Enter aka last name. Do NOT enter nicknames.
Enter complete Current Address.
For CA, MN, and OK residents, would you like a copy of the report emailed?
Enter social security number. Do not enter hyphens or dashes. EXAMPLE: 111223333
Birth Date (DOB)
MMDDYYYY -or- MM/DD/YYYY
Enter a phone number that you can be reached at between 8 am and 5 pm.
Enter a email address that you can be reached at between 8 am and 5 pm.
Basic Check 2.0
County Criminal - Statewide If Available